State Operations Manual - CMS

State Operations Manual Appendix AA - Psychiatric Hospitals Interpretive Guidelines and Survey Procedures (Rev. 149, 10-09-15) Transmittals for Appendix AA Part I Investigative Procedures Survey Protocol - Psychiatric Hospitals I - Principal Focus of Surveys II - Task 1 - Representative Sample of Patients - Selection Methodology A - Purpose of the Sample B - Sample Size C - Sample Selection D - Program Audit Approach III - Task 2 - Record Review of Individuals in the Sample A - Introduction B - Other Pertinent Information IV - Task 3 - Other Record Reviews A - Death Records B - Discharge Records C - Complaint Investigations V - Task 4 - Direct Patient Observations A - Purpose B - Documentation VI - Task 5 - Interviews A - Patient Interviews B - Purpose of Structured Interviews Related to Patient Staffing C - Documentation D - Interviews with Major Department Directors VII.

within the parameters of the numerical requirements. Document your reasons for adding patients to the sample. ... total beds. 3. Same as above, but the Adult Intermediate Care Unit has 10 beds, and the Children’s Unit has 30 beds. *This is an instance where your judgment is required. The following sample

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