Compliance is Our Business

Two of the greatest challenges that long-term healthcare care organizations face are maintaining compliance with State and Federal laws and maintaining reputational integrity.

Developing an effective compliance program is not just the right thing to do but it also makes good business sense. With a unique blend of compliance consulting, external quality monitoring and external regulatory surveys, our systems approach to compliance program development brings lasting results.

The Long Term Care Institute, Inc. (LTCI) treats compliance holistically. That is, we examine all aspects of an organization or facility (corporate and clinical) and identify any sources of noncompliance. We then look for the root cause of those problems, recommend proven interventions to solve them and monitor their effectiveness during and after implementation.

Our approach helps to connect all parts of an organization or facility in a unified system grounded in the best practices in healthcare and corporate compliance. This method helps improve the overall quality of care and also helps prevent the potential for regulatory non-compliance fraud. Over time an organization’s high quality of care and ethical business practices lead to a positive reputation in the community – and increased revenues.

By making compliance an intrinsic part of the way your business runs, your staff can focus more on the primary mission at hand: to efficiently and effectively provide quality care to residents and patients.

We utilize our broad experience and wide range of staff expertise to drive success through:

• Compliance program development, review & audits;
• QAPI program development and review;
• Development, implementation and review of internal quality monitoring and internal monitoring programs;
• Training and consulting on “systems” development and data use for QAPI and other quality and compliance related functions. For more information on “systems” see LTCI’s Approach
• Training programs in QAPI and corporate, healthcare and regulatory compliance, culture transformation and risk management.

Contact us today to learn how LTCI can help your organization reach its full potential!

What We Do – LTCI’s Systems Approach

Through our system approach, we assess the effectiveness, reliability and thoroughness of quality of care systems currently in place within healthcare organizations or individual facilities/centers.

We assess these systems by comparing them to current standards of professional practice, quality assurance and performance improvement goals and Federal regulations.

LTCI uses a multi-step process to review current systems in use by a health care organization or individual facility/center. We examine the quality assurance and performance improvement systems and individual care delivery areas to help determine how the organization (and levels of the organization) or individual facility/center develops, implements, maintains and improves its systems. We combine individual resident/patient-level care findings, facility/center-level findings and overall organization findings through direct care observation, staff and resident/patient interviews and record reviews.

We use a five-step process of systems issue identification, which includes the following:

Identify problems

• Review the resident/patient-level assessment process and care delivery
• Facility/center-level review of the use of data to determine possible problems
• If applicable, review data use at the organizational level to determine possible problems and the effectiveness of regions/districts of the organization
• Determine the nature and extent of problems
• Review of resident/patient-level root cause analysis and problem-solving through the care planning process.
• Review facility/center-level root cause analysis of identified problems and magnitude of problems.
• If applicable, review region/district and organizational-level root cause analysis, and use of aggregate data to determine the scope of organizational problems and the effectiveness of regions/districts.

Develop interventions

• Review how interventions for identified problems are developed at the resident/patient level.
• Review how facility/center level strategies for addressing and correcting problems are developed.
• If applicable, review region/district and organization’s ability to develop interventions at individual facility/center and organization wide levels.

Implement intervention

• Review how developed approaches and interventions are applied at the resident/patient level.
• Review facility/center level execution of developed interventions.
• If applicable, review the region/district and organization’s oversight and execution of developed strategies.

Evaluate and monitor interventions

• Review how implemented interventions are evaluated and monitored at the resident/patient care delivery level.
• Review how the applied intervention is assessed and monitored by the facility/center quality assurance/performance improvement committee.
• If applicable, review how the organization evaluates the effectiveness of the intervention implemented at a single facility/center, region/district or organization wide, and review the quality assurance and performance improvement activities at the facility/center, region/district and organizational level.

If you want to take your long-term healthcare organization to the next level, get in touch today to get started.