Healthcare Safety & Regulatory Compliance

1. Phone: 207-407-3151
Cell: 781-820-3532
E-mail: rcharp@hsnellc.com
Web: www.hsnellc.com
36 Roberts Hill Rd.
Topsham, ME 04086
HealthSafe New England provides comprehensive
safety and risk management consultative services to
the healthcare industry. With over 30 years in guid-
ing Hospitals, Ambulatory Surgery Centers, Urgent,
Primary Care and Independent Physician Practices
through Regulatory Compliance Audits and/or Ac-
creditation Surveys, we develop a comprehensive
program to address your environmental and occupa-
tional exposures, risks, and operational hazards to
keep your staff, patients and visitors safe.
Is your healthcare organization achieving its’ best
grades with Press Ganey, Leapfrog and HCAHPS
scores? What may be driving your scores is the con-
ditions that exist in the Environment of Care. Your
culture may also be playing a role if your entire team
is not focused on a “Safety First Approach to Staff,
Patients & Visitors”.
Conducting a review of your Safety Management
Program by an independent third party like HSNE
may improve your scores dramatically, empower your
line staff to accept ownership and drive results with
your Environment of Care efforts while improving
your organizational performance to improve compli-
ance measures & reduce operational risk.
HSNE
Expertise
H E A L T H C A R E S A F E T Y
E X C E L L E N C E
Are your hospital safety scores
indicative of how safe your
organization really is?
“Safety First in Everything We Do”
TEL: 207-407-3151
H E A L T H C A R E S A F E T Y
E X C E L L E N C E

2. Challenges
The challenges as discussed in many articles and publica-
tions is the uncertain direction healthcare is heading as
hospital mergers, acquisitions, layoffs and closures contin-
ue to accelerate. Most hospitals are struggling financially,
and combatting internal issues such as Nursing/ Physician
shortages, lower reimbursement rates, and an expanding
outpatient model that is increasing their market share and
competing for the same bucket of revenue.
Most healthcare organizations that are struggling to adapt
to the changing landscape are still operating as they did
years ago, allowing deficiencies and hazards to go unabat-
ed, measuring the same performance improvement indica-
tors and not holding staff accountable for non-compliance
with policies & procedures. Most are still utilizing paper
checklists to track and trend patient satisfaction results,
documenting hazards, exposures and correcting days or
weeks later through their work order system or emails, and
accepting sub-standard work from their vendors.
The organization’s that are willing to adopt the Best Avail-
able Control Technologies (BACT) to accelerate their
operation as a “Best Practice” model will survive and
thrive. To many insiders, this new landscape will require,
“out of the box “ thinking, innovative leadership, and the
willingness to “Challenge the Status Quo” .
Is your organization challenging the status quo?
The healthcare landscape is shifting dramatically from
a quantity to quality based model meaning safety and
quality of care is the highest priority with organiza-
tions being fined for deficiencies, poor clinical out-
comes and sub-standard patient satisfaction scores.
Accrediting & Regulatory bodies like The Joint Com-
mission, CMS & OSHA are scrutinizing healthcare
like never before as “consumers have skin in the
game” by paying more out of pocket for their
healthcare needs, and are able to select the safest
facility available for services and procedures.
CMS has fined a majority of hospitals over the past
couple of years due to high readmission rates and
healthcare acquired infections. The Joint Commis-
sion has published several articles highlighting the
long standing issues with repeat deficiencies regarding
Environment of Care & Fire/Life Safety Manage-
ment challenges, and most recently published it’s
survey findings revealing deficiencies ranging in the
40-60 % (percentile) for all facilities surveyed in the
past year. One disturbing TJC Trend - 59%
EC.02.06.01 The hospital establishes and maintains a
safe, functional environment.
The financial incentives are increasing by the day for
healthcare organizations to strive for excellence by
reducing unnecessary medical errors, HAC’s / HAI’s.
Environment of Care
Opportunities
For many healthcare organizations that have em-
braced a “Best Practice” model, the common denom-
inators appear to be; those that embraced & prac-
ticed a “Robust Safety Culture” that viewed staff
safety in the same manner as patient safety. Commit-
ted in writing to a “Top Down-Bottom Up” focus
where the leading indicators for incidents were con-
stantly reviewed, measured, and protocols adopted to
drive down loss and reduce risk in a team fashion by
connecting the front line staff to the exposures that
they can immediately correct. Holding management
& staff accountable for adhering to sound safety
practice, policy and procedure is key. As the old
saying goes; “What Get’s Measured Get’s Done”!
HSNE offers a comprehensive risk assessment of
your operation with a facility tour & document re-
view to ensure that your exposures are addressed to
maximize the safest environment possible for your
patients, staff and visitors.
Contact HSNE for a Comprehensive
Risk Assessment &
Program Evaluation!
HealthSafe New England
Phone: 207-407-3151
Cell: 781-820-3532
E-mail: rcharp@hsnellc.com
H E A L T H C A R E S A F E T Y
E X C E L L E N C E
Are maintenance issues/practices
impacting your HAI rates?
O.R.’s are a Critical Risk