Consulting Services - Annual Report Generic

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FINANCE PROJECT

LATEST NEWS

HUD PROPOSAL

SCOPE OF SERVICES

The one-time on-site Risk Management Assessment contract must include the following:

Review of both operational and clinical processes
Review of the environment for liability risk exposures
Identification of operational and clinical opportunities
Making recommendations for improvement of operational and clinical processes
Developing a strategy to implement the recommendations

The Borrower will provide a Certification prior to closing:

That the Operator acknowledges that the risk management assessment must be conducted, and its recommendations timely implemented in order for the Operator to be in compliance with paragraph 7 of the Healthcare Regulatory Agreement-Operator (HUD-92466A-ORCF)
That the Operator will take the following actions once the assessment is completed and a written report of findings is provided to the facility:
- Based on any recommendations and findings made in the final report, the Operator will work with the risk control consultant to revise and strengthen the Operator’s risk management program that the Healthcare Regulatory Agreement-Operator (HUD-92466A-ORCF) requires to be implemented and maintained.
- That within 14 calendar days of receiving the third-party report, the Operator will provide the following to the HUD Account Executive:
  - An action plan in accordance with Asset Management instructions that addresses follow-up to the third-party report. Such action plan shall call for regular updates until the underlying risk has been mitigated
  - A copy of the third-party report
  - A list of the changes that have been implemented in the Operator’s risk management program as a result of such report
  - A list of any recommendation(s) in the report that have not been implemented, along with (a) a request for HUD approval of the Operator’s decision not to include the recommended action in the required Risk Management Program and (b) the Operator’s detailed rationale for and justification of the Operator’s proposed decision not to implement the particular recommendation(s).
That if HUD declines to approve an Operator’s request (above) not to include a particular recommendation, Operator must and will implement the recommendation promptly.

Ongoing Risk Management Oversight

QA Reader tracks incidents that occur at your facility, automatically identifies potentially serious events, and immediately routes them to our team of long-term care risk management experts.
Our risk managers review the incidents and assist your staff in reducing ongoing risk.
Scope of Services for QA Reader
- Full access to the QAR web-based platform
- Web based Quality Assurance and Improvement training sessions – 24/7 access
- Bi-Annual review of incident trends with formal recommendations

Quality of Care Risk Management Program:

In implementing and maintaining the risk management program required by the Healthcare Regulatory Agreement—Operator (HUD-92466A-ORCF) (paragraph 7 thereof), the Operator must enter into a risk management agreement/program with a third-party entity that addresses the facility’s ongoing quality of care to residents and helps to reduce exposure to Professional Liability Insurance (PLI) claims.
The risk management agreement/program must incorporate a real-time incident reporting and tracking system that informs senior management of all incidents with a potential liability to the company.
A third-party review of the incidents must be performed by trained professionals and the risk management agreement/program must include provisions for training and follow up with facility staff, as necessary.

2-DAY PRE-SURVEY

SCOPE OF SERVICES

The HealthCap® Pre-Survey is an intensive, onsite program intended to focus your team on doing the right things for the right reasons on a daily basis. Two HealthCap® partners focus on a same team approach and review clinical and operational systems while providing a step-by-step plan of action to address areas of non-compliance.

2 full days visit to review clinical and operational areas including:

Assessing current systems and practices,
Evaluation and development of quality of care and quality of life programs,
Assessing the overall quality of:
- clinical services
- documentation
- quality assurance processes
Environmental assessment
Review of current policies and procedures related to direct care
Medical record reviews and monitoring direct care to determine compliance with established protocols
Social service, activities and admissions review
Assessment of nutritional programs, dietary management, meal service, weight loss/gain and special needs diets
Assist in achieving and maintaining regulatory compliance.
Facility visit report and corrective action plan

In the event areas of deficient practice and/or non-compliance are identified, corrective recommendations and training will be provided while on-site. Development of a plan for past-non-compliance may be initiated pursuant to separate proposal

1-DAY RISK ASSESSMENT

SCOPE OF SERVICES

The HealthCap® risk management assessment is an intensive, onsite, collaborative program to assist in focusing your team on doing the right things for the right reasons on a daily basis. Your HealthCap® partners will provide an interdisciplinary team approach with a comprehensive review of clinical and operational systems while providing a step-by-step plan of action to address areas of non-compliance.

1 full day visit to review clinical and operational areas including:

Assessing current systems and practices,
Evaluation and development of quality of care and quality of life programs,
Assessing the overall quality of:
- clinical services
- documentation
- quality assurance processes
Environmental assessment
Review of current policies and procedures related to direct care
Medical record reviews and monitoring direct care to determine compliance with established protocols
Social service, activities and admissions review
Assessment of nutritional programs, dietary management, meal service, weight loss/gain and special needs diets
Assist in achieving and maintaining regulatory compliance.
Facility visit report and corrective action plan

In the event areas of deficient practice and/or non-compliance are identified, corrective recommendations and training will be provided while on-site.

SCOPE OF SERVICES

BASIC INSERVICE

HealthCap® Risk Management Services is the industry leader in risk management, serving the long-term care community with a focus on clinical risk, best practices, environmental safety and overall facility operations.

Included services:

One-hour remote inservice on Service Plans
Additional educational opportunities may be available upon request

Personnel commitment:

HealthCap® will provide one (1) consultant to perform these services.

FINANCE PROJECT

HUD PROPOSAL

2-DAY PRE-SURVEY

1-DAY ASSESSMENT

BASIC INSERVICE

HealthCap® is the leading provider of risk management services to the long term and post-acute care industry. We help our clients implement practical risk reduction solutions by leveraging experience, technology and onsite training to drive better outcomes.

Since our formation in 2001, we have completed over 17,000 risk management assessments with longterm care providers throughout the country. We offer webinars and HUD-Compliant risk-management tools such as QA Reader and accredited education to all clients.

HealthCap® Risk Management Services is endorsed by AHCA/NCAL. We are also accredited by ANCC and NAB to provide education to your nurses and administrators.

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