Our target is realizing success for healthcare organizations.

We provide healthcare organizations with the critical resources needed to implement high-quality care effectively and efficiently while providing a safe environment for healthcare operations and delivery. We work diligently with our clients to apply sustainable strategies and processes to improve healthcare organizations.

What We Offer:

    • Pre-survey assessments and mock surveys for JC accreditation

    • CMS Consultants for compliance with Conditions of Participation

    • Patient safety risk assessments including:

      • Ligature risk evaluations

      • Survey readiness

      • Evaluation of medical staff bylaws

      • Credentialing and privileging

      • Pharmacy compounding

      • Medication management evaluations

      • Sterile processing

      • Sterilization

      • High-level disinfection

      • Behavioral Health Readiness

      • Long-term Care Survey Readiness

      • Medical staff education

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    • CMS Consultants for compliance with Conditions of Participation

    • Roadmap of the CMS Conditions of Participation (CoPs)

    • Mentorship & Feedback

    • Post-mock survey reporting with SAFER Matrix

    • On-Demand Answers to Ongoing Questions

    • New Standards Review and Interpretation

    • Facility Training & CMS Webinars

    • One-on-one Subject Matter Expert Training

    • Post on-site preparation for return surveyor visits

    • Ongoing follow-on support

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    • Delivering on-site assessments designed to identify and mitigate infection risks and provide feasible solutions.

    • Conduct thorough examinations in sterile and instrument processing at the point of use in the following areas:

      • Operating Room

      • Labor and Delivery

      • Cath Lab

      • Other Procedural Areas

    • Provide focused assessments designed to evaluate the hospital or healthcare facility’s infection control program

      • assess reported data

      • assess data outcomes

      • and apply interventions to improve undesirable trends.

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    • Instrument and sterile tray inspections in critical procedural areas such as the operating room, labor and delivery, and the emergency department. 

    • Evaluation of proper sterilization times and procedures based on the instrument manufacturer’s instructions.

    • Staff competency assessment evaluations and recommendations for improvement.  Education is provided when deficiencies are identified. 

    • Recommendations and implementation of improvements to prevent negative survey outcomes and address patient safety issues.

    • A full report is provided after the initial assessment and when onsite implementation is required daily. 

    • Compliance with AAMI ST79 and all applicable ISO requirements.

    • Workflow optimization to improve productivity

    • Equipment assessment to meet manufacturer guidelines

    • Staff training and education tailored to sterile processing technicians and infection control

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  • Delivering comprehensive webinar and onsite education programs

    Regulatory and survey management

    Topics Include:

    Conditions of Participation (CMS)

    The Joint Commission Standards

    Education for all programs:

    Hospital, Critical Access, Ambulatory Surgery, Dental Clinics, Laboratory, Hospice, Home Care, Long Term Care, Swing Bed, Environment of Care and Life Safety, Rehabilitation, Rural Health and Behavioral Health.

    Specialty Areas: High Level Disinfection, Sterile Processing, Instrument Processing and Management, Water Management, AAMI guidelines, Dialysis, Medical Staff, Medication Compounding.

    • Delivering on-site assessments designed to identify and mitigate behavioral health and provide feasible solutions.

    • Conduct thorough observation of suicide prevention, risk, mitigation, plan of care implementation, and patient care provided in the following areas:

      • Inpatient psychiatric units

      • Residential psychiatric units

      • Residential substance use/ addictions units

      • Partial Hospitalization/ Intensive Outpatient Services

      • Outpatient Mental Health and Substance Use Services

    • Provide focused assessments designed to evaluate the hospital or healthcare facility’s behavioral health program:

      • assess reported data

      • assess data outcomes

      • apply interventions to improve undesirable trends

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  • USP 797 and Subsequent Chapters 

    Joint Commission and CMS Medication Management Review
    On-site Process Improvement 

    Antibiotic stewardship 
    Environmental Compounding Compliance 

    New Construction Consultation

  • CMS Survey Preparation 

    Medicare Survey Mitigation Strategies 

    Joint Commission Survey Preparation 

    Staff Education 

    Nursing home and home survey inspections

  • Medicare & Joint Commission Surveys

    Staff Education

    Program Development 

    New Homecare Program Development 

    Pharmacy Review

    • Pre-survey assessments and mock surveys for JC accreditation

    • CMS Consultants for compliance with Conditions of Participation

    • Evaluates all life safety and environment of care documents

    • Conducts Emergency Management tracers

    • Physical Environment Building Tour

    • Complete document assessment

    • Evaluations of all fire alarms, sprinkler systems, and extinguishment

    • Fire Drill Evaluations

    • Evaluations of Emergency Power Supply Systems

    • Inspections of breaker positions, warning lights, transfer switch visual checks, auto system checks in addition to other safety elements

    • Deficiency trends evaluations

    • Identification of on-site locations in sterile storage, sterile processing, decontamination, and the operating room environment lacking temperature, humidity monitoring and positive pressure environments. 

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Ready to get started?

We ask the difficult, material questions needed to uncover and identify key issues facing healthcare organizations today. We are 24/7 support for business leaders consistently delivering up-to-date and actionable healthcare strategies. Partner with us today.

The Reliable Authority in Health Care Quality

“Their professional consultants provide outstanding services, with expertise in Joint Commission and CMS compliance. Their educational approach has been key to our readiness strategy and successful accreditation and regulatory outcomes.”
— Internal Consultant, Quality & Safety Adventist HealthCare

Our Experienced Team

Following the initial consultation, we will process your information and unique facility needs to identify high-risk areas.
We systematically deploy our specialized consultants to align with your facility and staff to implement corrective action plans. 

 
 

Gayle Nash | President & Chief Executive Officer

Gayle Nash is a highly experienced registered nurse with dual master’s degrees in health services administration and Public Health. She has over 35 years of expertise in nursing, administration, accreditation, and quality assurance. From 2001 to July 2014, she served as an Integrated Nurse Surveyor for the Joint Commission, evaluating healthcare facilities to ensure compliance with CMS standards. Her 13 years in this role highlight her extensive knowledge in accreditation and quality care. Gayle provides expert guidance on obtaining and maintaining accreditation, specializing in compliance regulation and organizational assessment.

 
 

Sandip Sheth | Chief Financial Officer & Chief Operating Officer

Sandip “Sam” Sheth is a licensed pharmacist with an extensive background in executive pharmacy administration, he is a regulatory compliance surveyor and operational and strategy consultant. He is skilled in helping healthcare facilities address problems in management and workflows as well as improve operational efficiencies. Sam is further highly experienced in developing and implementing policies and protocols that meet governing regulations and facility best practices. As a pharmacy executive in a 200-bed teaching hospital, Sam improved operational productivity from 83% to 104% in six months, exceeded quality measures, improved patient outcomes, and reduced length of stay. Over the past fifteen years, Sam has served as a compliance consultant for many healthcare facilities across the country to identify and correct regulatory concerns.

 

Our Consultants

Work with us.

Nash Healthcare Consulting

Gayle Nash, MPH, BS, RN

President & CEO

(915) 241-7830

gnash@nashhc.com

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“Safety is a common denominator across all aspects of life, hence knowledge should always be shared. It is not a matter for industry it is a matter for humanity.”

— Doug Bourne