Participation in Socialization, Work Profession, Knowledge of Fire Safety Simulation Capabilities According to MFK 7 Snars Accreditation Standards at Bhayangkara Hospital Nganjuk

Background: The high number of hospital fire cases demands that all hospitals be able to carry out fire safety. The ability to fire safety must be able to be carried out by all hospital officers, both health and non-health workers (all work professions). The research objective was to analyze the factors that influence the simulation ability of fire safety management according to the MFK 7 SNARS accreditation standard at Bhayangkara Hospital Nganjuk. Subjects and methods: Explanatory survey research design using a cross-sectional approach. The research was conducted from January 16 to February 18, 2021 with a sample of 170 people. Independent variables are participation in socialization, work profession, and knowledge of fire safety. The dependent variable is the ability to simulate fire safety according to the MFK 7 SNARS accreditation standard. The data collection tools used a questionnaire. Data analysis used multiple logistic regression. Results: Participation in socialization (OR = 2.36; 95% CI = 1.04-5.33; p <0.039), knowledge of fire safety (OR = 3.18; 95% CI = 1.45-6.93; p <0.004), significantly increased the ability to simulate fire safety according to MFK 7 SNARS accreditation standards. Work profession (OR = 1.03; 95% CI = 0.54-1.96; p <0.934) does not affect the ability of fire safety management simulation according to MFK 7 SNARS accreditation standards which is statistically significant. Conclusion: Participation in socialization and knowledge about fire safety increases the ability to simulate fire safety according to MFK 7 SNARS Accreditation standards.

Improving Genetic Knowledge Among Physicians: A Necessity in the Era of Genomic Medicine

Background: Genetic analyses have experienced rapid development over the past decades. This evolution is accompanied by a considerable increase in indications in clinical practice. As a result, physicians are exposed to prescribing and understanding genetics results in their daily practice. The objective was to assess the knowledge of young physicians on new genetic techniques and their expectations concerning molecular biology education. Methods: This study is based on the results of an anonymized questionnaire on genetics knowledge sent to young French physicians specialized in medical oncology, radiation therapy, and clinical hematology in France; and on a retrospective analysis of nonconformities to requirements of the ISO 15189 accreditation standard in genetics samples from a Parisian university hospital center. Results: Of the 87 young physicians (median age 29, 58.6% female) who responded to the survey, 60.3% did not differentiate several standard molecular biology techniques. Median Visual Analog Scale for theoretical knowledge of standard genetic technics was 35/100 (IQR 20-56). Median Visual Analogical Scale for genetics diagnostic and theragnostic indications knowledge were 50/100 (IQR 31.2-70) and 43/100 (IQR 19.2-65), respectively. Proficiency in genetics results interpretation was assessed with a Median Visual Analog Scale of 47/100 (IQR 23.25-69). Finally, 82.4% of young physicians believed that the current teaching of molecular biology was not suited to their current practice and 91.9% requested a specific training implementation. These results were supported by the high rate of nonconformities regarding the prescription (43%) among the different types of nonconformities of genetics samples.Conclusion: Medical education on new techniques of genetics by young French physicians appears to be insufficient, and a specific training should be considered. A better knowledge of this discipline is necessary in order to control the clinical, ethical and financial issues associated with the exponential use of molecular biology in medicine.

Bridging The Gap: Demanding 1-1 Representation of Dark-Light Skin Tones Within Medical Lectures/Resources

Being a good physician means having the ability to recognize diseases in all kinds of individuals. This is especially true for skin lesions (e.g., acne, cancer), which present differently based on skin color and tone. Developing skin-tone-dependent diagnosing skills depends on the medical education (e.g., lectures, medical textbooks, and online board certification prep resources) and hands-on clinical experiences doctors receive. We find it alarming that medical students' gold standard resources overrepresent light skin and underrepresent dark skin to the point where many medical students can recognize a lesion on white skin but fail to recognize a similar lesion on dark skin. This lack of representation perpetuates race as a social determinant of health, leading to missed diagnoses and diagnosis at a later/worse stage in people of color. To combat this underrepresentation within medical education, we propose the Liaison Committee on Medical Education (LCME) amend Accreditation Standard 7: Curricular Content, Subsection 7.6: Cultural Competence and Health Care Disparities. The amendment is to include 1 of the 2 following policy changes, with preference for the top-down mandate: 1) Top-down Mandate: An objective measure and subsequent goal (1:1 representation) for the representation of skin of color within a school's medical lectures, which is evaluated by an LCME-approved curriculum committee and mandated for schools wishing to continue to be LCME accredited. 2) Bottom-up Individualized Institutional Goals: A requirement for schools to choose their own goal, create their committee, and evaluate their progress. These progress reports will be submitted to the LCME annually.

Tinjauan Pelaksanaan Review Rekam Medis dalam Rangka Persiapan Akreditasi Rumah Sakit Berdasarkan Standar Akreditasi SNARS-1 di RSUD Sultan Thaha Saifuddin Kabupaten Tebo Provinsi Jambi

Sultan Thaha Saifuddin Hospital is heading towards the implementation of SNARS-1. The first phase of accreditation in 2016 uses the 2012 version with only four services (SKP, HPK, KPS, PPI) so that there is no medical record review assessment as in the MIRM 13.4 SNARS-1 assessment element. Currently, Sultan Thaha Saifuddin Hospital must adjust the medical record review with the MIRM standard on SNARS-1. Field Study Practices at the Sultan Thaha Saifuddin Hospital, Tebo Jambi Regency on April 1, 2019 to April 20, 2019 with the aim of knowing the implementation of medical record reviews based on the SNARS-1 accreditation standard. Methods of data collection are carried out by observation and interviews using observation sheets and interview guides. The results of the field study practice are: there is a team responsible for reviewing medical records called the medical record committee; there is an SPO regarding medical record review; review of medical records using an open, closed, and recapitulation review form; There was an increase in the quality of medical records based on the results of reviews between period 1 and period 2, namely from 89.65% to 96.8% on timeliness, an increase from 95.4% to 97.6% in legibility, and an increase from 97, 6% to 99.2% on completeness of medical records. The implementation of reviewing medical records at Sultan Thaha Saifuddin Hospital is in accordance with the applicable SPO. The implementation of the review is also in accordance with the SNARS-1 assessment elements.Keyword: medical record, completness, Accreditation Assessment SNARS-1 AbstrakRSUD Sultan Thaha Saifuddin sedang menuju implementasi SNARS-1. Akreditasi tahap pertama tahun 2016 menggunakan versi 2012 baru sebatas empat pelayanan (SKP, HPK, KPS, PPI) sehingga belum ada penilaian review rekam medis seperti pada elemen penilaian MIRM 13.4 SNARS-1. Saat ini, RSUD Sultan Thaha Saifuddin harus menyesuaikan review rekam medis dengan standar MIRM pada SNARS-1. Praktik Belajar Lapangan dilakukan di RSUD Sultan Thaha Saifuddin Kabupaten Tebo Jambi pada tanggal 01 April 2019 sampai 20 April 2019 dengan tujuan untuk mengetahui pelaksanaan review rekam medis berdasarkan standar akreditasi SNARS-1. Metode pengumpulan data dilakukan dengan observasi dan wawancara menggunakan lembar observasi dan panduan wawancara. Hasil praktik belajar lapangan yaitu: terdapat tim yang bertanggung jawab pada review rekam medis disebut panitia rekam medis; terdapat SPO tentang review rekam medis; review rekam medis menggunakan form review terbuka, tertutup, serta rekapitulasi; terdapat kenaikan kualitas rekam medis berdasarkan hasil review antara periode 1 dan periode 2 yaitu dari 89,65% menjadi 96,8% pada ketepatan waktu, terjadi kenaikan dari 95,4% menjadi 97,6% pada keterbacaan, serta terjadi kenaikan dari 97,6% menjadi 99,2% pada kelengkapan rekam medis. Pelaksanaan review rekam medis di RSUD Sultan Thaha Saifuddin telah sesuai dengan SPO yang berlaku. Pelaksanaan review juga telah sesuai dengan elemen penilaian SNARS-1.Kata Kunci: rekam medis, kelengkapan, akreditasi SNARS-1

A study on Chinese teacher education professional accreditation based on the standards comparison

By comparing with the American CAEP teacher education accreditation standard, we study the characteristics of Chinese teacher education professional accreditation (TEPA) and the differences between Chinese and American accreditation standards. The aim of TEPA, which is drawing lessons from the idea of engineering education professional accreditation, is to improve the overall quality of Chinese teachers team, ensure the quality of teacher education, make the quality of pre-service teachers cultivation institutions continue to improve, and meet the needs of the society for qualified and excellent teachers.

KAT Insurance: Data Analytics Cases for Introductory Accounting Using Excel, Power BI and/or Tableau

KAT Insurance Corporation (KAT) presents two independent data analytics cases for introductory financial and managerial accounting courses, using four data sets based on anonymized real-life data (over 65,000 sales records from a national insurance company). The cases introduce students to data cleansing, data dictionaries, and data visualization topics through analysis of sales and/or cost records. The cases use Excel, Power BI, and/or Tableau for students to learn different emerging technologies and develop students’ technological agility, addressing the AACSB’s Accounting Accreditation Standard 5 (2018) and AICPA Accounting Competencies. Over 2,700 students have successfully completed at least one of the cases, and few students had any prior experience with Power BI and/or Tableau. Students surveyed felt their skills improved as a result of the projects, highlighting the relevance and need for this instructional resource designed with both accounting instructors and students in mind.

Incorporating of telementoring (Project ECHO) into practice: Efficacy of Point Of Service Testing-Breast Cancer (ePOST-BC).

113 Background: An estimated 327,630 breast cancers (BC) will be diagnosed in the US in 2020, and as high as 14% (45,868) may be related to a hereditary cancer syndrome. Testing eligible patients in clinical practice is hindered by multiple barriers including time, available workforce, cost, lack of organizational pathways, provider knowledge, as well as health disparities. To address some of these barriers, our team provided a telementoring and process improvement intervention for cancer care programs primarily serving rural patients across Kansas and Western Missouri using Project ECHO. We aimed to improve the process surrounding access to genetic education and testing for patients with BC. Methods: Rural and community cancer care teams were invited by the Masonic Cancer Alliance, the outreach arm of the University of Kansas Cancer Center, to participate in ePOST-BC. Five 1-hour Project ECHO sessions (community building, didactic, and case-based learning) covered topics included: 1) essential elements of HCS and genetic testing, 2) guidelines for genetic testing in BC 3) enhanced understanding of risk, screening, and management including precision medicine in HCS, and 4) overcoming barriers to genetic testing and management in low resource settings. Provider and practice readiness was assessed using the Organizational Readiness for Implementing Change survey. A REDCap database was used for registration, surveys and data collection. Results: Ten practices (6 = metro; 4 = rural) participated in the telementoring sessions and five practices participated in the optional process improvement intervention. Provider and clinic interest and participation was high and readiness was varied. Improvements were identified in knowledge, readiness, and patient access to genetic education and testing. The level of engagement in process improvement was impacted by an identified champion (either MD and/or APP), organizational commitment, and motivator (i.e., accreditation standard, business development). Conclusions: Rural and community oncology providers are interested and willing to engage in telementoring to improve implementation of point of service genetic education and testing. This improves provider knowledge, readiness and implementation of testing. Demonstrating a change in testing completion for eligible patients is difficult in a community setting without intensive data collection. Next steps include the incorporation of technology and standardized tools into practice to address provider and care team burden.

From Little Things Big Things Grow: The Development of an Auditing Program to Assess the Quality of Antimicrobial Prescribing

Background: An important aspect of antimicrobial stewardship is the qualitative assessment of antimicrobial prescribing. Owing to lack of standardized tools and resources required to design, conduct and analyze qualitative audits, these assessments are rarely performed. Objective: We designed an audit tool that was appropriate for all Australian hospital types, suited to local user requirements and including an assessment of the appropriateness of antimicrobial prescribing. Methods: In 2011, a pilot survey was conducted in 32 Australian hospitals to assess the usability and generalizability of a qualitative audit tool. The tool was revised to reflect the respondents’ feedback. A second study was performed in 2012 in 85 hospitals. In 2013, following further feedback and refinement, an online auditing tool, the Hospital National Antimicrobial Prescribing Survey (NAPS), was developed. Early audits demonstrated that surgical prophylaxis had the highest rates of inappropriate prescribing. In 2016, the Surgical NAPS was developed to further investigate reasons for this, and the NAPS program was further expanded to audit antimicrobial prescribing practices in Australian aged-care homes (ie, the Aged Care NAPS). Results: Between January 1, 2013, and November 12, 2019, 523 Australian public and private hospitals (53.8%) utilized the Hospital NAPS; 215 (22.1%) have utilized the Surgical NAPS; and 774 of Australian aged-care homes (29.0%) have utilized the Aged Care NAPS. National reporting has identified key target areas for quality improvement initiatives at both local and national levels. The following initiatives have been outlined in 14 public reports: improved documentation; prolonged antimicrobial prophylaxis; compliance with prescribing guidelines; appropriateness of prescribing; access to evidence-based guidelines; and improved microbiology sampling. Conclusions: By utilizing the Plan-Do-Study-Act cycle for healthcare improvement and by involving end users in the design and evaluation, we have created a practical and relevant auditing program to assess both quantitative and qualitative aspects of antimicrobial prescribing in a wide range of settings. This voluntary program is now endorsed by the National Strategy for Antimicrobial Resistance Surveillance, partners with the Antimicrobial Use and Resistance in Australian Surveillance System, and is utilized by facilities to meet mandatory national accreditation standard requirements. With the success of the NAPS program in Australia, it has now been implemented in New Zealand, Canada, Malaysia, Fiji, and Bhutan, with plans for other countries to implement the program soon. Current research is being conducted to expand the program to include audits for family physicians, veterinarians, and remote indigenous communities, and for antifungal use.Disclosures: NoneFunding: None

What can you find online about Nursing-home? A website analysis on the Metropolitan City of Milan

Background Websites are among the most important communication distribution tools in everyday life. Does this apply to assisted living facility too? Can website information be used to assess quality of care? Can Public Health Administration use information provided on nursing home websites to define whether accreditation standards are met? The aim of this study was to assess websites of all the assisted living facility of the Metropolitan City of Milan (MCM) Agency for Health Protection (ATS) territory according to five dimensions: Description, Utility tools, eHealth literacy, Accreditation Standard and Usability, to answer the questions above. Methods A total of 141 websites for MSM ATS nursing homes were identified. A tailored check-list approach was used to investigate each of the 5 dimensions for all websites. For the dimension Description we analyse 20 items, for the Utility tools 14 items, for the eHealth literacy 12 items, for the Accreditation Standard 5 item and for Usability 6 item. A score was assigned to each dimension based on completeness of check-list items. Results Of the 160 nursing homes in the MSM ATS, 141 had a website (88%). No website was complete of all items. The average score was 34% the higher was 65% the lower 12%. The five dimensions description, utility tools, eHealth literacy, accreditation standard and usability scored 44%, 16%, 25%, 18% and 29% respectively. The Item more founded was Mission, 137 sites (97%), the least was Customer Satisfaction in 5 Sites (4%). We evaluated the Social Media presence: 81 facility (57%) have at least one social media. Conclusions Notwithstanding the Internet and Social Media are a powerful tool to promote eHealth Literacy are underused. Health promotion is shared more with the social media rather than the webpages. The webpage could become a powerful instrument to use by Administration to define whether accreditation standards are met but the contents on the sites are few and non-consistent. Key messages 11.500 people are assisted by our nursing homes, so part of the population can be reach through websites. We analyse them and discover that health promotion is spread by social media not by websites. We wanted to understand if Public Health Administration can evaluate accreditation standards through the website. We discover that standards can be evaluated on line rather than in-site assessment.

PENGARUH KELENGKAPAN PENGISIAN MEDICAL DISCHARGE SUMMARY PASIEN RAWAT INAP TERHADAP IMPLEMENTASI SNARS EDISI 1 ELEMEN PENILAIAN MIRM 15 DI RUMAH SAKIT AMC CILEUNYI

This research aims to determine the effect of fillings completeness of inpatient medical discharge summary on implementation SNARS 1st edition MIRM 15 valuation element at Rumah Sakit AMC Cileunyi.The research method used quantitative method with descriptive approach, The data collecting that by distributing quessioneir, observation, interview and compeleted with literature study which has a close relevance to the problem. The sampling technique used is sampling technique saturated.From the research of this research, the problem that arise among others: 1) The high number of incomplete replenishment of inpatien medical discharge summary. 2) The absence of standard procedure operational (SPO) for discharge summary, and 3) Unfulfilled SNARS accreditation standard 1st edition MIRM 15 valuation element related discharge summary The advice given to fix the problem is 1) Make a review team every room that aims to coordinate and control the incomplete doctor registers. It is expected that the doctor may improve the completeness of the filling of medical records. 2) Socializing the new design in accordance with the provisions of the SNARS edition 1 MIRM 15 valuation element and reinforcing the filling instructions by making the SPO filling discharge summary.