Have you evaluated what readmissions will cost your organization? Have you implemented any plans to address readmissions? The readmissions penalty is not going away and CMS likely will expand the program as it enters its second year. The time to act is now.
With the recent changes in healthcare, we know you have a lot on your plate. As we begin the new year, we’re wondering, what’s on your mind? What are your top accreditation and regulatory healthcare concerns for 2013? Participation in this Compass survey is anonymous. It will only take five minutes to complete the survey. [...]
Compass Clinical Consulting’s Amanda Brown, RN, MSM, CIC, is featured in this month’s Nurse Leader Magazine article “Nursing: Frequently in the Bull’s-Eye for Noncompliance.” Most organizations experience a negative compliance finding from the Centers for Medicare and Medicaid Services (CMS) as an injury to organizational self-esteem and reputation. When this occurs, nursing is frequently the target of that [...]
A recent case of decertification and recertification by Medicare stands as a cautionary tale for hospitals across the country to never lose site of the goals of quality and safety.
The core business of a hospital is not margin or growth, it’s clinical care. if you’re giving good clinical care, you’ll get your margin and growth. If you don’t pay attention to the basics, you open yourself up to all kinds of trouble.”
Many hospitals still have not yet met the expectations of the requirement for Ongoing Professional Practice Evaluation (OPPE). While making an OPPE program work involves administrative planning and execution, the most important factor is engaging the leadership of the Medical Staff to ensure that the process is meaningful and that it fulfills its purposes.
In contrast to the major revisions made to the Conditions of Participation by the Centers for Medicare and Medicaid Services in 2012, the Joint Commission (TJC) made relatively few changes to their accreditation standards in 2012. However, some of the changes made in 2011 became effective on July 1, 2012, and certain revisions made in [...]
There were several core issues that helped bring this organization’s quality challenges to a head. First and foremost, there was a horrendous turnover rate in the nursing staff, and a high use of traveling and agency nurses. Their CNO was an interim, which can sometimes be a good thing, but in this case, an interim CNO was overseeing a temporary staff.
The threat of loss of accreditation is one that keeps survey coordinators and hospital leaders awake at night, but for most hospitals, it’s more of a bogeyman than an actual threat—there are many stages an organization must go through and fail before their accrediting bodies slam the hammer down on them. But a recent case of decertification and recertification by Medicare stands as a cautionary tale for hospitals across the country to never lose site of the goals of quality and safety.