Nurse Consulting Services
Our consultants are registered nurses or licensed vocational nurses who have worked as Administrators, Directors of Nurses, or Quality Assurance nurses. They have at least four years of experience in the home health care field and have demonstrated proficiency with state surveys and accreditation services.
Our confidential nurse consulting services include the following:- Policy and procedure development
- Mock state surveys
- Chart reviews
- Quality assurance programs
- Staff competency evaluations
- Accreditation Preparation and Consulting Services
- Plans of correction
- Staff in-services
- Problem resolution
- RN med monitoring for ALF facilities and DME consulting
Policy and Procedure Development
The foundation of a company is its polices and procedures, and Compliance Review Services realizes the importance of this fact. We keep up-to-date with the rules and regulations governing home health, hospice, CBA, CLASS, and other home health programs. Our policies and procedures, which encompass clinical, administration, human resources, information management, HIPAA, and organization, have passed hundreds of state and TJC surveys. Our program-specific policy and procedure manuals include:
- Licensed and Certified Home Health Agency
- Licensed Home Health Agency
- PAS
- PHC
- CBA
- CLASS Program
- Pediatrics
- Psychiatric
- Durable Medical Equipment
- Hospice
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Mock State Surveys
By allowing management to self-identify and address problems prior to the state coming in, mock surveys are valuable for existing agencies and critical for new ones. Our mock state surveys customarily take one to two RNs one to two days to complete. The mock survey mimics an actual state survey. An informal exit of all deficient practices is reviewed by the agency leaders and then a typed report of all deficiencies is provided to the agency within two business days of completing the survey.
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Chart Reviews
We provide clinical chart reviews for many agencies in Texas. The frequency of the reviews is based upon the agency's needs and can be weekly, monthly, quarterly, or bi-annually. Both state and federal regulations require agencies to perform quarterly chart reviews for both active and discharged patients.
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Quality Assurance Programs
Compliance Review Services can institute a quality assurance program or assist agencies in setting up and implementing their own program. We can also generate quality assurance audits and reports. We have successfully established quality assurance programs for:
- Large corporations (including an internal QA team, survey tools, and documents)
- Small corporations
- Quality Assurance Performance Improvement
- TJC with performance improvement
- Adverse event reporting, investigation, and reports
- Outcome Based Quality Management (this will be the new CMS requirement when the Conditions of Participation change in the 2003)
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Staff Competency Evaluations
We have been doing home health aide and nurse competency evaluations since 1997. Using required tests and forms, we perform evaluations on site or in our Training Center, which has a skills lab with multiple stations. We also offer a 6-hour intravenous course that includes skills training on mannequins with return demonstrations.
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Accreditation Preparation and Consulting Services
Compliance Review Services has helped numerous agencies prepare for TJC / CHAP accreditation. We conduct on-site TJC / CHAP mock surveys. Our successful efforts have included:
- Assisting respiratory departments pass their tri-annual surveys
- Assisting durable medical equipment companies pass their initial and tri-annual surveys
- Setting up numerous agencies (/luding policies, procedures, forms, staff training, etc.) with four months of tracking to pass their initial TJC/ CHAP survey
- Maintaining up-to-date databases on TJC / CHAP policies and procedures
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Plans of Correction
We have vast experience in completing plans of correction for both small and large agencies. Our plans of correction are accepted by the state the first time they are submitted. The plans are realistic to meet our clients' needs and to correct the deficient practice permanently.
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Staff In-Services
Compliance Review Services offers a wide variety of in-services educational opportunities for agency staff. We also assist in training new Directors of Nursing and Administrators. We are a TNA Approved Provider and offer numerous continuing education courses with contact hours. See our Training Center page for a detailed course listing.
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Problem Resolution
For the day-to-day issues that agencies face, our experienced staff can offer effective recommendations for problem resolution. Topics with which we can provide problem resolution assistance include but are not limited to:
- Disciplinary action
- Survey issues
- Compliance issues
- Clinical issues
- Abuse, neglect, and exploitation
- Complaints
- /idents
- Hiring and firing of employees
- Policies and procedures
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