1. © 2003 HCC, Inc. CD042500-1245RR Tool Spec Sheet Basic Level Spectrum Systems HCC National Quality Forum (NQF) Safety Practices 3: Facilitating Information Transfer and Clear Communication Scorecard  [ ____________ ] TOOL DESCRIPTION Title: Short and tight, of no more than three or four words. Define whether the tool is a Roadmap, Guide, Dashboard, Scorecard, Checklist, Framework, Template, Calculator, or Formula Abstract: No more than four lines. The abstract should summarize the tool and its use. Key Words: List all of the key words that may be pertinent to the core concept that a user might use in a search. Author: List author organization (HCC or TMIT or other – if other note how it was modified from original source) Lead Tool Summary Graphic: Use a Ppt graphic from HCC graphic library as a lead identifying graphic. Include mini-icons where appropriate. Spectrum Web Storyboard: Insert instructions for web pres, direction for graphics, animations, text instructions & PN direction to other pages 2 of 2 eg. Tool Definition: One short paragraph should be provided that defines the Tool.. This definition will be presented in a glossary of terms. The tool should be labeled as to whether it is used at all, Basic, Intermediate, Comprehensive, or Very Comprehensive levels. Background: Provides the why, when, and how, tool was developed and the sources. Description: Provides the relevance to the healthcare and performance solutions development. Describes how “ works ” with in with the HCC Spectrum system and related or pertinent Spectrum concepts. Although there is one lead signature graphic, more than one graphic or table may be used in the description. C-T-R ’ s mentioned in the body of the description will be linked through a framework tree to the definition (suggest pop up window with a close button). Also provide a simple and short example of the tool. The source references should be listed at the end of document. User Value Views: A “ User View ” paragraph or set of paragraphs will be provided for Product development, Business Development, Marketing/Sales, Healthcare Provider, or Healthcare Purchaser. Each will provide a customized view as to how that tool may be used for each user. References: Use the reference format defined by the Chicago Style Guide. The abstract for each referenced article will be posted in the KM system and be viewable with a hyperlink. Sources: Similar to bibliography, this section should list where certain components of the tool have been found or developed. They may not necessarily be referenced. Related Concepts: This is a link that leads to a separate page that lists the related concepts that may be of value to the user. Related Tools: This is a link that leads to a separate page listing related Tools. Related Resources: This is a link that leads to a separate page listing related Resources. Video Link: Links to media player of video description of the tool (2-3 minutes) of streaming video. HCC Internal Tool Spec Sheet S3 Version 2

2. © 2003 HCC, Inc. CD042500-1245RR Tool Description Basic Level Spectrum Systems HCC Completed by: Date: Version: Filing Location: Related Concepts Tools and Resources: Measures Standards and Practices Grid Performance MSP document NQF Resource Instructions: The purpose of this tool is to evaluate the performance of the solution against specific NQF Measure standards and practices and determine the opportunity gap. Step 1: review the definition of the Measures, Standards and practices (select which) on the following page and determine if the solution has an impact on meeting, supporting, or providing data for the MSP. For more details refer to the MSP Tool. Step 2: Click on Radar graph below and update the values using the scale 0-10 (10 being an exact match to fulfilling the measure). Use information as input data for the Index model to determine specific Procedure volumes targeted by the solution Page 1 of 3 Notes and Comments: S3 Version 2 National Quality Forum (NQF) Safety Practices 3: Facilitating Information Transfer and Clear Communication Scorecard

3. © 2002 HCC, Inc. All Rights Reserved Tool Template Basic Level Spectrum Systems HCC Page 2 of 3 Completed by: Filing Location: Version: Date: NQF Safety Practices 3 Scorecard S3 Version 2

4. © 2003 HCC, Inc. CD042500-1245RR Tool Template Basic Level Spectrum Systems HCC Page 3 of 3 Completed by: Filing Location: Version: Date: S3 Version 2 NQF Safety Practices 3 Scorecard Today, more than 80 percent of “hands on” patient care is provided by non-physicians, with physician care being provided by multiple specialists focused toward one particular problem or set of problems. Furthermore, care is not always provided in the same location every time, increasing the potential for inaccurate or incomplete information. As a result, quite often the physician lacks critical information when making diagnostic or treatment decisions, an often-cited cause for medical errors and unnecessary duplication of services. The risk of adverse events can be decreased by safe practices that facilitate complete information transfer and clear communication. The following information can be obtained from the NQF’s Safe Practices Report, http://www.qualityforum.org/safe_practices_report.html. Definitions of the MSP: Safety Practice 3A: Verbal orders should be read back to the prescriber – i.e., a caregiver receiving a verbal order should repeat out loud the information that the prescriber conveys for the purpose of verifying the accuracy of what was heard. There should be explicit institutional policies and procedures regarding read back of verbal orders. Do not use verbal orders for chemotherapy because verbal orders have been associated with an especially high error rate in this care setting. Safety Practice 3B: Use only standardized abbreviations and dose designations.  There should be explicit institutional policies and procedures regarding standardized abbreviations and dose designation. Safety Practice 3C: Do not prepare patient care summaries or other records from memory. The original source documents (I.e., laboratory or radiology reports, medication administration records, etc.) should be in the transcriber’s immediate possession and be visible when it is necessary to transcribe information from one document to another. Safety Practice 3D: Ensure caregivers have access to the complete medical record whenever this is a “hand-off” or change of caregivers. Safety Practice 3E: Ensure that care information, especially changes in orders and new diagnostic information, is transmitted to all of the patient’s caregivers, including outpatient caregivers. Safety Practice 3F: Informed consent forms should be “user friendly.” Safety Practice 3G: Written documentation of the patient’s preference for life-sustaining treatments should be prominently displayed in his or her chart. Safety Practice 3H: Utilize a computerized prescriber order entry system. Prescribers should enter hospital medication orders via an automated information management system that: is linked to prescribing error prevention software; enables the review of all new orders by a pharmacist before administration of the first dose of the medication; permits the notation of all allergies in one place; categorizes drugs into "drug families" (e.g., penicillin and its derivatives) so that checking of drugs within classes can be done and it should retain this information over time; internally and automatically checks the performance of the information system and; requires prescribers to document the reasons for any override of an error prevention notice. Safety Practice 3I: Patients should maintain a list of current medications and their intended purpose and any medications that they are allergic to or have had idiosyncratic reactions to in the past. Safety Practice 3J: Implement a standard protocol to prevent mislabeling of radiographs. Safety Practice 3K: Utilize standard protocols to prevent wrong site procedures or wrong patient procedures.  The surgeon or other relevant caregiver should clearly document the intended operative or intervention site in the patient’s record, and this record should accompany the patient to the operating room (OR) or procedure room.  The OR team, or procedure team, should explicitly verify the operative site in the surgical suite before surgery commences.  Verification of the operative site by the OR/procedure team should be documented in the patient’s record.  Whenever possible, the patient should verify the operative site pre-operatively. The OR record should include documentation of the patient's pre-operative verification, when done.