Continued Survey Readiness: Strategies and Tips to be Compliant at All Times!

Event Information
Product Format
Prerecorded Event
Sharon Litwin, RN, BSHS, MHA, HCS-D
Conference Date
Thu, Aug 03, 2017
90 minutes
Product Description

Get Practical Tips to Decrease Your Home Health Agency’s Condition Level Deficiencies

Deficiencies, including condition level, are on the rise and now deficiencies can also lead to sanctions! Agencies are struggling with the new survey process, which includes full surveys. More and more agencies are accredited, which increases the number of standards in which to be compliant. This is an extremely important time as home health agencies are seeing more condition level deficiencies and immediate jeopardy! These can lead to sanctions with daily monetary penalties.

This session with surveyor and consultant Sharon Litwin, RN, BSHS, MHA, HCS-D will focus on how to maintain continued survey readiness without a lot of busy work. She will help agencies struggling with survey preparation and compliance. Sharon will give practical tips to decrease an agency’s vulnerabilities to condition level deficiencies. She will help you to know how to do mock surveys, home visits like a surveyor. You will learn about QAPI, a key tool to help you always be in continued survey readiness mode! You will also get examples of how to perform mock surveys, a chart review form for ongoing audits, and PowerPoint handouts.

Session Highlights

  • Understanding the survey process
    • CMS guidelines for survey process
    • Differences between standard and condition level
    • Full survey and deficiencies for one incident vs. trends
    • Sanctions
  • State common deficiencies seen
    • Specific areas in which agencies get deficiencies and how to avoid them
  • How to review clinical records to ensure compliance
    • Tools for concurrent ongoing chart review process
    • How to review a clinical record
  • How to do a mock survey
    • How to do quarterly mock surveys
    • How to involve all your staff in the mock survey process

Session Agenda

  • Conditions of participation (COPs)
    • Interpretive guidelines
    • 14 conditions
    • New COPs
    • Emergency preparedness
    • Coordination of care
    • Infection control & aide services
    • Compliance to COPs
    • Condition aide services
    • Condition out
    • Immediate jeopardy
  • Sanctions
    • Types
    • State regulations
    • Accreditation standards
    • Accrediting body standards
    • Regulations, laws & standards
    • Compliance to standards
  • Mock Survey
    • Prior to
    • Beginning of survey
    • Items needed during survey
    • Home visits
    • Clinical record reviews
    • Deficiencies
  • Developing an action plan
  • QI / QAPI program
    • Customer satisfaction
    • Outcome measurements
    • Mandatory areas
    • Indicators
    • QI team
    • Analyze results
    • Audit tool
    • Analyzing results and trends of QI
    • Addressing the issues
  • Homecare clinical records
  • Medicare eligibility criteria for homecare
  • Keys to regulatory compliance

Who Should Attend

  • Administrators
  • Director of Clinical Services
  • Managers
  • CEOs
  • QI staff

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Sharon Litwin

Sharon M. Litwin, RN, BSHS, MHA, HCS-D, Founder and Senior Managing Partner, 5 Star Consultants, LLC (2003 - Present)


Sharon Litwin, founder and senior managing partner of 5 Star Consultants, a national consulting and coding firm specializing in homecare and hospice services since 2003.  Sharon was also an ACHC surveyor until December 2013, and a former CHAP surveyor, performing Medicare deemed surveys for ten years.


In her consulting firm, Sharon assists...   More Info
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