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Quality Improvement Indicator Data Collection

Welcome to the Quality Improvement Indicator Data Collection (QIDC). It runs online or can be provided to your IT staff for internal only access. The QIDC allows clients to capture data associated with our Quality Improvement Indicators (QII) and Quality Improvement Programs (QIP). This includes:

• Medical Dental Eye Care Offices
• All Animal Facilities (Veterinary Facilities, Animal Hospitals, Animal Labs, Animal Rescue, Kennels, Zoos, etc.)
• Assisted Living, Rehabilitation Facilities, and Nursing
• Hospitals
• Schools
• Everyone Else

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Sample Report - All Animal Facilities (Veterinary Facilities, Animal Hospitals, Animal Labs, Animal Rescue, Kennels, Zoos, etc.)

Quality Improvement Indicator Data Collection

This Quality Improvement Indicator Data Collection (QIDC) activity is to be assigned to a Ventilation Measurement and Assessment point of contact. This individual is responsible for this QIDC and its artifacts. Potential Ventilation Measurement and Assessment points of contacts are: Infectious Disease Nurse, Safety Officer, Facility Manager, Owner, or other designated person. It is expected that for large organazations there will be a data collection team that is assigned to various rooms. This team should be selected from the staff normally using the associated rooms. The team will collect the data.

Facility: example-veterinary, Kings Highway, Cherry Hill, NJ, 08034, www.cassbeth.com, sat@cassbeth.com,

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	Room Observations Checklist (weekly or when there is a finding)
	Facility Observations Checklist (monthly or when there is a finding)
	Extensive Ventilation Systems Check (quarterly or when there is a finding)
	ACH Level Measurement (quarterly)

Findings

Room Observations Checklist (ROC)

The following data is collected weekly or when there is a negative finding detected. Enter the calender week number to view, enter, or update.

Week (1-52):

Report: Week 1

see QII for survey items

- 1 -

Open File .

ROC Facility Data Loaded: Yes

Insert Row	Room Name	Room #	RO2 y/n/f	RO3 y/n	RO4 y/n/na	RO5 y/n/na	RO6 y/n	RO7 y/n	RO8 y/n/f/na	RO9 y/n/f/na	RO10 y/n/f/na	RO11 y/n/f/na	# of Finds	Date dd/mm/yyyy	Name
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Findings: 7
Pass: 81%

ROC Save Data . Copy Data To New Week (change the week above and check both) .

Facility Observations Checklist (FOC)

The following data is collected monthly or when there is a negative finding detected.

Enter the calender month number to view, enter, or update.

Month Entered by Weeks (M1=4, M2=8, M3=12... M12=52):

Report: Month 1 see QII for survey items

- 1 -

Open File .

FOC Facility Data Loaded: Yes

No	Room Name	Room #	O1	O2	O3	O4	O5	O6	O7	O8	O9	M1	M2	M3	M4	M5	M6	M7	F1	F2	F3	A1	A2	A3	A4	A5	# of Finds	Date dd/mm/yyyy	Data Collector Name
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Findings: 9
Pass: 75%

FOC Save Data . Copy Data To New Week (change the week above and check both) .

Extensive Ventilation Systems Check

The following data is collected quarterly or when there is a negative finding detected.

Enter the calender quarter number to view, enter, or update.

Quarter (1, 2, 3, 4):

Report: 1

see QII for survey items

- 1 -

Open File .

ROC Facility Data Loaded: Yes

insert row	Facility Area	EVC1	EVC2	# of Finds	Date dd/mm/yyyy	Data Collector Name
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Findings: 2
Pass: 60%

ROC Save Data . Copy Data To New Week (change the week above and check both) .

ACH Level Measurement

The following data is collected quarterly.

Enter the calender quarter number to view, enter, or update.

Quarter (1, 2, 3, 4):

Report: Quarter 1

see QIIs and QIRs

- 1 -

Open File .

ACH LM Facility Data Loaded: Yes

Row	Room Name b.	Room # b.	Length	Width	Height	Cubic Feet	CFM	ACH req'd	eACH	Total ACH req'd	Cert (self / vendor)	ACH Lvl A a.	ACH Lvl 1	ACH Lvl 2	ACH Lvl 3A a.	ACH Lvl 3B a.	ACH Lvl 4	ACH Lvl 5	ACH Lvl 6	# of Finds	ACH Date dd/mm/yyyy	ACH Data Collector Name
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Findings: 8
Pass: 78%

Select Acheivement Level:
A see QII or QIR
1 this is 5 ACH
2 this is 6 ACH
3A see QII or QIR
3B see QII or QIR
4 this is 12 ACH
5 this is 24 ACH
6 this is 50 ACH

ACH LM Save Data . Copy Data To New Week (change the week above and check both) .

Findings

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