Prior to the Care Plan Audit tool, only 39.98% of patients had updated care plans and 68.66% of patients had updated daily goals. After one (1) month, there was 92% increase in the number of care plans updated. There was...

In 2018, Virginia Garcia began internal site visits known as ‘C-Qual’ (Compliance and Quality Assurance). Visits are considered an “everybody teach, everybody learn” opportunity, with findings shared with site leaders and senior leaders across the organization. The goal is to...

Regulatory oversight by CMS, OSHA, and other agencies continues to accelerate. Patients and families are more astute about reporting and using language to suggest immediate jeopardy. Organizations must be continuously ready for unannounced surveys using a multi-faceted approach to achieve...

A large U.S. health system underwent preparation for a major accreditation survey. A consulting firm identified deficiencies in the handling of reusable instruments. Examples included the poor condition of instrument tape, inadvertent reprocessing of single-use instruments, and packaging errors, such...

The interdisciplinary team at ColumbiaDoctors will discuss processes operationalized in ambulatory care to promote outstanding practice consistent with current regulations and professional standards. Proactive coaching tracer activities and the use of a risk assessment tool can greatly impact the quality,...

The Centers for Medicare & Medicaid Services (CMS) plays a vital role in strengthening and modernizing our nation’s healthcare system. Hear how plans are impacting quality and what you need to know to stay abreast upcoming changes. This session will take a deep dive into Medicare 5-star rating and discuss the many regulations that were put in place for the pandemic and now that those are rolling back, what impact it has on quality.

The purpose of peer review is to improve quality and patient safety, so it is evident that when assessing how to make strides in quality, we also evaluate peer review. Two experts in quality will walk through a case study that examines how to determine the performance criteria, measures, benchmarks and data needed to support practitioner review activities. They’ll also discuss what to consider when organizing production, analysis and presentation of practitioner performance review data and reports. Leave this session with best practices, specific tools and soft skill advice for organizing practitioner performance review meetings and what works and why.