Healthcare Risk Management and Safety Consulting

 


ACCREDITATION AND GOVERNMENT AGENCIES

AAAHC
Association for Accreditation of Ambulatory Healthcare

AAAASF
American Association for Accreditation of Ambulatory Surgical Facilities

The Joint Commission
(formerly JCAHO)

NCQA
National Committee for Quality Assurance

CDC
Centers for Disease Control

CMS
Centers for Medicaid and Medicare Services

  • Infection Control
  • HIPAA
  • CLIA

DPH
Department of Public Health

OSHA
Occupational Safety and Health Administration

  • Bloodborne Pathogens
  • HAZCOM

 

TESTIMONIAL

"a wealth of knowledge and resources"

M. Austin
Editor-in-Chief
Medical Group Management Association (MGMA), Englewood, CO

"Pam has a wealth of knowledge and resources regarding accreditation. I would highly recommend you contact her at 508-654-4780."


We have achieved successful approval ratings for more than 15 years.

Services

 

      

We provide each client with practical, realistic and effective strategies, resources and customized plans to assist the leaders of your practice with the often difficult challenges as required by healthcare accreditation agencies, state or federal regulations.

We are proactive and will continue to work with you following the accreditation survey. We will assist in keeping your practice up-to-date on accreditation standards and in the continuous improvement of policies and procedures to remain in compliance with these standards.

CLINICAL PRACTICE ASSESSMENT

POLICIES and PROCEDURES

CONTINUOUS QUALITY IMPROVEMENT

RISK MANAGEMENT STRATEGIES

TRAINING     EDUCATION     SEMINARS

Clinical Practice Assessment

The objective of facility survey is to assess your organization's compliance with accreditation and regulatory standards, and based on the findings, to provide your organization with written recommendations for improvement to maintain the highest level of quality within your organization.

A complete facility survey is provided to determine if your practice meets these requirements to include evaluation of the following:

  • Rights of Patients
  • Governance
  • Administration
  • Quality of Care Provided
  • Continuous Quality Management and Improvement
  • Risk Management
  • Clinical Records and Health Information
  • Facilities and Environment
  • Surgical and Related Services (as applicable)
  • Employee Safety
  • Recordkeeping

Policies and Procedures

We will review, customize and supplement your written policies or procedures to meet the current industry requirements.

  • Clinical Policies and Procedures
  • Safety Policies and Procedures
  • Infection Control and Sterilization Practices
  • Administrative Policies and Procedures

Continuous Quality Improvement

  • Individualized Education and Training
  • Long Range Plan Development
  • Error Reduction Assistance
  • Root Cause Analysis
  • Project Management

Risk Management Strategies

  • Medication Management and Safety
  • Infection Control
  • Preventing Healthcare Acquired Infections (HAI)
  • Minimizing and Managing Serious Reportable Events (SRE's)

Education

  • Training
  • Seminars


MOVING THE QUALITY OF HEALTHCARE FORWARD