Services
1. Quality Assurance Services
Ensuring excellence and consistency in healthcare delivery through rigorous quality assurance standards. We provide a comprehensive suite of Quality Assurance services designed to enhance the quality and safety of healthcare delivery
01
Quality Improvement Program
Our team collaborates with healthcare organizations to design and implement robust quality improvement programs. We utilize evidence-based methodologies to establish performance benchmarks, identify areas for enhancement, and create action plans that align with organizational goals.
03
Measurement and Monitoring
We implement performance measurement frameworks to evaluate the effectiveness of healthcare services. Our approach includes identifying key performance indicators (KPIs), collecting and analyzing data, and generating reports that provide actionable insights.
02
Regulatory Compliance Support
Navigating the complexities of healthcare regulations can be challenging. We provide expert guidance to ensure compliance with local, state, and federal regulations, as well as accreditation standards. Our services include comprehensive compliance audits, gap analysis, and the development of tailored action plans
04
Strategy Development
We work with organizations to create comprehensive quality assurance strategies that align with their mission and goals. Our approach includes stakeholder engagement, identifying key areas of focus, and developing a roadmap for implementing quality initiatives
1. Case Management Services
At Day Homehealth Solutions, our Case Management Services are designed to enhance patient care and optimize healthcare delivery through comprehensive coordination and support. We understand that effective case management is vital in addressing the complex needs of patients, particularly those with chronic conditions, disabilities, or those requiring multiple healthcare services
01
Comprehensive Chart Review
We conduct a thorough review of patient charts, including SOC OASIS, Transfer OASIS, ROC OASIS, DC OASIS, and relevant clinical notes, focusing on compliance with Medicare Conditions of Participation (COP).
03
Review and Feedback
We examine all clinical notes and communications, returning any deficiencies and clinical notes to the clinician along with recommendations for improvement.
05
Reports
We provide a Daily Census Report listing reviewed patients and identified deficiencies, along with COP Deficiency and Weekly Accomplishment Reports to support performance evaluation and clinician education and training.
02
Plan of Care Preparation
We prepare (or help prepare) the Plan of Care (Form 485) as directed, ensuring it meets all necessary requirements.
04
Direct Communication
We can assign dedicated staff, if allowed, to communicate directly with clinicians within 48 hours to address identified deficiencies.
06
Review Choice
Demonstration Options include Pre-Claim Review, Post-Payment Review, Minimal Post-Payment Review with a 25% Reduction, Selective Post-Payment Review, and Spot Check.
1. Case Management Services
At Day Homehealth Solutions, our Case Management Services are designed to enhance patient care and optimize healthcare delivery through comprehensive coordination and support. We understand that effective case management is vital in addressing the complex needs of patients, particularly those with chronic conditions, disabilities, or those requiring multiple healthcare services
01
Comprehensive Chart Review
We conduct a thorough review of patient charts, including SOC OASIS, Transfer OASIS, ROC OASIS, DC OASIS, and relevant clinical notes, focusing on compliance with Medicare Conditions of Participation (COP).
02
Plan of Care Preparation
We prepare (or help prepare) the Plan of Care (Form 485) as directed, ensuring it meets all necessary requirements.
03
Review and Feedback
We examine all clinical notes and communications, returning any deficiencies and clinical notes to the clinician along with recommendations for improvement.
04
Reports
We provide a Daily Census Report listing reviewed patients and identified deficiencies, along with COP Deficiency and Weekly Accomplishment Reports to support performance evaluation and clinician education and training.
05
Direct Communication
We can assign dedicated staff, if allowed, to communicate directly with clinicians within 48 hours to address identified deficiencies.
06
Review Choice
Demonstration Options include Pre-Claim Review, Post-Payment Review, Minimal Post-Payment Review with a 25% Reduction, Selective Post-Payment Review, and Spot Check.
Benefit OF Quality Assurance
Care Plan Development:
- Collaborating with patients, families, and healthcare providers to create individualized care plans that set specific goals and outline strategies for achieving optimal health outcomes.
Coordination of Services:
- Facilitating communication between various healthcare providers and community resources to ensure cohesive care delivery.
- Scheduling appointments, managing referrals, and following up with providers to ensure continuity of care.
Documentation and Reporting:
- Maintaining accurate and up-to-date documentation of patient interactions, care plans, and outcomes.
- Generating reports for stakeholders to evaluate the impact of case management services
Benefits of Case Management
Improved Compliance:
- Ensures adherence to Medicare Conditions of Participation and other regulatory requirements.
Efficient Documentation:
- Streamlines the review of clinical notes and OASIS forms, reducing errors and deficiencies.
Performance Monitoring:
- Provides regular reports on deficiencies and accomplishments, enabling continuous quality improvement.
Proactive Issue Resolution:
- Implements a process to address non-compliance swiftly and effectively.
Timely Billing:
- Effective case management facilitates timely submission of claims by streamlining documentation processes, ensuring that all necessary information is available for prompt billing.
Reduction in Denials:
- Proactive identification and resolution of issues before claims are submitted lead to fewer denials, resulting in a more efficient revenue cycle and improved cash flow.
Core Benefit
Benefit OF Quality Assurance
Enhanced Patient Safety
Quality Assurance practices help identify and mitigate risks in patient care, reducing the likelihood of adverse events and ensuring a safer environment for patients.
Regulatory Compliance
Effective QA programs ensure that healthcare organizations meet local, state, and federal regulations, minimizing the risk of penalties and enhancing credibility.
Increased Organizational Reputation
Organizations with robust Quality Assurance programs often enjoy a better reputation in the community, attracting more patients and potential partnerships due to their commitment to quality care.
Sustainability of Improvements
Quality Assurance ensures that improvements are not just one-time efforts but are sustained over time through regular monitoring and reassessment of practices.
Centered Care
By focusing on the needs and feedback of patients, QA initiatives align services with patient preferences and expectations, leading to a more personalized healthcare experience.
2. QAPI Program Review Services
We enhance the quality of care delivered by healthcare organizations while ensuring compliance with regulatory requirements. Our comprehensive review process focuses on assessing and strengthening existing QAPI programs, enabling organizations to achieve sustainable improvements in patient care and operational efficiency.
01
Document Monitoring
We will review the Performance Improvement Project and assess key documents, including OASIS, visit notes, DC summaries, and orders, to identify potential improvement issues.
03
Effectiveness Reporting and Tool Development
We can generate reports to demonstrate the effectiveness of the QAPI program and develop tools to help clinicians identify measures and interventions that align with QAPI goals.
02
Issue Notification and Recommendations
We can assign you dedicated staff that can Inform clinicians of identified issues that may hinder desired outcomes and provide documented recommendations for addressing these issues.
04
Collaboration and Care Plan Creation
We can participate in meetings with the Director of Nursing and/or Professional Advisory Committee to discuss program modifications, while also developing patient-specific care plans for those at high risk of hospitalization.
2. QAPI Program Review Services
We enhance the quality of care delivered by healthcare organizations while ensuring compliance with regulatory requirements. Our comprehensive review process focuses on assessing and strengthening existing QAPI programs, enabling organizations to achieve sustainable improvements in patient care and operational efficiency.
01
Document Monitoring
We will review the Performance Improvement Project and assess key documents, including OASIS, visit notes, DC summaries, and orders, to identify potential improvement issues.
02
Issue Notification and Recommendations
We can assign you dedicated staff that can Inform clinicians of identified issues that may hinder desired outcomes and provide documented recommendations for addressing these issues.
03
Effectiveness Reporting and Tool Development
We can generate reports to demonstrate the effectiveness of the QAPI program and develop tools to help clinicians identify measures and interventions that align with QAPI goals.
04
Collaboration and Care Plan Creation
We can participate in meetings with the Director of Nursing and/or Professional Advisory Committee to discuss program modifications, while also developing patient-specific care plans for those at high risk of hospitalization.
QAPI Program Review
Action Plan Development:
- Collaborating with the organization to create a targeted action plan outlining specific quality improvement initiatives, measurable objectives, and timelines for implementation.
Implementation Support:
- Providing guidance and support during the implementation of identified quality improvement initiatives, including training for staff on best practices and methodologies.
Monitoring and Evaluation:
- Establishing metrics and processes for ongoing monitoring of the QAPI program’s effectiveness.
Conducting follow-up assessments to evaluate progress toward quality improvement goals.
Reporting:
- Compiling findings, recommendations, and action plans into a comprehensive report for stakeholders.
Sustainability Strategy:
- Assisting in the development of a sustainability plan to ensure long-term success and continuous improvement within the QAPI program.
QAPI Program Review
Action Plan Document:
- A comprehensive action plan detailing specific quality improvement initiatives, timelines, responsible parties, and measurable outcomes.
Training Materials:
- Customized training resources and materials for staff education on quality improvement methodologies and practices.
Monitoring Framework:
- A framework for ongoing monitoring and evaluation of the QAPI program, including suggested metrics and reporting processes.
Final QAPI Program Review Report:
- A comprehensive final report that includes all findings, recommendations, action plans, and sustainability strategies for future reference.
Follow-Up Support:
- Options for ongoing consultation and support to assist with the implementation of the QAPI program and ensure continuous improvement.
3.Packages or Custom Solutions
At Day Homehealth Solutions, we understand that every healthcare organization has unique challenges and requirements. To accommodate this diversity, we offer flexible packages as well as custom solutions tailored to meet the specific needs of each client.