We Offer Specialized, Expert Support in the Following Practice Areas:
WE SERVE
- Acute care hospitals from large academic teaching centers of excellence to critical access and rural hospitals
- Hospital outpatient departments
- Hospital systems
- Behavioral health hospitals and systems (inpatient, partial hospitalization, intensive outpatient, dual diagnosis, substance use disorder facilities)
- Ambulatory surgical centers
- Ambulatory clinics
- Stand-alone procedural environments
Adverse Action Response
Assistance with rapidly and successfully remediating:
- CMS Immediate Jeopardy (IJ) Abatement
- CMS Condition Level Adverse Action Letters of Medicare Termination
- Preparing a 10-day plan of correction
- Preparing for successful CMS re-survey
- CMS Systems Improvement Agreement (SIA)
- Function in the role of independent consultant experts required by CMS
- State Agency Citations, and assistance with managing State Directed Plans of Correction
- Function in the role of independent monitor
- Preparing for State Agency re-survey
- Accrediting Organization (Joint Commission, DNV, ACHC, CIHQ) Immediate Threat to Health and Safety (ITHS) and Preliminary Denial of Accreditation (PDA)
- Condition Level Deficiencies
- Preparing for Medicare Deficiency (Med Def) and accreditation with follow up (AFS) re-survey
Assistance with the development of accrediting body post-survey corrective action responses:
- 10-day Clarifications
- Evidence of Standards Compliance Corrective Action Plans
Survey Preparation and Continued Readiness
- Assessment of CMS and accrediting organization regulatory compliance (mock surveys)
- Prioritized list of high-impact findings with proven strategies for swift, implementable resolution in an easy-to-follow roadmap for remediation
- Customizable touch-point assessments to ensure ongoing compliance
- Preparation for successful initial CMS, State Licensing, and accrediting organization survey
- Change Monitoring and Mentoring – a system of mentoring staff while monitoring the effectiveness of process revisions to reinforce compliance in real-time. Bryant Healthcare consultants work side-by-side with facility staff as process revisions are carried out, collecting and reporting data which demonstrates the effectiveness of the change, or the need to quickly pivot. This important methodology is employed when facilities need to improve processes quickly and drive sustainability, as process deviations are rapidly identified and corrected, preventing process errors from continuing.
- Staff education and training
- Survey rehearsals
- Survey mentorship for high-profile leaders (new CNO, Quality Director, Unit Supervisors)
- Immediate onsite or remote support
Quality and Patient Safety Improvement
- Quality Assessment/Performance Improvement Program Evaluation
- Compliance with CMS and accrediting body program requirements
- Effectiveness of the QAPI program organization-wide
- Effectiveness of data analytics to inform decisions
- Ability to identify clinical vulnerabilities and implement sustainable improvements
- Adverse Events Management Program
- Event reporting, harm stratification, prioritization, and categorization
- Event remediation and evidence of sustained improvement (action planning and monitoring post adverse event)
- Effectiveness of Root, Apparent and Common Cause Analyses
- Patient Safety Program Evaluation
- Compliance with CMS and accrediting body program requirements
- Effectiveness of the Patient Safety Program in reducing preventable harm
- Organization-wide Integration of Programs
Written and verbal report of findings with actionable recommendations roadmap
Policy & Procedure Simplification, Development & Implementation
- Assistance with policy and procedure development specific to the organization
- Reduce and simply policy and procedure complexity by removing unnecessary, redundant, or unrealistic requirements
- Align policies and procedures with the electronic medical record and regulatory requirements in a manner that is easily implementable, allowing staff to naturally comply with policy direction
Documentation Simplification (EMR and Clinical Processes)
- Reduce documentation burden and complexity due to content design
- Eliminate superfluous documentation requirements while maintaining mandated structured data…document what is required, not what someone desires
- Decrease up to 70% of “clicks” while increasing staff satisfaction
- Communicate the patient’s story clearly and concisely
Infection Prevention and Control
- Infection prevention and control facility-wide assessment
- Focused infection prevention assessment
- Sterile processing department and management of surgical instruments
- Procedural areas
- Instrument management at the point of care
- Instrument transport
- Kitchen
- Environmental services
- Highly vulnerable areas such as NICU, PICU, CVICU, and other areas where procedures are performed at the bedside
Written and verbal report of findings with actionable recommendations roadmap
Education and Training
Our onsite education and training programs are crafted to address the unique challenges within your organization, providing targeted learning opportunities that drive improvement and excellence.
- Clinical process redesign and improvement
- Quality, Safety, Risk management
- Improving clinical outcomes
- Adverse event management and reduction
- Governing Board leadership
- Becoming a new nurse leader
- Regulatory readiness boot camp
- Infection prevention and control - specialized education, training, and mentoring
- Emergency Preparedness
- Organization specific requests
- Remote and onsite
- Individual and group training
Interim Staffing
- Interim staffing for critical roles to support your organization’s immediate needs
- C-Suite executive positions such as CMO/VPMA, and Nursing Leadership
- Credentialing professionals
- Quality, Safety, and Risk Management
- Regulatory specialists
Credentialing and Privileging
- Medical staff services assessments
- Efficiencies in credentialing and privileging processes
- Streamline processes to enhance coordination and performance and enhance medical staff, executive team, and governance satisfaction
Written and verbal report of findings with actionable recommendations roadmap
Life Safety & Environment of Care
Assistance with rapidly and successfully remediating issues related to the physical environment:
- CMS Immediate Jeopardy (IJ) Abatement
- CMS Condition Level Adverse Action
Letters of Medicare Termination
- Preparing 10-day plan of correction
- Preparing for successful CMS re-survey
- State Agency Citations
- Accrediting Organization (Joint Commission, DNV, ACHC, CIHQ) Immediate Threat to Health and Safety (ITHS) and Preliminary Denial of Accreditation (PDA)
- Condition Level Deficiencies
- Preparing for Medicare Deficiency (Med Def) and accreditation with follow up (AFS) re-survey
- Assessment of CMS and accrediting organization regulatory compliance (mock surveys) related to life safety and the environment of care.
Our life safety experts conduct a deep evaluation of life safety compliance that focuses on the physical environment related to compliance with current Life Safety Code requirements, fire systems management, staff response to fire prevention (drills), verification of barrier management including corridors and suites), life safety equipment management review (including the prescribed regulatory maintenance and prescriptive testing), life safety building drawing review, including inspection of problem prone environments such as the operating room/surgical suite and the kitchen. Our assessment also includes a comprehensive review of the environment of care for compliance with utilities, biomedical, biohazardous, safety, security, and emergency management programs within your facility. Assessments include:
- Water management program
- Facility-wide hazard vulnerability analysis
- Ligature resistance analysis and related environmental analysis
- Review of facility compliance with utilities, biomedical, biohazardous, safety, security, emergency preparedness, life safety requirements, and the environment of care plans and annual evaluations required for each category as expected by accrediting agencies
- Emergency preparedness
- Workplace safety and workplace violence prevention
- Interim life safety measures instituted
- Infection control risk assessments where building integrity is compromised
- Review of Statement of Conditions and BBI as completed by the facility
- Evaluation of the organization’s compliance with monitoring, identifying and improving environmental and safety issues within the physical environment
- Preparation for successful initial CMS, State Licensing and accrediting organization survey
- Specific review of life safety drawings
Written and verbal report of prioritized list of high impact findings with proven strategies for swift, implementable resolution in an easy-to-follow roadmap for remediation