[Clinic name]
Controlled document
[Address]
[Registration or licence number]
HIQA inspection checklist
1Governance
- A named person with overall responsibility, ready to receive the announcement.
- A current, public statement of purpose under Standard 5.3.
- Governance minutes that show quality and safety data read and acted on.
- Last inspection's compliance plan, with every action dated and closed.
2Self-assessment
- Each core standard self-assessed against the lines of enquiry in the judgment framework.
- Evidence filed per standard, so the five-day document request is a retrieval.
- Leads named for infection prevention, medication safety, the deteriorating patient and transitions of care.
- No identifiable patient information in anything sent to HIQA.
3Patient records
- Ten records a stranger could follow, signed and timed.
- Consent recorded, with the discussion in the note.
- Handover and discharge letters complete and sent.
- An access log for every record.
4Incidents and complaints
- Notifiable incidents sent to HIQA within seven days through NIMS.
- Open disclosure meetings held and the written statements kept.
- Complaints answered promptly, with the outcome recorded.
- Learning from incidents shared, with what changed.
5What an HIQA inspector may ask
- How do you know care here is safe today? What to show, the monitoring data leaders read, and what they did about it.
- Walk me through this patient's care. What to show, a record that tells the story from referral to discharge, signed and timed.
- How do you obtain and record informed consent? What to show, what the patient was told, when they agreed, and where it is written.
- Tell me about your last patient-safety incident. What to show, the sequence of events, the notification, the open disclosure and what changed.
- How do patients raise a concern, and how quickly do you respond? What to show, the complaints process, response times and outcomes.
- What information goes with a patient when they move between services? What to show, a structured letter, signed, sent at the transition.
- Who can see patient records, and how would you know? What to show, roles, access controls and an access log.
AAppendix, Inspection day request log
- A.1Time ______ Inspector ______
- A.2Requested ______
- A.3Supplied by ______ At ______
- A.4Contains identifiable data, yes or no ______
- A.5Preliminary finding noted ______