Contact us for a quick, free analysis of potential opportunities to clarify your Joint Commission survey report
Patton Healthcare Consulting, LLC
6740 W. Deer Valley Rd., Suite D-107
Glendale, AZ 85310
Phone: 623-572-8487
Fax: 928-415-4677
- Our Post Survey services are individually tailored for your specific outcome and do not conclude until a satisfactory outcome has been achieved.
Clarifications of Adverse Decisions -
Accreditation with follow-up and Contingent Accreditation
Following an adverse decision you have a 10 day window of opportunity to submit a Clarification to the Joint Commission to overturn RFIs. Our consultants are experts in the complexity of these clarifications and any appeal process. We have successfully helped dozens of organizations move from a preliminary adverse decision to accredited. We can provide a quick free analysis of potential opportunities to clarify
Evidence of Standard Compliance Assistance
We can develop corrective actions that are both compliant and also practical and achievable after your Joint Commission survey.
Plan of Correction Assistance
We can draft a POC following a CMS survey.
Measure of Success
We prepare post survey audits and tools for measure of success submission to the Joint Commission
Review Hearing Panel
If you find yourself with an adverse decision, you have the right to prepare and present an appeal to the Joint Commission's Accreditation Committee, or a review hearing panel. We will prepare this appeal for you and can attend the review hearing panel to conduct the discussion of standards and safety goals which should have been scored compliant.
Follow Up Survey Preparation
Assessment of your compliance with Joint Commission standard and elements of performance using the tracer methodology for your follow-up survey. Training for staff on this critical survey activity help you clear your previously scored standards on your follow-up survey.
- Assessment of your compliance with Joint Commission standards and elements of performance using the “tracer” methodology;
- The mock is tailored to your organizations unique services and size. The mock survey activities can be designed to mirror your anticipated Joint Commission agenda and survey.
- Identification in a written report of non-compliant elements or processes in need of improvement;
- Instruction and recommendations on how to make necessary changes to come into compliance;
- Real time feedback and education of clinical, support, and administrative staffs on how to effectively showcase their compliance to the Joint Commission survey team;
- Focus on new and problematic standards and National Patient Safety Goals;
- Strategic advice on completing the PPR based on mock survey advice to maximize protective effects.
- Assistance with interpreting and improving your S3 score and Quality Check profile;
- Help prepare action plan for the 1st day of survey, review the appropriateness of the material in your "S Binder"; the material that contains all mandated material while show casing your compliance in the requested areas.
- Review off-site or on-site policies for compliance with Joint Commission standards.
Instruction and Staff Development
Our national experts provide education programs tailored to your specific organization goals and needs.
- Custom education on the new 2009 standards and NPSGs
- Training, tools and techniques to prepare your staff for a successful survey
- Compliance tips and strategies for the top scored standards and National Patient Safety Goals
- Instruction in self assessment and risk assessment
- We can train a core set of staff to effectively conduct internal tracers using the same technique used by Joint Commission surveyors. We begin with classroom training on the NSPGs, frequently scored standards and tracer technique. Staff will be provided with sample tracer questions, tools to record your tracer findings and sample questions to use during the tracers. Following training staff will observe tracers conducted and then conduct their own tracers with input and advice from our trained consultants.
- Training modules will be prepared and left with the organization. These training modules can be viewed by staff after our consultants leave, and as you get new staff. Don’t reinvent the wheel, reuse the key training.
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