Comprehensive Mock
Surveys: Simulating the process(es) used by the surveyors.
Option for a written assessment and tool for developing pre and post
survey actions plans.
Preparation for Joint
Commission, including hospital, ambulatory care, long term
care, and home care; and NCQA. Preparation includes readiness
assessments, and/or education and training.
Quality Improvement
Program and Process Design: Development of systems and
processes related to Performance Improvement, Safety, Infection
Control, and Utilization Management.
Outcomes Measurement:
Development of indicators and screens that will produce useful and
meaningful data and meet accreditation and regulatory requirements.
Development include identification of meaningful indicators to monitor
the functional standards of JCAHO. Facilitation and development of case
management models including the development of critical pathways and
variance systems to produce outcome data for improvement.
Medical Staff Services:
Medical Staff Committee redesign that maximizes
medical staff time, yet ensures leadership and participation.
Credentialing assessments and design of appointment and reappointment
processes and forms that meet accreditation standards and requirements.
Review and revision of medical staff bylaws and rules and regulations.
Policy and Procedure
Development: Customized plans, policies and procedures that
will meet accreditation standards, yet eliminate or reduce the volumes
of paperwork. These include key documents required by JCAHO: Plan for
the Provision of Care, Recruitment and Retention Plan, Patient Rights
and Organizational Ethics policies, Restraint and Seclusion policy and
protocol, Organizational Transfer policy and forms that meet Cobra
requirements, and Case Management Guidelines or Interdisciplinary Care
Plan.
Education and Training:
Facilitator Training CCustomized to
provide interactive learning for facilitation of process/project
improvement teams; JCAHO Standards;
Quality Improvement Awareness ----Customized
to educate all levels of staff in principles and concepts of quality
improvement and the benefits of integrating these principles into the
every day work life; Governing Board of Trustee Education C Specializing in
training trustees about their role and responsibility for
organizational quality; and Conflict Management
-----Identification of causes of conflict and simple, effective ways
and tools to manage and resolve conflict in the workplace; and
Organizational Empowerment -----
Seminars/Presentations:
Available to speak at seminars, state association groups,
etc. Will individualize any education and training listed
above to meet audience objectives or develop customized presentations
for a variety of topics.
Organizational Design
and Development: Facilitation and design for transformation
of organizational cultures to integrate concepts and principles of
total quality management. Includes empowerment assessments,
facilitation of process teams, team building retreats, development of
organizational vision and core values, competency systems, and
leadership and management training.
Nursing Services:
Redesign of nursing services/infrastructures, facilitate the
development of self directed work teams within nursing services, and/or
the development of nursing quality programs that provide useful and
meaningful data to improve patient outcomes.
Interim Management:
Provide intermin management for vacancies in the Quality Improvement
Departments or Nursing Executive position.