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Our Expertise

Readmissions

Half of hospitals in the US are penalized for readmissions. Yet, despite many years of efforts, many organizations still fail to achieve improvements on this area. Usually this is due to organizations asking the wrong questions, looking at the wrong data, and missing the root causes of their readmissions.

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Partner with someone who documented success in this area.

 

We have reduced hospital readmission by up to 50%. We have substantially reduced federal and state readmission penalties for organizations. We have reduced return to acute care readmission rates for post-acute care providers by 30%.

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We can perform a thorough assessment of your readmissions, find the factors that drive them and implement evidence-based strategies to achieve sustained reductions in readmissions.

Value Based Purchasing

Medicare withholds 2% of hospital payments for the Value-Based Purchasing Program and uses that money to reward higher performing organizations. That 2% loss or gain can be crucial to an organization's financial outlook.

 

It means even more for patients because it drives quality care and outcomes. The current VBP Program is divided into four sections:

  • Clinical Outcomes (25%)

  • Person and Community Engagement (25%)

  • Patient Safety (25%)

  • Efficiency and Cost Reduction (25%)

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We can help you significantly improve your VBP performance by lowering your mortality rates, lowering your complication rates, improving patient safety, improving compliance with evidence-based practices, improving sepsis care, improving stroke care, improving hospital associated infections, and improving HCAHPS patient experience performance.

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CMS has now implemented similar quality and payment programs for Ambulatory Surgery Centers, Skilled Nursing Facilities, LTAC facilities, Physician practices, Home Health, Hospice, Rehabilitation settings. We have facilitated improvements across all care settings and can help your organization achieve best the best outcomes for your patients and improved financial performance for your organization.

Joint Commission and Regulatory Compliance

We provide pre and post survey solutions for Joint Commission, CMS, EMTALA, HIPAA and State compliance including: Mock Surveys, Analytics, GAP Analyses, Compliance Action Plans, Patient Safety, Root Cause Analyses, and FEMAs. 

Patient Safety

20 years after the landmark Institute of Medicine Report "To Err Is Human", organizations still struggle with preventing serious patient harm events. Recent studies suggest that medical errors are now the third leading cause of death in the US.

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We can substantially reduce sentinel events and patient harm in your organization caused by communication issues, technology, medication, procedures, diagnoses and patient education.

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Our expertise in the science of high reliability organizations and human factors engineering can deliver sustainable outcomes for your patients.

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Improved patient safety outcomes will also decrease your Risk Management claims, improve your Value Based Purchasing payments and improve your public reported data and your Leapfrog Group safety rating.

Risk Management

We investigate and analyze actual and potential risks in the facility; assess liability and probability of legal action for potential notification. We are experts in data analytics and Root Cause Analysis We can help you implement Just Culture, High Reliability Organization, and Event Disclosure programs; as well as reduce sentinel events, falls, medication events, errors and other risks to your organization.

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Infection Prevention

Hospital Associated Infections (HAIs) continue to be a major driver of morbidity and mortality in healthcare. They are also a key focus area of Joint Commission, CMS, Value Based Purchasing and public reporting programs for both federal and state agencies.

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We have run infection prevention programs that have eliminated HAIs in all types of care settings including: Central Line Associated Bloodstream Infections (CLABSIs), Catheter Associated Urinary Tract Infections (CAUTIs), Surgical Site Infections (SSIs), Ventilator Associated Events (VAEs), MRSA bloodstream infections, and C. diff infections.

 

Nursing Magnet

Nursing Magnet Accreditation continues to be the hallmark of exceptional nursing practice. The 5 Model Components of Transformational Leadership; Structural Empowerment; Exemplary Professional Practice; New Knowledge, Innovations and Improvement; and Empirical Quality Results has been proven to drive exceptional nursing practice that delivers exceptional patient outcomes

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Wherever you are on your Magnet journey, we can help. We have successfully implemented programs in multiple facilities and can help your organization succeed. We perform Mock Surveys, GAP Analysis, data analytics and reporting, and application writing.

Quality Awards

Are you looking to take your organization to the next level by having awards winning programs?

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Our expertise with Joint Commission Disease Certification programs, Stroke Centers, Society of Chest Pain Accreditation programs, Nursing Magnet and Malcolm Baldrige Quality Awards allows us to analyze your program goals and objectives to build centers of excellence and set your organization apart from your competitors.

 

Corporate Compliance

There are 7 critical elements of an effective compliance program.

  1. Implementing written policies, procedures, and standards of conduct.

  2. Designating a compliance officer and compliance committee.

  3. Conducting effective training and education.

  4. Developing effective lines of communication.

  5. Conducting internal monitoring and auditing.

  6. Enforcing standards through well-publicized disciplinary guidelines.

  7. Responding promptly to detected offenses and undertaking corrective action.

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We have specialty certification in healthcare compliance and can help you with all your compliance needs.

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