2023 Compliatric Webinar Series - Your Accreditation Journey - Challenges Along the Way.pdf

•

0 likes•12 views

Watch the Webinar Here! https://compliatric.com/your-accreditation-journey-challenges-along-the-way/ In Part 2 of the Accreditation Guru/Compliatric webinar series, Jennifer and Peggy will present some of the pitfalls/challenges organizations face during the accreditation process. Whether your organization is preparing for initial accreditation, renewal, or in maintenance mode, we will provide tips and strategies on how to avoid these pitfalls. Join Compliatric and Accreditation Guru’s Founder and CEO, Jennifer Flowers, MBA, and Director of Behavioral Health, Peggy Lavin, LCSW for this informative session!

Healthcare

Your Accreditation Journey:
Challenges Along the Way
August 15,2023
Jennifer Flowers,MBA,Founder & CEO
Peggy Lavin,LCSW
,Director of Behavioral Health

Agenda
• Common Challenges Along the Way
• Overcoming Challenges
• You are Not Alone!
• Q & A

CHALLENGE
Staff Qualifications and Competence

CHALLENGE
Fresh Coat of Paint, Literally

CHALLENGE
Accidents Happen
• Being driven to different locations
• Emergency preparedness drills and your service
environment
• How do they handle accidents & reporting?

CHALLENGE
Vehicles
• Vehicles to transport persons served
• Employees’ motor vehicle records
• Non-owned vehicle insurance
• Age-appropriate safety restraints
• Who drives surveyor?

AG Consulting Expertise
• CARF International
• Council on Accreditation (COA)
• The Joint Commission (JCAHO)
• Accreditation Commission for Health Care (ACHC)
• Others: EAGLE, AEE, TFA, CQL…
Which is your best fit? (more than $)

Tips for Success
• Approach accreditation as raising the bar
• Unqualified commitment of CEO and leadership
staff
• Detailed project management
• Early priorities – The Big Three
• “Live” accreditation proactive
maintenance of accreditation
• Do not delay!

Preparation Questions to Ask
• Do I know how to best “sell” accreditation to leadership
team and staff?
• What P&P need to be written or updated to map to both
the accreditation and licensing standards and our current
operations?
• What safety issues were cited in the last licensing
inspection?
• Would it be helpful to conduct a mock survey? If so, who?
• Do we have documented stakeholder input in our quality
improvement and risk management efforts?

You are Not Alone: How AG
Helps
Individual accreditation consultation:
• Onsite assessment of readiness
• Project Management
• Cross walk of existing plans and policies
• Development of compliant plans and policies
• Review of client and personnel records for
compliance
• Customized training
• Mock survey
And More!

Immediate Next Steps:
To have a solid start on the road to accreditation or
reaccreditation:
 Take FREE (re)accreditation readiness self-assessment
 Schedule your free AG 30-minute Zoom to discuss
support for your challenges

Social Media Connections
Email to join Accreditation Guru’s newsletter
“Prepare for Greatness” Blog
Like us on Facebook @AccreditationGuruInc
Follow us on Twitter @AccreditGuru
Connect via LinkedIn

THANK YOU!
Jennifer@AccreditationGuru.com
212.945.8504 c
Peggy@AccreditationGuru.com
847.219.1296 c

Watch the Webinar Here! https://compliatric.com/your-accreditation-journey/ No matter your location on the accreditation road (just starting, maintaining compliance or preparing for re-accreditation), this two part series of 60 minute webinars will help you prepare for a successful journey. The first webinar (July 25) will provide tips, ideas and information designed to give you a clear picture of the accreditation process and to determine the best path forward for your organization. The second webinar (August 15 - more details to follow) will discuss some of the challenging aspects and standards of accreditation. Both webinars will be structured for a lively Q&A! Join Compliatric and Accreditation Guru’s Founder and CEO, Jennifer Flowers, MBA, and Director of Behavioral Health, Peggy Lavin, LCSW for this informative session!

Choosing a behavioral health accreditator

Melinda Lehman

How to Choose a Behavioral Health Accreditator

Melinda Lehman

ВІКТОРІЯ ПІДОПРИГОРА «Управління командою: Розвиток команди, оцінка навичок і...

QADay

Visualizing the Understanding of "Baldrige Excellence Model"

Abdel-Halim Mahmoud

Iirsm global benchmarking 15.1.17-final

Matt Cox FIIRSM RSP

Vijay SharmaVijay Mercer

A talk by Anisa Aven CEO, TurnKey Coaching & Development Solutions Since the Pandemic Began - Nothing is business-as-usual now. Strategic leaders anticipate change and strategic organizations are intentionally agile. They are ready to respond quickly to marketplace, economic, and OH… wait – pandemic factors?!? Today, even those who were confident in their crisis management and business continuity plans, now realize we were not prepared for COVID19. Strategic foresight at this moment is not about what’s around the corner, it’s about what’s here right now, and how can we be instantaneously innovative and resourceful. This moment requires creative strategic thinking and planning that will rally our employees beyond reasonable expectations. That is what this moment requires for many businesses. Topics: • Strategic foresight: What it is. Why it matters. How to develop it. • Strategic Management: - Pressure Cooker - Three Gates of Focus - Builder vs. Protector - 27 Challenges Every Business Faces • Quality Decision Making **Direct Link to the replay of this webinar:** https://leading-in-crisis.turnkeycoachingsolutions.com/talks/strategic-foresight-how-to-think-ahead-for-business-unusual/ **Leading in a Crisis Free Virtual Summit 40+ Speakers:** https://leading-in-crisis.turnkeycoachingsolutions.com/

Professional Portfolio 2011 - 2015- 8Luigi Cusano

How to out smart ca profession

Metahumin Consultancy Pvt Ltd

Vijay SharmaVijay Mercer

Risk-Management-in-ISO-9001.pdf

ukavathekar

getting feedback 360 right

neha singh

Leadership and tqm

KULDEEP MATHUR

CDA Exam Children 0-3 Certification | Watch Now!

Yasmeen Subhan

Unlock the keys to success in the CDA Exam Children 0-3 Certification journey with our meticulously researched presentation. Dive deep into the nuances of early childhood development, tailored specifically for this critical age group. Explore cognitive milestones, emotional intelligence, and effective strategies, all strategically designed to elevate your preparation. Our concise yet comprehensive approach ensures you're equipped with the knowledge and confidence needed to excel. Join us as we navigate the intricacies of nurturing young minds aged 0-3, setting the foundation for a successful career in early childhood education. Let's embark on this transformative journey together toward becoming a certified expert in CDA Exam Children 0-3 Certification!

Pathway Group for Applicants Safaraz Ali 2022.pptx

The Pathway Group

2024 Compliatric Webinar Series - Foundations of Quality Programs for FQHCs.pdf

Compliatric Where Compliance Happens

View the webinar here! https://attendee.gotowebinar.com/register/5202296824695860825?source=web Federally Qualified Health Centers (FQHCs) play a crucial role in delivering high-quality healthcare to a wide variety of populations. Implementing effective Quality Improvement/Quality Assurance (QI/QA) Programs is essential for not only meeting federal and state regulatory requirements, but also for maintaining and improving the standard of care offered by FQHCs. This webinar is designed to provide the basics for establishing a QI/QA Program and is specifically tailored for FQHCs. Key topics covered in this webinar include the following: • The Health Resources and Services Administration (HRSA) Health Center Program Requirements for QI/QA. • The basic foundation of high performing QI/QA Programs. • Key Points to remember when developing a QI/QA Program. Who Should Attend: • FQHC administrators, QI Coordinators, Clinical Directors and anyone involved in QI activities within the health center.

2024 Compliatric Webinar Series - Managing and Protecting Adverse Patient Eve...

Compliatric Where Compliance Happens

Join Compliatric and Molly Evans, Partner, Feldesman Leifer LLP, for this informative session in which the following will be discussed: Adverse Patient Event Risk Management under The Health Center Federal Tort Claims Act (FTCA) Program - Overview of the FTCA Program for Health Centers - Requirements for adverse patient event risk management Protection under The Patient Safety and Quality Improvement Act (PSQIA) - Overview of PSQIA - Definition and scope of Patient Safety Work Product (PSWP) - How PSQIA protects adverse event information - The role of Patient Safety Organizations (PSOs) The Separation of Information Discovery Protection vs. Information Storage Methodology - Clarifying how PSQIA protection applies regardless of storage medium - Best practices in documentation regardless of medium Additional Methods of Protecting Documents from Legal Discovery - Attorney-client privilege: Definition and application - Best practices for maintaining confidentiality and privilege

Similar to 2023 Compliatric Webinar Series - Your Accreditation Journey - Challenges Along the Way.pdf

Why Hire a Career Transition CoachStuart Meyer

360 performance appraisal

NCBA&E Multan Campus

Coaching Challenges: Scenarios and Solutions

Center for Coaching Certification

Performance management apparaisal

Vivek Mishra

Performance Appraisal (MBA Summer Training Project)

JASTINDER PAL SINGH

Operational-Quality-Assurance-Guiler-2017.pptx

victoriakankutebe

360 degree-feedback

Gia Tri Tien

The Center for Executive Education at Belmont University Overview Presentation

Gene Mage

Quality of work life final ppt

REYADAPRO Experts

Six SigmaAlan Jones

White paper on assessment in apprenticeships

ScottishQualificationsAuthority

Strategic Foresight: How to Think Ahead for Business Unusual

Anisa Aven, BCC, NLPC: 281-469-4244

Professional Portfolio 2011 - 2015- 8Luigi Cusano

How to out smart ca profession

Metahumin Consultancy Pvt Ltd

Vijay SharmaVijay Mercer

Risk-Management-in-ISO-9001.pdf

ukavathekar

getting feedback 360 right

neha singh

Leadership and tqm

KULDEEP MATHUR

CDA Exam Children 0-3 Certification | Watch Now!

Yasmeen Subhan

Pathway Group for Applicants Safaraz Ali 2022.pptx

The Pathway Group

Similar to 2023 Compliatric Webinar Series - Your Accreditation Journey - Challenges Along the Way.pdf (20)

Why Hire a Career Transition Coach

360 performance appraisal

Coaching Challenges: Scenarios and Solutions

Performance management apparaisal

Performance Appraisal (MBA Summer Training Project)

Operational-Quality-Assurance-Guiler-2017.pptx

360 degree-feedback

The Center for Executive Education at Belmont University Overview Presentation

Quality of work life final ppt

Six Sigma

White paper on assessment in apprenticeships

Strategic Foresight: How to Think Ahead for Business Unusual

Professional Portfolio 2011 - 2015- 8

How to out smart ca profession

Vijay Sharma

Risk-Management-in-ISO-9001.pdf

getting feedback 360 right

Leadership and tqm

CDA Exam Children 0-3 Certification | Watch Now!

Pathway Group for Applicants Safaraz Ali 2022.pptx

More from Compliatric Where Compliance Happens

2024 Compliatric Webinar Series - Foundations of Quality Programs for FQHCs.pdf

Compliatric Where Compliance Happens

2024 Compliatric Webinar Series - Managing and Protecting Adverse Patient Eve...

Compliatric Where Compliance Happens

2024 Compliatric Webinar Series - OSV Overview and Panel Discussion April 202...

Compliatric Where Compliance Happens

View the Webinar Here: https://attendee.gotowebinar.com/register/5632544520046643551?source=ss With OSVs now being on-site, join us for an overview of the OSV process and bring your OSV questions for the panel discussion. This Q&A webinar will feature three OSV reviewers: Fiscal, Clinical and Admin/Governance who will answer participant questions. The goal of this interactive session is to focus on YOU being able to ask questions of the panel of experts!

2024 Compliatric Webianr Series - Contracts and MOUs from a HRSA Perspective.pdf

Compliatric Where Compliance Happens

Webinar Available Here! https://attendee.gotowebinar.com/register/3127765771891588950?source=slideshare Join us for this informative presentation which will cover the following: 1) HRSA Minimum Requirements - We will discuss all minimum requirements as defined in the Site Visit Protocol 2) Contract components that should be included - Sample agreements will be reviewed along with a discussion regarding the necessary components to make a successful agreement: Dos and Don'ts of what to include and what should not be included 3) Best Practices - We will discuss how to develop a process/procedure that not only meets, but far exceeds, the minimum HRSA Requirements and makes administering contracts a manageable process while maintaining proper oversight over the agreements

2024 Compliatric Webinar Series - Protecting LGBTQ Patients.pdf

Compliatric Where Compliance Happens

This webinar will cover key takeaways from the OIG’s recent General Compliance Program Guidance (GCPG) and share current trends and actionable practices Compliance professionals can implement in their programs. The presentation will cover ideas on promoting Compliance effectiveness by implementing analytics, adapting to the evolving AI landscape, and addressing cultural and behavioral considerations.

2024 Compliatric Webinar Series - Next-Gen Compliance- Leveraging OIG's Recen...

Compliatric Where Compliance Happens

2024 Compliatric Webinar Series - Components of a Needs Assessment.pdf

Compliatric Where Compliance Happens

A Needs Assessment is used by Community Health Centers to identify the needs of the communities they serve. It helps health centers understand specific health challenges, demographics and social economic factors that impact the patient population. This webinar will identify why needs assessments are important, the HRSA program requirements needed for compliance, and identify best practices for developing a needs assessment.

2024 Compliatric Webinar Series - OSV Overview and Panel Discussion.pdf

Compliatric Where Compliance Happens

As we ring in the new year, Operational Site Visits (OSVs) continue to be a method that HRSA uses to assess compliance. With OSVs being on-site, join us on January 10th for an overview of the OSV process and bring your OSV questions for the panel discussion. This Q&A webinar will feature three OSV reviewers: Fiscal, Clinical and Admin/Governance who will answer participant questions. The goal of this interactive session is to focus on YOU being able to ask questions of the panel of experts!

2023 Compliatric Webinar Series - Unveiling the Blueprint_ The Components of ...

Compliatric Where Compliance Happens

Federally Qualified Health Centers (FQHCs) play a crucial role in delivering quality care to underserved communities. Understanding and addressing the gaps in compliance, services and patient care is essential for continuous improvement and sustainability. The goal of this webinar is to provide health center staff, administrators, and stakeholders with the necessary insight to conduct comprehensive assessments, identify gaps and implement effective strategies for improvement. This webinar will discuss the essential components of a comprehensive gap analysis and is designed to: • Explore methodologies to pinpoint gaps. • Explain the process for conducting thorough assessments utilizing key performance indicators. • Identify strategies and best practices for the creation of action plans. • Ensure alignment with HRSA Health Center Program Requirements. • Emphasize the importance of patient feedback to foster a culture of patient centered care. Who Should Attend: Health center leadership, quality improvement staff, compliance officers, clinical staff and anyone interested in optimizing operations and services within an FQHC.

2023 Compliatric Webinar Series - Contracts and Memorandums of Understanding ...

Compliatric Where Compliance Happens

Contracts and Memorandums of Understanding - Requirements and Responsibilities

Compliatric Where Compliance Happens

Federally Qualified Health Centers must provide all required primary, preventive and enabling health services, in addition to additional health services, as appropriate and necessary. This can be managed either directly through health center employees and volunteers, or through formal written contracts and formal written referral arrangements. It is important for health centers to understand that contracts and formal written referral arrangements are not just a piece of paper and not only come with requirements, but also responsibilities on the part of both the health center and the contracted/referral provider(s). This webinar will address the following: • HRSA required clinical language for Column II contracts and Column III formal written referral arrangements • The responsibilities of the health center and the contracted/referral provider • A high-level review of the clinical chapters associated with Column II and Column III contracts • Case studies demonstrating gaps in care creating areas of significant risk • Best Practices to ensure appropriate continuity and quality of care

2023 Compliatric Webinar Series - Making the Most out of the Sliding Fee Prog...

Compliatric Where Compliance Happens

Watch the webinar Here! https://attendee.gotowebinar.com/register/6554905029175830624?source=web Join us for this informative session on, "Making the most out of the Sliding Fee Program", which will be an in-depth discussion of all aspects of the SF Program and how to apply this program effectively and efficiently to your patients. The following items will be discussed: - HRSA Requirements for implementation of the program - Purpose/Structure – Including recommended Policies/Procedures - Eligible Participants in the program - Required services that are subject to the program - Effective utilization of Multiple sliding fee scales - Front Desk Improved efficiencies relating to the sliding fee program

2023 Compliatric Webinar Series - Developing Strong Board and CEO Relationshi...

Compliatric Where Compliance Happens

Watch the Webinar Here: https://compliatric.com/developing-a-strong-board-ceo-relationship/ Building and maintaining a strong, healthy relationship between a CEO and the Board of Directors in a health center is a heavy lift and an obligation to the success of the organization and the communities we serve. Asking questions such as, “What are the biggest challenges or barriers to achieving a strong relationship?”, “Does the size of the organization make a difference?” and, “What do board members need to know all the time?” We will focus on understanding and differentiating roles and responsibilities, leadership, and trust, honesty and being humble, that are critical to the foundation of your organizations. We will provide tips, suggestions and resources for opportunities to promote committed alignment with your organization’s goals.

2023 Compliatric Webinar Series - Overview of CARF Accreditation.pdf

Compliatric Where Compliance Happens

Watch the Webinar Here: https://compliatric.com/overview-of-carf-accreditation/ CARF accreditation is a process that helps health and human service providers improve the quality of their services and meet internationally recognized standards. CARF accredits programs in a variety of settings, including hospitals, rehabilitation centers, substance abuse treatment centers, and home health agencies. CARF accreditation is a valuable asset for health and human service providers. It signals to consumers, payers, and regulators that a provider is committed to quality and continuous improvement. CARF accreditation can also help providers attract and retain top talent, and it can give them a competitive edge in the marketplace. In this webinar, Michael Johnson, Senior Managing Director of Behavioral Health will provide an overview of accreditation and the value for organizations.

2023 Compliatric Webinar Series - Are You Ready for an OSHA Inspection.pdf

Compliatric Where Compliance Happens

2023 Compliatric Webinar Series - Good Faith Estimates_Don't Let the No Surpr...

Compliatric Where Compliance Happens

2023 Compliatric Webinar Series - Active Shooter Training and Exercises.pdf

Compliatric Where Compliance Happens

Watch the Webinar Here! https://compliatric.com/how-to-tackle-the-crucial-task-of-training-for-an-active-shooter-event/ Active shooter events are on the rise, and leaders are increasingly tasked with ways to effectively and safely train hospital and healthcare workers on how to respond. Join us for this informative session in which Paul Sarnese will discuss the methodology of how to tackle the crucial task of training staff members and conducting active shooter exercises.

2023 Compliatric Webinar Series - Developing a Pathway for Promotion & Leader...

Compliatric Where Compliance Happens

Watch the Webinar Here! https://compliatric.com/developing-a-pathway-for-promotion-leadership-opportunities-within-your-organization/ Join us for this informative session where we will explore the importance of looking internally within your organizations for ways to create enthusiasm, and opportunities to create pathways for learning and leadership. Asking questions such as, "Are our entry level job descriptions robust and do we have the right people filling those jobs?" and, "What are our blind spots for identifying leadership?". We will focus on optimizing internal recruitment, reducing turnover, and stabilizing those entry level positions that are critical to the foundation of your organizations. We will provide real world examples from rural FQHCs in hard-to-recruit areas as well as suggestions and resources for opportunities to promote engaged and committed personnel to your organizations.

2023 Compliatric Webinar Series Strategic Planning Webinar 06_20_2023.pptx

Compliatric Where Compliance Happens

Watch the Webinar here! https://compliatric.com/real-time-strategic-planning-for-your-health-center/ Our presenters will demonstrate how they use David La Piana’s “Real-Time Strategic Planning in a Rapid Response World” to help health centers and other nonprofits be nimble in their approach to strategic planning. By identifying, understanding, and acting on challenges and opportunities as they arise, an organization can become dynamic and quickly take advantage of market changes. Through the development of a Strategy Screen, the board can remain focused on organizational strategy, leaving programmatic and operational strategy to the CEO and staff. The result in an ongoing strategic planning process that does not “sit on a shelf”.

2023 Compliatric Webinar Series - The Basics of Disaster Preparedness.pdf

Compliatric Where Compliance Happens

Watch the Webinar Here! https://compliatric.com/emergency-disaster-preparedness-basics/ Disasters are often unexpected and strike fast. Emergency situations can be challenging even in the best of circumstances. In this webinar, you will learn the basics of disaster preparedness and best practices for implementation within your care settings. We will cover: - The regulations governing emergency preparedness - Evacuation of patients/clients and staff - How to build an Emergency Operations Plan - The "All Hazards" approach to disaster planning - Disaster policies, training, and testing programs - Analysis of testing outcomes - Roles of staff - Emergency services - Subsistence needs - Evacuations - Creating a disaster communications plan - Covid and other "Public Health Emergencies" - Release of patient/client health information during a disaster - Triage, transportation, and receiving facilities Within the world of healthcare, disasters can be mentally traumatic and physically devastating. Adequate preparation can mean the difference between life and death for the populations within our care.

More from Compliatric Where Compliance Happens (20)