Healthcare Compliance

Environment Of Care
  • Attaining and maintaining regulations involved in the Environment of Care and Life Safety chapters are the most challenging aspects of the joint commission accreditation manual. It is made further more difficult by continuous evolvement and increase in complexities in federal, state, and local regulations. 

  • These challenges can be tackled proficiently by the MG experts who will provide ongoing support to keep your health organization in compliance at all times, and create and sustain the Environment of Care. As we develop a long-term relationship, we are committed to provide our expert and detailed onsite and online consultation for your Environment of Care program by implementing continuous readiness, making regular visits to sustain the compliance, and address issues as they arise. 

  • Your mission will be our mission for patient safety and environmental compliance. Our expert team will work relentlessly to find solutions for general healthcare quality and patient safety improvements.  
  • Building Design and Construction 

    1. Ensuring building construction is in compliance with Joint Commission standards and CMS Conditions of Participation.

    2. Verifying compliance with NFPA 101-2012 after occupancy is granted.

    3. Pre-planning for new building design and construction to achieve compliance with the life safety code, interim life safety measurement and infection prevention.

  • Environmental Compliance Sustainability

    1. Continuous efforts to develop programs for sustainable compliance and make regular visits to identity issues and address them as they arise.​

  • Emergency Management

    1. Collaborate with you to develop a program for documenting and monitoring changes in standard operating procedures or building codes made during the activation of your EOP.

    2. Collaborate with you to develop your emergency response to an event or exercise, analyze real time response and provide documented recommendations.

  • The Joint Commission Readiness

    1. Keep your organization ready at all times for any surprise surveys or audits as per the Joint Commission guidelines. 

    2. Conduct building tours based on The Joint Commission regulations for Environment of Care, Emergency Management, and Life Safety chapters.

    3. Assist you with appeals, plan of action, and follow-up surveys after the Joint Commission Survey.

  • Regulatory Compliance

    1. Conduct life safety assessment to identify gap analysis and perform risk assessment

    2. Collaborate with your facilities team to develop the regulatory compliance and Environment of Care program so they can take ownership and accountability.

    3. Ensure compliance in case of occupancy changes and repurposing of spaces. 

  • Training and Education

    1. Educate your staff to understand the Environment of Care, Life Safety, and Emergency Management standards manual chapters.

    2. Provide periodic training to employees encouraging them to maintain compliance and safety. 

    3. Collaborate with your team to develop an Emergency Operations Plan. 

    4. Be available for any questions from the staff and management. 

    5. Provide feedback on policies, forms, and tools. 

The Joint Commission Survey

Preparing for the Joint Commission Survey can be stressful, time-consuming, and extremely challenging. With our decade long experience in successful completion of The Joint Commission surveys, we can take your stress away by putting our best foot forward in terms of survey preparation resulting in successful outcomes. 

 

We specialize in not only delivering a 100% success rate in survey results, but providing best customer service with a collaborative approach focused on optimal quality work. Our main goal is that with our unique specialization your organization passes the survey with minimal or no citations. Our strategy is to simulate the survey preparation plan based on your organization. We’ll work with you to understand your needs and provide comprehensive services catered to your organization specific compliance, regulations, and standards. 

Education and training of staff

  1. Educate your staff on The Joint Commission Survey standards and programs. 

  2. Collaborate with you to provide the employees essential training based on Joint Commission standards. 

  3. Be available to educate staff and management via training, seminars or one-to-one meetings. 

Policy and Procedure assistance

  1. Collaborate with you to prepare policies, forms and standards as per the Joint Commission Survey guidelines.

  2. Collaborate with you to keep your compliance documentation ready for any surprise surveys. 

Implementation of Risk Management

  1. With our most current and relevant knowledge of health care issues and strategies, we’ll help you create and implement an effective risk management environment. 

  2. Enable you to stay on top of your objectives of compliance and patient safety by providing guidance through our thoroughly crafted risk management processes. 

Survey Gap Analysis and Solution Implementation

  1. Understand the current level of compliance, prepare the gap analysis report based on the services/processes of your organization, and implement solutions based on our practical and economical action plans 

Management Coaching

  1. Provide consulting reports and presentations aimed toward senior executive management. 

  2. Provide coaching to the staff involved in The Joint Commission survey 

  3. Emphasize on the practical approaches in the application of The Joint Commission and/or Joint Commission International standards

Mock Surveys

  1. Conduct mock surveys to prepare you better for an actual Joint Commission survey. 

  2. Make you understand the areas of improvement in compliance and prepare you to handle challenging questions/issues.

Corrective Action Plans

  1. Create corrective action plans for the Joint Commission readiness and post survey which are economical and practical as well as adhere to The Joint Commission guidelines. 

Post Survey Support

  1. Collaborate with your staff to address appeals by identifying gaps, preparing action plans, and making corrections. Prepare the organization for any follow-up surveys. 

  2. Obtain feedback on the survey from Joint Commission Resources and share with the management. 

  3. Keep up with the compliance regarding the quality of services and deliverables and actively make improvements.

  4. Continue with providing services for improving patient care, quality, and safety.