| Day 1 |
| Meeting with Leadership and orientation tour |
| Document Review |
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Quality Assurance Documents |
| | 1. | Quality Assurance Plan |
| | 2. | Quality Assurance Reports and follow-up mechanisms |
| | 3. | Peer Review processes |
| | 4. | Consumer complaints |
| | 5. | Customer satisfaction |
| | 6. | Provider/physician satisfaction |
| | 7. | Error identification and follow-up process |
| |
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Policies and procedures related to: |
| | 1. | Confidentiality |
| | 2. | IS security |
| | 3. | Health assessment |
| | 4. | Drug storage and tracking logs |
| | 5. | Drug disposal |
| | 6. | Drug recall |
| | 7. | Criteria and process for medical follow-up with providers/physician |
| | 8. | Training and staff education |
| | 9. | Maintenance and destruction of medical/health records |
| | 10. | Shipping and handling |
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Website Content |
| |
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Information Management Interview |
| |
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Call Center Tour |
| | 1. | Staff interviews
and observation |
| | | |
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| Day 2 |
| Human Resource File Review |
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Files are reviewed for evidence of: |
| | 1. | Licensure/registration |
| | 2. | Training/education |
| | 3. | Confidentiality statements |
| | 4. | Performance review |
| Pharmacy Tour |
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Inspection of Pharmacy: |
| | 1. | Drug storage |
| | 2. | Drug access |
| | 3. | Pharmacist interviews
and observation |
| | 4. | Medical record review for assessment and follow-up |
| | 5. | Pharmacy
Technician interviews and observation |
| | 6. | Organization of dispensing |
| | 7. | Labeling process |
| | 8. | Handling of cytotoxic agents |
| | 9. | Drug disposal |
| | 10. | Drug reference availability |
| | 11. | Drug tracking process for recall |
| | 12. | Pharmacist's follow-up to health assessment and documentation |
| | 13. | Cleanliness and organization |
| | 14. | Packaging and mailing process |
| | 15. | Consumer educational materials |
| |
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Exit Conference |
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IMPAC Site surveyors will require:
Room that provides privacy to review documents.

Documents labeled and organized by IMPAC standard.

List of all employees with their credentials and/or job titles for selection of the random Human Resource files. |
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