Xybion Healthcare Regulatory Compliance

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Xybion Healthcare Regulatory Compliance

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Xybion Healthcare Regulatory Compliance

  1. 1. Health Care Provider Accreditation Quality & Standards Compliance Management System Accreditation Process Management Post- Accreditation Response Activities Accreditation and Compliance Lifecycle Major Compliance Areas Current issues • Requirements are Procedure – Dependent. Difficulty in tracking compliance and training associated with the implementation of those procedures • Inefficient planning, conducting and tracking of audit results associated with the requirements and accreditation process. • Tracking actions necessary to comply with standards
  2. 2. Health Care Provider Accreditation Quality & Standards Compliance Management System Major Compliance Areas Standards Continuity of Care Patient Care/Education Care of Patients Management of Medication Continuous Quality Improvement Responsibility of Management Facility Management & Safety Human Resource Management Information Management Systems Policies & Procedures – Document Control Framework Training Competency & Certification Framework Compliance Audits HAI Workflow Outbreak WF CAPA Workflow Flexible Business Process Engine Document Management
  3. 3. Health Care Provider Accreditation Accreditation Process Management Major Compliance Areas 1. Management of Process – Organization can plan and monitor accreditation activities and status; Useful for Accreditation bodies. 2. Management of Follow-up Activities- Plan, assign and track follow-up activities to prepare, participate and respond to accreditation activities 3. Management of Corrective Actions Track mitigation actions
  4. 4. Health Care Provider Accreditation Post- Accreditation Response Activities Major Compliance Areas 1. Surveillance Preparation Management – 1. Organization will have “readiness” process to respond to surveillance events – protect from surprise findings 2. Complaint Management – External and internal complaints managed and mitigated so accreditation affects are minimized 3. Adverse Decision Management – Track decisions, communications and follow-up activities

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