
Infection Prevention and Control Assessment Tool
Important Updates
As of March 20th, 2020 all CMS auditors will have new focus guidelines, prioritizing inspecting Nursing and Acute & Continuing Care facilities specifically for COVID-19 Infection Prevention compliance.
A facility self-assessment, along with a Daily Critical Check Food service is encouraged and available for completion at NO CHARGE on our digital platform:
During this time, if there’s any other way we can support your team and facility, please contact us directly at support@myfieldaudits.com
SOURCE: https://www.cms.gov/files/document/qso-20-20-allpdf.pdf
Why
The current outbreak of Coronavirus (COVID-19) has put the extremely vulnerable population of residents and patients in Nursing Homes and Long Term Care facilities at an increased risk of infection.
MyFieldAudits has a long-time partnership with these facilities. As such, we have compiled an Infection Control Kit consisting of recommendations and infection control audits put forth by the CDC available at NO COST.
What
(full form description and sources at the bottom of page)
- COVID-19 Focused Survey for Nursing Homes – Self Assessment
- COVID-19 Focused Survey for Acute & Continuing Care – Self Assessment
- Daily Food Service Infection Check
[These forms have been pulled directly from the CDC and Department of health resources and should be used at your own risk, with oversight from trained professionals.]
How

Complete Form

(You’ll receive an email with instructions)

Download App


Start protecting your Community/Facility using the Pre-loaded CDC forms
* Free account is with use of pre-loaded forms only and max of 3 users.
Pre-loaded Forms
These Forms will be included in your *FREE Digital Inspection APP
COVID-19 Focused Survey for Nursing Homes – Self Assessment
This survey tool is used to investigate compliance at F880 and determine whether the facility is implementing proper infection prevention and control practices to prevent the development and transmission of COVID-19 and other communicable diseases and infections. Entry and screening procedures as well as resident care guidance has varied over the progression of COVID-19 transmission in facilities. Facilities are expected to be in compliance with CMS requirements and surveyors will use guidance that is in effect at the time of the survey.
COVID-19 Focused Survey for Acute & Continuing Care – Self Assessment
This survey tool provides a focused review of the critical elements associated with the transmission of COVID-19, will help surveyors to prioritize survey activities while onsite, and identify those survey activities which can be accomplished offsite. These efficiencies will decrease the potential for transmission of COVID-19, as well as lessen disruptions to the facility and minimize exposure of the surveyor. Surveyors should be mindful to ensure their activities do not interfere with the active treatment or prevention of transmission of COVID-19. Entry and screening procedures as well as patient care guidance has varied over the progression of COVID-19 transmission in facilities. Facilities are expected to be in compliance with CMS guidance that is in effect at the time of the survey.
DAILY FOOD SERVICE CRITICAL CHECK
A daily food service inspection checklist for long term care facilities. This check ensures proper infection control measures are being taken in regards to Storage, Preparation & Production, Hand Hygiene, Meal Distribution, Refuse and other critical areas.