RTF Admin Interview

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Administration Protocol

  Date

Governing Body

• Describe the relationship with the governing body

  Yes

  No

  N/A

• how are emergent issues affecting the RTF conveyed to the governing body

  Yes

  No

  N/A

• What issues are currently before the governing body

  Yes

  No

  N/A

• Are emergency issues/requests handled within the appropriate time frame

  Yes

  No

  N/A

• What steps are taken if the RTF is operating over capacity

  Yes

  No

  N/A

• How are family or resident complaints handled

  Yes

  No

  N/A

• Is there an appeals process

  Yes

  No

  N/A

• What entities are the RTF's affiliation agreements with and how do the agreements help facilitate discharges

  Yes

  No

  N/A

Personnel

• Are there issues that impinge on hiring an adequate number of staff

  Yes

  No

  N/A

• How is coverage handled when thereis a staffing shortage

  Yes

  No

  N/A

• What type of staff development programs have taken place in the past year

  Yes

  No

  N/A

• How are new staff oriented to the RTF and trained

  Yes

  No

  N/A

• How are staff complaints investigated and resolved

  Yes

  No

  N/A

Quality Management

• Were there any Sentinel Events during this certification cycle

  Yes

  No

  N/A

• Did the Sentinal Event result in a QI project, describe

  Yes

  No

  N/A

• How does Incident Reporting take place, describe process

  Yes

  No

  N/A

• Have any serious incidents resulted from restraint/seclusion

  Yes

  No

  N/A

• How is UR conducted for the RTF

  Yes

  No

  N/A