CSI Duluth DON Observational Survey Experience Communication Points

June 21, 2005

  • If something wasn’t identified to the facility as an issue in previous surveys, doesn’t mean it isn’t a deficient practice. The team may not have been led to do an investigation in previous surveys, but was led to the concern in the current survey.
  • The survey team asks a lot of questions because they are trying to tie multiple pieces of information together. It’s important the survey team explain to facility staff why they are repeating or rephrasing questions they may have already asked.
  • Immediate jeopardies are determined by the entire team – everyone has a voice in making the determination based on a review of Appendix Q. If the team decides it is potentially an IJ, the unit supervisor is called, and eventually the St. Paul office is called. It is not an individual’s decision.
  • There is an opportunity for education with long term care stakeholders.
  • Communication is a two way street.
  • During team meetings, including decision-making, there is a lot of team discussion and healthy debate on issues.
  • It was a beneficial experience. At the conclusion of all four DON Observational Survey Process experiences, we will pull together a more comprehensive report.


Return to> Long Term Care Issues Ad Hoc Committee Home Page