Remote survey with corrective actions. There will be a series of Conference Calls to assist in the self audit process. 
The CAT (Capacity Audit Tool) is a series of action items that may or may not need correction. The categories within the scope of the audit are as follows:
-Infection Control (to include the implementation of action plans, State and OSHA compliance  binder, training logs and guidelines, policies and procedure implementation, HEP B Compliance, Needlestick/BBP exposure protocols with regulatory items, signed declaration, sterilization protocol, among others)
-Equipment compliance, calibration documentation with resources to amend 
-Manuals and Record Keeping
-Licensure
-Business occupancy
-Emergency Preparedness
-Mandetory Evacuation Requirements
-Fire Safety
-State Safety Protocols and Action Plans
-Employee/Labor Law Compliance
-Hazardous Waste 
-Sharps Protocol, Containers, disposal and logging
-Patient Record compliance
-Patient Privacy
-Patient Consents 
-Abnormal event documentation and protocols
-State Mandated Guidelines
-Licensure
NPI compliance
-Billing Compliance and Refund compliance
-Complaints
-Advertising Regulations
-Lab Regulations
-Workplace Safety OSHA Standards 
-Hand Hygiene practices, policies and compliance
-Biohazard Safety
-Medication Prescribing, housing, electronic Requirements, State Tracking, conscious and non conscious sedation requirements
 
 
Important notes: This self audit process is facilitated remotely by our team to help you guide your team to excellence. The process assists in amending many requirements and offers resources as well as local contacts to amend key standards. The audit reviews over 100 items of interest. The audit team member will provide binders, policies, team tools,  OSHA Compliance materials, State compliance materials as well as offering follow up conference calls to management to stay compliant. It is the responsibility of business owner to ensure any additional laws/regulations/mandates are continuously followed.