Providing Health Care for People with Disabilities: Competency Planning Checklists
Physical Access
| # | Physical Access | Yes | No | Unsure | Comments and follow up | ||||
|---|---|---|---|---|---|---|---|---|---|
| C. | We have completed a physical access survey of our health care providers’ offices by trained surveyors. | ||||||||
| C.1. | These surveys cover: Directional signage, accessible pathways, parking, building exterior and interior, office reception areas, restroom, exam rooms, exam tables and scales. [See RESOURCES below) | If no, skip to the next checklist or schedule a time to complete a physical access survey in your gap analysis plan. | |||||||
| C.2. | As a result of this survey we have worked to: | ||||||||
| C.2.a. |
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| C.2.b. |
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| C.2.c. |
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| C.2.d. |
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| C.3. | We can accurately answer participant’s questions regarding the accessibility elements of the office. | ||||||||
| C.4. | We can make usable referrals to other providers whose offices meet the accessibility needs of the participant. Referrals are made for auxiliary/specialty services and not to avoid making needed access and accommodations in our facility. | ||||||||
| C.5. | We maintain frequently updated lists of accessible health care providers to use when making referrals for people with mobility disabilities. | ||||||||
DEFINITIONS
Mobility aids: Cane, crutch, walker, wheelchair, mobility scooter
RESOURCES
California site review tools:
Physical Accessibility Review Survey (primary care providers) 3/8/11
Revised Facility Site Review Tool (supersedes PL 11-013) PL 12-006 (PDF) 8/9/12 http://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/PL2012/PL%2012-006.pdf
Ancillary Services Physical Accessibility Review Survey (For purposes of this tool, Ancillary Services refers to Diagnostic and Therapeutic services such as, but not limited to: Radiology, Imaging, Cardiac Testing, Kidney dialysis, Physical Therapy, Occupational therapy , Speech therapy ,Cardiac rehabilitation, Pulmonary testing.) 10/2015
Community Based Adult Services (CBAS) Physical Accessibility Review Survey (primary care providers) 10/2015
Facility Site Review Tools for Ancillary Service and Community-Based Adult Services Providers APL 15-023 (PDF) 10/28/15 http://www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2015/APL15-023.pdf
Oregon:
Checklist for Medical Clinics and Facilities in Oregon, 2010 ADA Standards For Accessible Design Oregon State Building Code, 10/2013, Northwest ADA Center University of Washington, http://nwadacenter.org/toolkit/accessibility-checklists
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