Compliance | Certification | Readiness | Project Management | Training & Education
We’ve worked hard to develop compliance, training, 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 specialized NHC survey team conducts complete, facility-wide sterile processing assessments in all aspects of sterile processing including:
All-department infection risk and contamination assessments,
Comparing and applying the most frequent and difficult standards against department policies to ensure compliance.
Education and Webinar Services
NHC consultants are experienced healthcare executives and educators. With decades of experience in their specialized fields and with the Joint Commission accreditation and the Centers for Medicare and Medicaid Services, all consultants routinely inform, mentor, and deliver facility-wide education. Our consultants deliver on-going, virtual webinar education tailored to organizations nationwide on key topics including:
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 and DNV accredited facilities for ISO 9000
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
Medication Management
CMS Hospital Improvement
CMS Discharge Planning
Ligature Risk and Restraint and Seclusion
CMS Emergency Services
ISMP 2022 Safe Medication 10 Erriors
CMS Radiology Nuclear
Preventing Falls
Patient Safety and Risk Management
Workplace Violence
CMS Medical Staff and Telemedicine
Nursing and the Law
CMS Patient Rights
Joint Commission National Patient Safety Goals
Dietary
High Level Disinfection
Legal and Risk Management
CMS Pharmacy Medication
The Joint Commission Hot Topics
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.