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Regulatory & Accreditation

Regulatory Agencies 

  • Centers for Medicaid and Medicare 

  • Department of Heath

  • The Joint Commission  (TJC)

  • Accreditation Association Ambulatory Health Care (AAAHC)

  • Commission of Rehabilitation Facility (CARF)

Initial Accreditation Preparations 

  • Manager and Leadership Education

  • Infection Prevention and Quality Plan Constructions

  • Policy & Procedure Standardization 

  • TJC, AAAHC, CARF

Immediate Jeopardy 

  • Health Department/CMS finding requiring immediate intervention

  • Plan of correction or defense of compliance concern

  • Preparation of step during process and follow up survey 

Data/Performance Improvement 

  • Quality Assurance Performance Improvement Program-CMS/TJC

  • Core/Quality Measures Tracking & Methodology 

  • Dashboard Construction 

  • Data Driven Performance Improvement

  • Excel, Access, SharePoint & Tableau Expert  

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