Compliance Management - Standard

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• Review monthly Agency file audits for compliance

• Submit performance reports to The Joint Commission

• Trend and analyze performance data

• Prepare Intracycle Conference reports

• Participate in Intracycle Conference calls

• Conduct periodic onsite mock survey*

• Attend Joint Commission Certification Survey*

• Joint Commission Recertification preparation

• Resolve Recertification survey issues - Clarification, Plan of correction, Evidendence of Standards Compliance, Measure of Success

• Periodic updates to Agency Policies and Performance Improvement plan

Monthly ​Fee: $350

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Compliance Management - Clinical Supervision

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1. Includes all features of Compliance Management - Standard

• A Clinical Director is assigned to your Agency to handle clinical issues

• Do-Not-Return Prevention program implementation

​   2.Client Facility Complaint/ Do-Not-Return (DNR) Resolution

• Review DNR reports from Client Facilty and determine course of events of incident under complaint;

• Investigate complaint/DNR with Client facility and Agency staff;

• Mediate any discrepancies between Agency staff account and Client Facility report

• Attempt to overturn DNR;

• Provide Agency staff counseling directly related to incident;

• Document appropriately and submit to Agency

​   3. Performance Counseling to Agency Staff

• Address performance issues identified by Agency with clinical staff;

• Provide performance improvement counseling to staff;

• Document appropriately and submit report Agency

• Perform annual written evaluation of clinical staff

​   4. Interface with Client Facility Staff when required

• Meet with Client Facility Managers/Directors when necessary*

• Attend audits performed by Client Facilities when necessary*

• Attend Joint Commission onsite audits and Intracycle Conference calls*

Monthly Fee: $490

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​​* Additional charges apply for onsite visits

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