AMP with FSA

1. AMP with FSA Step-by-Step Guide to Implementing AMP in your Organization Step 1-Developing Teams Jeanette Snell, RN, MSN Clinical Advisor

2. Objectives: Identify individuals requiring AMP access. Identify user roles in your organization. Complete user assignments. Implement AMP across your organization.

3. Understanding User Roles • Staff Member (Individual) • Staff Member (Team Coordinator) • Site Manager • Program Administrator

4. Staff Member Role • First tier of access • Able to view all EP’s and documentation • Able to add/edit documentation for assigned EP’s only • Enter an individual score • Low volume of EP’s assigned • Multiple staff members per each EP

5. Staff Member Role-Team Coordinator • Staff Member level of access • Able to view all EP’s and documentation • Able to add/edit documentation for assigned EP’s only • Enter a preliminary score • Typically assigned an entire chapter • Ability to assign tasks • One team coordinator allowed per EP

6. Site Manager Role • Higher level of access • View and score all EP’s (No assignment) • Responsible for entering the final score • Scoring • Score each EP independently • Score EP’s in bulk • Accept Team Coordinators’ scores • No Administrative functionality

7. Program Administrator Role • Highest level of access • View and score all EP’s (No assignment) • Responsible for entering the final score • Scoring • Score each EP independently • Score EP’s in bulk • Accept Team Coordinators’ scores • Assign users/access • License maintenance • Site Setup and Password/Email setup

8. Collaboration among User Roles Program Administrator Site Manager Site Manager Team Coordinator Team Coordinator HR Chapter MM Chapter Staff Member Staff Member Staff Member Staff Member HR.01.01.01 EP 2 HR.01.01.01 EP 2 Staff Member MM.07.01.03 EP 1-6 MM.07.01.03 EP 1-6 HR.01.02.07 EP 1,2,5

9. Accreditation Manager Plus

10. Team Development Complete Team Development Tool (Role, Title, Name, Email) The following slides offer suggestions for team members arranged by Chapter of the CAMH ***Please note that Joint Commission does not require use of all AMP roles or team structure as proposed in this toolkit. These are ideas to assist you in compliance efforts.***

11. Team Development Tool

12. Assigning UsersAccreditation Participation Requirements • Vital to accreditation • Tend to be clear cut requirements • Noncompliance is very evident • Typically assigned to JC liaison or program administrator. • Leadership involvement if noncompliance

13. Accreditation Culture • What is the culture of your organization? • What is the size of your organization? • Who is responsible for accreditation? • Who is responsible for compliance? • Who is responsible for scoring? • What is the level of comfort? • How will you utilize the functionality in AMP?

14. Assigning UsersEnvironment of Care • Proposed team members include: • Facilities Director/staff • Security Director/staff • Lab Director/staff • Pharmacy Director/staff • Biomedical Engineering • Peri-operative Director/staff • End users

15. Assigning UsersEmergency Management • Proposed team members include: • Emergency Management leader • Administration • Medical Staff • Emergency Dept Director/ Staff • Infection Prevention and Control Coordinator • Facilities/Safety/Security Director • Utilities Director • Nutritional Services Director • Lab Director

16. Assigning Users Human Resources • Human Resources Director/staff • Employee Educator • Nurse Educator • Director of Volunteers • Employee health nurse • Those responsible for competency assessment

17. Assigning UsersInfection Prevention • Possible team members include: • Infection Prevention • Microbiologist • Nurse Managers/Nursing Staff • Facilities/Engineering • Peri-operative Services • Central Supply/Sterile Processing • Employee Health Nurse • Environmental Services • Department Managers

18. Assigning UsersInformation Management/Record of Care • Possible team members include: • CIO • HIM Director • Performance Improvement Staff • Medical Staff Representative/CMO • Nursing Representative/CNO

19. Assigning UsersLeadership • Conflict of Interest • Communication • Culture of Safety • Conflict Resolution • Contracts

20. Assigning UsersLife safety • Possible team members: • Facilities Director • Safety/Security Director • Engineering • Department managers

21. Assigning UsersMedication Management • Possible team members: • Pharmacy Director/staff • Nurse managers/staff • Medical Staff representative • P&T Chair • Director of Outpatient Services/clinic staff • Radiology Director/staff

22. Assigning UsersMedical Staff • Possible team members: • CMO • Medical Staff Office representatives • Credentials Chair • Medical Staff Leadership

23. Assigning UsersNPSG • Possible team members include: • Nurse Managers/staff (include MS/ICU/ED) • Lab Director/Blood bank staff • Anesthesia personnel • Peri-operative Services Director • Pharmacy Director • Radiology Staff • Outpatient staff

24. Assigning Users Nursing • Consider the following: • Education and Experience • Access to policies and procedures • Developing standards of care • Implementing standards of care • Implement staffing plan • Oversight for all nursing care

25. Assigning Users Patient Rights and Organizational Ethics • Potential Team members include: • Administrative representative • Legal Counsel/Risk Manager • Patient Relations • Patient Advocate • Social Worker • Nursing representatives • Outpatient representative

26. Assigning UsersProvision of Care • Possible team members: • CNO • Nursing Administration • Staff Nurses • Pharmacy Director • Anesthesia Personnel • Behavioral Health (if applicable) • Multidisciplinary Team Members

27. Assigning UsersPerformance Improvement • Possible team members might include: • Quality Improvement personnel • Department Directors • Medical Staff Leaders • Administration

28. Assigning UsersTissue • Peri-operative Services Director • Wound Center Director • Lab Director • Tissue Officer (if required by law) • Tissue Management personnel • Materials Management personnel • Nursing representatives

29. Assigning Users Waived Testing • Potential team members include: • Lab Director or designee • Staff Educator/Competency Assessment • Nurse Managers/staff • Outpatient Services

30. Quick Review • Staff member*** • View/Edit -My assignments (Individual score) • View all EP’s • Team Coordinator*** • View/Edit -My assignments (Preliminary score) • Review individual scores/assign preliminary score • Site Manager/Program Administrator • Can document on all EP’s (no assignment) • Score each EP/score bulk/accept preliminary scores as final ***Can only document on EP’s in their assignment

31. Questions?

32. Customer Support Technical Issues (Customer Support) Call: 888-527-9255 Email: support@jcrinc.com