Compliance | Certification | Readiness | Project Management | Training & Education
We’ve worked hard to develop compliance, training, and readiness programs and healthcare management products that meet the needs of our clients as well as provide the highest level of safety for every patient that may enter their facility.
Intensive Preparation for Accreditation by The Joint Commission / Centers for Medicare & Medicaid Services
The NHC survey team provides hands-on guidance and instruction to prepare your team members and facility for the intense process of Accreditation by the Joint Commission and Joint Commission International, as well as CMS Regulatory Compliance. Our expertise is derived from years of surveyor experience for The Joint Commission and the Centers for Medicare and Medicaid Services and our TJC / CMS Preparation product includes:
Full scope survey preparation based on the needs and size of your organization as well as scope of services.
Team training and development to ensure employees comply with performance standards.
Development of and assistance with execution of plans of correction and management plans.
Quality and Risk Assessment
The NHC survey team assesses all organizational programs and processes delivering complete risk assessments, root cause analysis reporting as well as hazard vulnerability assessments in the following areas:
Information Management
Life Safety
Environment of Care
Emergency Management
High-level Disinfection and Sterilization
The NHC survey team tailors to and assesses each facility’s sterile processing practices assessing and providing a thorough evaluation of all aspects of sterilization processes including:
All-department infection risk and contamination assessments,
Review and application of the most frequent and difficult standards against department policies to ensure compliance.
Education and Webinar Services
Our experts deliver advice supported by decades of experience for The Joint Commission accreditation and compliance and the Centers for Medicare and Medicaid Services. Our consultants provide webinar education tailored to the organization on topics such as:
Compliance with the CMS Conditions of Participation for Acute Care Hospitals, Critical Access Hospitals and Swing Bed, Long Term Care, and the Environment of Care and Life Safety
Sterile Processing for all services including Dental facilities
Sterile Processing for DNV accredited facilities for ISO 9000
Association for the Advancement of Medical Instrumentation (AAMI) ST-79 and ST-91 education
Compliance with standards and elements of performance for Joint Commission accredited organizations
Home Care and Hospice education
Pharmacy, Compounding and Medication Management
Infection Control for all programs (hospital, critical access hospitals, ambulatory care, dental clinics.)
Human Resources Management and related standards for survey preparation.
Primary Care Medical Home and Health Equity
Medical Staff Safety Compliance
Focused Professional Practice Evaluation/Ongoing Professional Practice Evaluation
Credentialing and Privileging
Bylaws, Rules & Regulations
Medical staff leadership in performance improvement, infection control and oversight of quality of care
Medical staff participation in patient safety initiatives
Medical staff participation in emergency management, disaster drills, disaster privileging, etc.
Expectations for continuing medical education
Expectations of the Medical Staff and organizational leadership
Pharmacy Consultation
USP 800 and 795 Audit from gap analysis to compliance,
Medication Management Chapter Audit including a written report with areas of non-compliance and best practices identified.
Antimicrobial stewardship audit including a written report with areas of non-compliance and best practices identified.
Opioid stewardship program development including a gap analysis and support in the development/implementation of the program.
Anticoagulation therapy program development including a gap analysis and support in the development/implementation of the program.
Diversion Audit including a report identifying strategies to mitigate risk points.
Pain Management program development and consultation
Training and education webinars
Technology and use of bar-code verification
Proactive risk assessments
Root cause analysis and evaluation of system failures
Evaluation of collected data and evaluation of outcomes
Multidisciplinary approach to system problem solving
Evaluation of the specific Conditions of Participation related to medication management
Evaluation of all Standards in the Medication Management Chapter in preparation for Joint Commission survey.