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2018 KP MAS Rounding Log Perform and document 150 service rounds by YE 2018 as captured in the Service Rounding Log for each Observer II

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* 1. Observation:

Date:

Date

DEMOGRAPHIC INFORMATION :

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* 2. Service Area:

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* 3. Location:

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* 4. Service Line:

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* 5. Observer:
(for updates to the list e-mail yen.h.greene@kp.org)

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* 6. Please enter your NUID

5 FUNDAMENTALS OF SERVICE:

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* 7. 1. Acknowledgement:

	Yes	No	Not Observed	N/A
Make eye contact	Make eye contact Yes	Make eye contact No	Make eye contact Not Observed	Make eye contact N/A
Smile	Smile Yes	Smile No	Smile Not Observed	Smile N/A
Stop and address member	Stop and address member Yes	Stop and address member No	Stop and address member Not Observed	Stop and address member N/A
Warm greeting	Warm greeting Yes	Warm greeting No	Warm greeting Not Observed	Warm greeting N/A

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* 8. 2. Introduction:

	Yes	No	Not Observed	N/A
Introduce name	Introduce name Yes	Introduce name No	Introduce name Not Observed	Introduce name N/A
State department name	State department name Yes	State department name No	State department name Not Observed	State department name N/A
State role	State role Yes	State role No	State role Not Observed	State role N/A

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* 9. 3. Duration:

	Yes	No	Not Observed	N/A
Gives specific time duration for visit/test/procedure Gives expectation of wait time	Gives specific time duration for visit/test/procedure Gives expectation of wait time Yes	Gives specific time duration for visit/test/procedure Gives expectation of wait time No	Gives specific time duration for visit/test/procedure Gives expectation of wait time Not Observed	Gives specific time duration for visit/test/procedure Gives expectation of wait time N/A

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* 10. 4. Explanation:

	Yes	No	Not Observed	N/A
Explain visit/test/procedure	Explain visit/test/procedure Yes	Explain visit/test/procedure No	Explain visit/test/procedure Not Observed	Explain visit/test/procedure N/A
Offer to answer any questions	Offer to answer any questions Yes	Offer to answer any questions No	Offer to answer any questions Not Observed	Offer to answer any questions N/A
Explain after vist/test/procedure next steps/instructions	Explain after vist/test/procedure next steps/instructions Yes	Explain after vist/test/procedure next steps/instructions No	Explain after vist/test/procedure next steps/instructions Not Observed	Explain after vist/test/procedure next steps/instructions N/A

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* 11. 5. Follow Up:

	Yes	No	Not Observed	N/A
Confirmed with the member that he/she in the last 6 months, was offered visit notes (after visit summary).	Confirmed with the member that he/she in the last 6 months, was offered visit notes (after visit summary). Yes	Confirmed with the member that he/she in the last 6 months, was offered visit notes (after visit summary). No	Confirmed with the member that he/she in the last 6 months, was offered visit notes (after visit summary). Not Observed	Confirmed with the member that he/she in the last 6 months, was offered visit notes (after visit summary). N/A

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* 12. 6. Thank you:

	Yes	No	Not Observed	N/A
Thank the customer for choosing KP MAS and for allowing us to care for their needs.	Thank the customer for choosing KP MAS and for allowing us to care for their needs. Yes	Thank the customer for choosing KP MAS and for allowing us to care for their needs. No	Thank the customer for choosing KP MAS and for allowing us to care for their needs. Not Observed	Thank the customer for choosing KP MAS and for allowing us to care for their needs. N/A
Ask if there is anything else I can help you with today	Ask if there is anything else I can help you with today Yes	Ask if there is anything else I can help you with today No	Ask if there is anything else I can help you with today Not Observed	Ask if there is anything else I can help you with today N/A

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* 13. 7. Positive Feedback:

	Yes	No
Did you have the opportunity to give the staff member positive feedback?	Did you have the opportunity to give the staff member positive feedback? Yes	Did you have the opportunity to give the staff member positive feedback? No

To view your performance, please go here: https://tableau2.appl.kp.org/t/hpdso/views/RoundingLog/RoundingLogDetails?%3Aembed=y&%3Adisplay_count=no&%3AshowVizHome=no#1