Healthcare Compliance and Accreditation Consulting Services

Whether you’re educating your staff about The Joint Commission’s standards or responding to a recent survey by the Centers for Medicare and Medicaid Services, Compass Clinical Consulting has the tools and expertise to help your organization. Our skilled accreditation consultants have extensive experience with both TJC and CMS and are backed up with expertise in a wide range of related topics.

CMS and TJC Readiness Services

Compass Clinical Consulting assists organizations in building or strengthening internal resources to maintain a culture of continuous readiness for surveys by The Joint Commission (TJC) or the Centers for Medicare and Medicaid Services (CMS). Because TJC and CMS surveys are unannounced, preparation and ongoing readiness are critical. Learn more

CMS and TJC Response & Recovery Services

When surveyors leave, organizations may be faced with a perplexing and, at times, overwhelming list of deficiencies and findings. Our team of compliance and accreditation experts is prepared to help you respond quickly and effectively to achieve sustainable changes toward a goal of safe, quality patient care through assistance in ESC development, Plan of Correction implementation, and more. Learn more.

Immediate Jeopardy (IJ)

Compass Clinical Consulting is the best resource for help with Centers for Medicare and Medicaid Services (CMS) Immediate Jeopardy citations so threats to clinical operations can be mitigated and patient safety protected. Our clinical experts work with your staff to resolve deficiencies and protect the organization’s regulatory status. Learn more.

Systems Improvement Agreement (SIA)

The Centers for Medicare and Medicaid Services (CMS) has a powerful quality improvement tool to gain compliance from hospitals with repeat or multiple Immediate Jeopardy (IJ) findings on compliance or validation surveys: the Systems Improvement Agreement (SIA). Compass Clinical is approved by CMS to serve as at the outside monitor for organizations with an SIA. Learn more.

Patient Safety Assessment

Are you confident that your organization truly has a culture of safety? Compass Clinical Consulting’s Patient Safety Assessment analyzes your current patient safety practices and processes to determine how effectively they prevent human errors and detect and correct system vulnerabilities and weaknesses that can lead to events of harm and adverse outcomes. Learn more.

Clinical Regulatory Compliance Due Diligence Assessment

Compass performs clinical regulatory compliance due diligence assessments to provide health systems with knowledge of compliance risks that may accompany an acquisition, including careful attention to triggers for additional scrutiny from CMS. Learn more.

Consulting and Program Development for a Safe, Harassment-free Environment for Staff and Patients

As media reports continue to emerge on harassment in healthcare settings, hospitals and health systems can anticipate increased reporting related to sexual harassment and hostile work environments, aloing with increased attention from regulators and surveyors—especially CMS and TJC. Compass has a team of consultants equipped to address concerns of harassment and help organizations deliver safe, quality care while maintaining full compliance with applicable standards and regulations, including assurance of a safe work environment for all. Learn more.

Contact Compass Clinical Consulting

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