Contact Compass Clinical Consulting

If you have questions or concerns about achieving clinical and operational improvements toward safe, quality patient care, we can help. We encourage you to contact us for a confidential discussion of your needs.

Compass Clinical Consulting 
100 E. RiverCenter Blvd, Suite 100 Covington, KY 41011
Phone: (800) 241.0142
 Or, use our contact form.

 

FAQ: What is a CMS Systems Improvement Agreement?

FAQ: What is a CMS Systems Improvement Agreement?

The Systems Improvement Agreement between the hospital/healthcare organization and CMS binds the organization to engage in a series of improvement activities to address multiple deficiencies in compliance with the CoPs with the assistance of a third-party monitor/consultant approved in advance by the CMS Regional Office. The agreement grants the organization additional time to make sustainable improvements in complex quality, cultural, policy, and procedural deficiencies.

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Common Problems in the ED: Insights from Emergency Department Consulting

Common Problems in the ED: Insights from Emergency Department Consulting

Hospitals need to examine negative occurrences such as: extended Length of Stay (LOS), lengthy door-to-doc time, and high rates of left without being seen (LWBS). Anything that prevents the hospital from meeting the goal of decreasing these issues must be assessed. For example, the work-up time (the time patients arrive to when they leave) can oftentimes be decreased. One way to address this issue would be to closely examine turnaround times for all diagnostic tests

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Anesthesia Department Performance Improvement

Anesthesia Department Performance Improvement

An urban medical center in the Midwest was experiencing turmoil in its Anesthesia department. The organization was employing too many anesthesiologists, and as a result, individual productivity among this group of physicians was low. In addition, strained relationships between anesthesiologists and certified registered nurse anesthetists (CRNAs) were making it difficult for the medical center to recruit needed additional CRNAs…

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Regaining Conditions of Participation Compliance (CoPs) after Immediate Jeopardy & CMS Termination

Operational and leadership issues at one 274-bed inpatient psychiatric hospital in the Southeast had been emerging slowly over several years. Eventually> critical patient incidents culminated in regulatory scrutiny, and the hospital experienced a full survey by the Centers for Medicare and Medicaid Services (CMS). Findings of dysfunctional organizational culture, leadership, and management system inadequacies and suboptimal patient care outcomes resulted in Immediate Jeopardy and the hospital’s subsequent termination from Medicare. The state Department of Health and Human Services (DHHS) retained Compass Clinical Consulting to help the hospital regain certification.

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