- Our extensive pre-survey services provide all the necessary preparation activities to enable a successful survey outcome.
Patton Healthcare Consulting, LLC
6740 W. Deer Valley Rd., Suite D-107
Glendale, AZ 85310
Phone: 623-572-8487
Fax: 928-415-4677
Mock Joint Commission Surveys
Assessment of your compliance with Joint Commission standard and elements of performance using the tracer methodology for resurvey or initial survey organizations.
- 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 "Joint Commission 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.
Implement Healthcare Accreditation Compliance Initiatives
We analyze areas of opportunities, assist you in developing practical and effective action plans that focus your resources on those areas that are critical for patient care and accreditation compliance.
- We help you prepare, review and modify policies, procedures to guide patient care activities and ensure compliance with standards
- We create educational materials for staff to ensure understanding of new policies and processes and facilitate ongoing compliance.
- We prepare customized education programs and materials for staff
- Our experts implement roll-out strategies for key areas of standards compliance.
- We provide strategic implementation advice
- We can create patient safety assessment and improvement plans
Assistance with contract language and monitoring for clinical service contracts (LD.04.03.09)
We will provide you with model contract language and quality monitoring measures to include in your clinical contracts to help satisfy LD.04.03.09. Our contract tools and quality monitoring templates will allow you to mange the quality of your clinical contracts and simultaneously enable compliance with Joint Commission leadership standards and CMS Conditions of Participation.
PPR Preparation Assistance
Our experts help you complete and submit your PPR to maximize it’s protective effects and to facilitate continual compliance.
- Test for compliance all new or modified elements of performance introduced by Joint Commission since the completion of your last PPR;
- Test for compliance all new or modified National Patient Safety Goals (NPSG) introduced by Joint Commission since the completion of your last PPR;
- Test for compliance all new or modified Accreditation Participation Requirements (APR) introduced by Joint Commission since the completion of your last PPR;
- Test for compliance all new or modified “Frequently Asked Questions” for either the standards or National Patient Safety Goals introduced by Joint Commission since the completion of your last PPR;
- Create plan of correction for all issues identified as non-compliant. In addition for those non-compliant issues requiring a measure of success we will create the tracking tools and train staff on the necessary data collection to demonstrate the success of your corrective actions and continued compliance.
Test for compliance of the most problematic “C” elements of performance for the standards or NPSG using the tracer methodology]
Emergency Management
Let our industry experts provide assistance in planning and writing your Emergency Operation Plan (EOP). We can conduct, evaluate and critique your EM drills. We offer variable levels of support up to and including contracting our your Emergency Management program.
Environment of Care Assessments
Readiness assessment for life safety code evaluation, environment of care evaluation and disaster planning.
Interim Staffing Solutions
If you find yourself preparing for survey with a staffing or knowledge deficit, we can step up to direct and manage your quality improvement or survey preparation initiatives with onsite knowledgeable staff support.
Root Cause Analysis
Our experts can facilitate the completion of a root cause analysis in the event of sentinel event. We can facilitate the completion of a thorough and credible root cause analysis, development of an action plan and measurement strategy.
Onsite Survey Support
We can support your staff during the onsite survey either as the expert at the end of the phone line for real time help or in the case of a scheduled initial survey arrange to be onsite in the “survey command center” during the survey to facilitate a smooth survey.
Functional and Organizational Integration
We are experts in providing merger, acquisition and reorganization advice as it relates to accreditation exposure.
Instruction and Staff Development
Our national experts provide education programs tailored to your specific organization goals and needs.
Improve Performance and Outcomes Data
Our consultants conduct performance measurement analysis and create action plans that focus your performance improvement activities.
- 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.