| Note: New Goals and Requirements are indicated in bold. |
| Goal 1 |
Improve the accuracy of resident identification. |
| 1A |
Use at least two resident identifiers (neither to be the resident's room number) whenever administering medications or blood products; taking blood samples and other specimens for clinical testing, or providing any other treatments or procedures. |
| 1B |
Prior to the start of any invasive procedure, conduct a final verification process to confirm the correct resident, procedure, site, and availability of appropriate documents. This verification process uses active—not passive—communication techniques. |
| Goal 2 |
Improve the effectiveness of communication among caregivers. |
| 2A |
For verbal or telephone orders or for telephonic reporting of critical test results, verify the complete order or test result by having the person receiving the order or test result "read-back" the complete order or test result. |
| 2B |
Standardize a list of abbreviations, acronyms and symbols that are not to be used throughout the organization. |
| 2C |
Not applicable. |
| 2D |
Not applicable. |
| 2E |
Implement a standardized approach to “hand off” communications, including an opportunity to ask and respond to questions. |
| Goal 3 |
Not applicable. |
| Goal 4 |
Not applicable. |
| Goal 5 |
Retired in 2006. |
| Goal 6 |
Not applicable. |
| Goal 7 |
Reduce the risk of health care-associated infections. |
| 7A |
Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines. |
| 7B |
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-associated infection. |
| Goal 8 |
Accurately and completely reconcile medications across the continuum of care. |
| 8A |
Implement a process for obtaining and documenting a complete list of the resident’s current medications upon the resident’s admission to the organization and with the involvement of the resident. This process includes a comparison of the medications the organization provides to those on the list. |
| 8B |
A complete list of the resident’s medications is communicated to the next provider of service when a resident is referred or transferred to another setting, service, practitioner or level of care within or outside the organization. |
| Goal 9 |
Reduce the risk of resident harm resulting from falls. |
| 9B |
Implement a fall reduction program and evaluate the effectiveness of the program. Note: Replacement for 9A |
| Goal 10 |
Reduce the risk of influenza and pneumococcal disease in older adults. |
| 10A |
Develop and implement a protocol for administration and documentation of the flu vaccine. |
| 10B |
Develop and implement a protocol for administration and documentation of the pneumococcus vaccine. |
| 10C |
Develop and implement a protocol to identify new cases of influenza and to manage an outbreak. |
| Goal 11 |
Not applicable. |
| Goal 12 |
Not applicable. |
| Goal 13 |
Encourage the active involvement of residents and their families in the resident’s care as a resident safety strategy. |
| 13A |
Define and communicate the means for residents and their families to report concerns about safety and encourage them to do so. |
| Goal 14 |
Not applicable. |