Accreditation/State Survey/Citations

Home / Accreditation/State Survey/Citations

How we can help you

Quality Assurance data for Performance Improvement

How specific are your clinicians when developing a Patient Fall Program? How do you track and educate clinicians to reduce and or prevent patient injuries related to patients\' falls? The Triangle Pyramid...

Up-date to ICD-10!

Changes to ICD-10 for 2018-2019 from the CDC!

Does staff cohesiveness impact your organization success?

Leadership tools must include alternative effective forms of communication in order to achieve cohesiveness in an organization, read more...

Quality Management Role For The Betterment of Your Agency Picture

Quality Management Role For The Betterment of Your Agency

The Quality Manager can be a catalytic agent between departments in your organization. A Quality Manager in a strategic position in an organization can help improve revenues in multiple ways. Identifying processes assigned to staff ....

Tips

OASIS Tip - M1600 Patients discharged with an UTI on discharge and PAEs Report

Are your Potentially Avoidable Events (PAEs) Report showing an increase in patients being discharged while having an UTI?

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology. Picture

Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

Have you downloaded the CMS PDGM Excel file from the CMS Home Health Agency Center?

Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

Assisting Medicare Home Health Care Agencies Before, During and After the Accreditation and State Surveys

HHCNT have been there for many home health agencies before, during and after the accreditation and state surveys.

Agency #1 - Cited for incomplete infusion orders and lack of communication among team members. HHCNT assisted the organization to trace the formal processes used by the organization to admit and provide care for a patient on infusion services. Areas identified for improvement were:

  1. Educating Community Liaisons on require information and medical orders for patients who require infusion services.
  2. Providing education to Team Leaders on nursing standards in clinical practice, state regulations on specific requirements when writing orders and how to apply this requirements when writing infusion orders, communicating and documenting coordination of care with other health care providers in the community and the organization's Administration policies and procedures.
  3. Developed a standard Infusion Therapy Verbal Order form and a flow chart to assist clinicians to be consistent when writing infusion. Orders.
  4. Results: Citation lifted.

Agency #2 – Agency placed on 100% Audit by CMS due to overutilization of therapies.One hundred charts audited by CMS, lost revenue only 2%.

Agency #3 – Agency audited for Face to Face, homebound status, reasonable and necessary services. Won 60% of appeals, how? Staff education done monthly on documentation, OASIS-C 1 and clinical practice. The organization has never been cited for any deficiency on state survey.

We always educate our agencies to conduct business every day following the rules and regulations!