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2022 compliatric continuous compliance series chapter 3 and 6

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2022 compliatric continuous compliance series chapter 3 and 6

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Webinar Here: https://compliatric.com/continuous-compliance-its-not-just-an-osv-prep-chapters-3-6/

Starting off 2022 means preparing for Operational Site Visits! Compliatric is excited to restart their “Continuous Compliance" Webinar Series based on the existing Health Center Compliance Manual and the most recently updated Site Visit Protocol. Each month, program requirements are reviewed to assist health centers in understanding the various elements and ensuring continuing compliance. Participants will be able to use these webinars to increase their knowledge of the requirements, and go one step further and utilize the program requirements to improve operational excellence.

Webinar Here: https://compliatric.com/continuous-compliance-its-not-just-an-osv-prep-chapters-3-6/

Starting off 2022 means preparing for Operational Site Visits! Compliatric is excited to restart their “Continuous Compliance" Webinar Series based on the existing Health Center Compliance Manual and the most recently updated Site Visit Protocol. Each month, program requirements are reviewed to assist health centers in understanding the various elements and ensuring continuing compliance. Participants will be able to use these webinars to increase their knowledge of the requirements, and go one step further and utilize the program requirements to improve operational excellence.

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2022 compliatric continuous compliance series chapter 3 and 6

  1. 1. www.compliantfqhc.com Continuous Compliance Series- It’s not JUST an OSV Prep COMPLIATRIC WEBINAR SERIES Presented by: Jennifer Genua-McDaniel jgenua@genuaconsulting.com
  2. 2. Needs Assessment and Accessible Locations and Hours of Operations
  3. 3. This presentation is not endorsed by Management Strategists Consulting Group (MSCG) This presentation is not endorsed by Health Resources Services Administration (HRSA) or Bureau of Primary Health Care (BPHC) Not employed by MSCG or BPHC Independent Consultant who is contracted to do Operational Site Visits (OSV)s and Technical Assistance (TA) Not intended to provide legal advice
  4. 4. Continuous Compliance Monthly focus on various HRSA Compliance Chapters Provide additional resources to include best practices for preparation of the OSV What are the requirements? Use compliance to be a generative health center (higher functioning) Visit Virtual visits will continue to be the primary mode of assessing compliance for the foreseeable future 365 site visits are planned for 2022
  5. 5. UNDERSTANDING OF THE PROGRAM REQUIREMENTS WHICH INCLUDES UPDATES TO THE SITE VISIT PROTOCOL (SVP) MAINTAINING CONTINUOUS COMPLIANCE NOT BASED ON A SITE VISIT IMPROVING OPERATIONAL EXCELLENCE FOR YOUR HEALTH CENTER
  6. 6. Needs Assessment
  7. 7.  Element A (updated): ◦ Comparison of Form 5B zip codes and most recent zip codes provided in most recent UDS  Where are your patients coming from?  Does your Form 5B reflect updated zip codes?
  8. 8.  Element B: ◦ Updated at least once every 3 years?  UDS data updated yearly  What are the changes? ◦ Based on available data  Local, state, federal information  Most readily available information
  9. 9.  Element B: ◦ Needs Assessment Addresses:  Healthcare Utilization  Who are your patients? Where do they work? What do they do? How do they get to your health center? What language do they speak? What is their highest level of education?  Significant Causes of Morbidity and Mortality  Diabetes, high blood pressure, cancer, low birth weight babies, behavioral health, health disparities-housing, racial injustice  Unique Healthcare Needs  Cultural/ethnic factors, physical environment, language needs; pandemic  Special Population Funding  Must address the above
  10. 10.  Standardize when the data is updated and evaluated  UDS data must be submitted  Federal Poverty Levels (FPL) updated  Annual BPR update  During your competing grant application  Ensure data is up to date (census data, local data)  Analyze the data to determine whether patients are moving in and out of your service area ◦ Determination of additional services, change of location may be warranted
  11. 11.  Documentation in files ◦ Board meeting minutes ◦ Committee meeting minutes  Patient Surveys=Answers! ◦ Can provide valuable information ◦ Adapt questions to your community ◦ Provide open ended questions ◦ Analyze the trends ◦ Keep up to date on local news and information  Significant workforce challenges due to Covid-19
  12. 12.  Keeping the pulse on your service area: ◦ Real Example:  Local developer has started purchasing property and homes around your service area  The city and developer agreed to remove low income housing and build a highway and shopping center  Residents are moving out of the area (zip codes)  Residents are living in an area that is not included in your service area (do not have the zip code listed on your Form 5B and not in UDS
  13. 13.  Needs assessment = basis for the strategic plan ◦ Ask the questions to get honest feedback ◦ Foundation to expand services, locations, sites ◦ Able to understand the challenges and opportunities  Telehealth and COVID-19  Workforce challenges
  14. 14.  Provides insights that you may not have thought about ◦ Other lines of business ◦ Expansion of services (acupuncture, chiropractic, etc.)  May provide the foundation to determine if there is a duplication of services in the community
  15. 15.  Source: Instagram
  16. 16. Accessible Locations and Hours of Operations
  17. 17. Element A: • Accessible service sites based on: • Access barriers • Distance and time for patients to travel in- between sites • How does a health center’s special population access locations? Element B: • Hours of Operations based on: • Patient needs • Most requested appointment times? • Tele-health, on-site, hybrid model?
  18. 18.  Element C (updated):
  19. 19.  Relates to Chapter 3-Needs Assessment  If the needs of the service area require additional hours; evaluate the data and need, then an adjustment should be made  Requires board approval and approval from HRSA  Completed through a Change in Scope  COVID-19 adjustments: https://bphc.hrsa.gov/emergency- response/coronavirus-frequently-asked- questions?field_faq_category_tid=289&combine= ◦ Review any publications and social media hours and locations  Compare it with Form 5B
  20. 20.  Patient Surveys ◦ Can determine data and information required for this requirement ◦ Examples:  “Tele-health visits help me keep my appointments”  “Do the current hours the clinic is open help me keep my appointment?”  “What hours of operation would be easier for your family?”  What questions do your health center use on their patient surveys?
  21. 21.  Documentation of review of patient satisfaction surveys ◦ Through the QI Committee and then to the full governing board ◦ Aggregate data  “Did my health center change/add/improve practices because of a patient suggestion?” ◦ Additional hours, transportation, etc.?
  22. 22. ****NEW*** HRSA-Form 5B Scope of Accuracy Worksheet •https://bphc.hrsa.gov/sites/defaul t/files/bphc/programrequirements /scope/form5b-accuracy- worksheet.pdf Potential increased revenue Increase service lines/other lines of business Organization reputation Community “team player” “Online presence” can make or break an organization “Today’s patient experience=tomorrow’s reputation”
  23. 23. HRSA Health Center Compliance Manual https://bphc.hrsa.gov/pro gramrequirements/compli ancemanual/index.html HRSA Health Center Site Visit Protocol https://bphc.hrsa.gov/pro gramrequirements/site- visit-protocol HRSA Scope of Project (Form 5B Worksheet) https://bphc.hrsa.gov/pro gramrequirements/scope/ documenting NACHC-Health Center Resource Clearinghouse https://www.healthcenteri nfo.org/
  24. 24.  Jennifer Genua-McDaniel, BA (Hons), CHCEF Genua Consulting, LLC  Questions? marketing@fqhcwebinar.com

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