Accreditation and Certification

The Joint Commission for:

Healthcare Staffing

Home Health/LTC/LTAC

Behavioral Health

Rehabilitation

Acute Care/Hospitals

Ambulatory Surgery

Commission on Accreditation for Rehabilitation Facilities for:

Behavorial health

Rehabilitation

Center for Medicare and Medicaid Services for:

hospitals

other healthcare facilities

Our Services

Swat Analysis

Special Workforce Assessment Team for when rapid compliance or turn around is critical .  Our team will inspect/evaluate facilities for hospital systems and investment firms prior to purchase for compliance with accreditation, CMS or re-licensure.

Education

provide ongoing staff training in:

survey preparation

healthcare quality and performance

leadership skills

medical staff compliance of documentation

Environment of Care

Complete all documentation for both new and revised statement of conditions or regulatory agencies.

Education programs for state and national conference programs.

Semi-annual or annual building safety inspection (required by Joint Commision)

General inspection or training

Life safety management planning and implementation

Emergency management planning and implementation

Utility management planning and implementation

Hazardous material management planning and implementation

Security management planning and implementation

Bio-Medical management planning and implementation

General safety

Infection control

Hazardous vulnerability assessment

Statement of conditions including plans for improvement (PFI) (Required by Joint Commission)

Completion of periodic performance review and action plans for enviromental areas.

Program Management

Implement and update performance improvement programs, policies, and procedures to comply with standards and regulations.

Mock/Tracer Survey

Conduct simulated surveys to identify and outline corrective actions needed.

Respond to corrective actions plan.

Write the measure of success (MOS).

Assist with continued readiness process.

Periodic Performance Review

Respond to corrective actions plan.

Write the measure of success (MOS).

Assist with continued readiness process.

Survey Representation

On-site support during actual surveys, upon request.

Quarterly Retainer

Serve as intermediary representative for accreditation education, short-term challenges, or other issues requiring immediate assistance.

Nurse Liason

Assisting facilities to meet regulations and standards to meet competancies and evaluations for oversights of nursing.