Quality Mental Healthcare For All!
Call For A Free Consultation
We Add Quality Value
As a healthcare facility you are supporting our communities and citizens so they may live their best and healthiest life. Your work is important, tidiest, and rewarding, we know better than anyone, that is why Intercoastal Healthcare Consulting created quality improvement services to support your team.
Behavioral Health Regulatory Compliance is Intercoastal Healthcare Consulting.
Intercoastal Healthcare Consulting offers our invaluable knowledge, resources and network to further support your facility needs. Our team focuses on quality improvement, regulatory compliance and risk management tasks to alleviate, and improve barriers so your team can focus on the important things such as providing patient care, boosting team morale and recruiting the best fit for your team. We bring patient and staff-centered benchmarks that further improve and support patient quality of care while creating a positive working environment for staff.
Our services are budget friendly, confidential and will not be shared or reported routinely to regulatory surveyors. It is our obligation to guide and support your facility to correct safety and health hazards – best practice standards that are expected to adhere to as a mental healthcare provider.
Our services range is vast as we support your internal compliance team during internal investigation into reportable events, developing acceptable action plans, facility wide preparation of surveys, supporting internal systems such as elopement and grievance committees.
We were designed to support and guide all mental and behavioral health barriers BIG or small!
HIPAA Compliance
It is not always easy to ensure that you have the proper HIPAA systems or know what Protected Health Information (PHI) is and who it covers in the grand view of client safety.
Regulatory bodies are continuously reviewing their standards in an effort to ensure patient's privacy rights are not infringed upon.
Chapter 90.503 Psychotherapist-patient privilege states: "a communication between psychotherapist and patient is "confidential" if it is not intended to be disclosed to third persons other than:"
Chapter 394.4615 Client records; Confidentiality states: "The clinical record shall be released when: "The court orders such release."
Services include but are not limited to:
-
Client chart completion
-
Client PHI systems
-
Liaison with local legal system
-
Medical record request & response systems
Risk Management
Risk Mitigation is the process of prevention of harm by evaluating data from the assessment of risks and data collected.
Florida Statues Chapter 395.0197 states "Each licensed facility shall hire a risk manager who is responsible for implementation and oversight of the facility's internal risk management program"
Services include but are not limited to:
-
Flow of client charts & documentations
-
Analytical review of client care systems
-
Grievance and complaint committee
-
Product usage, waste & purchasing review
-
GAP analysis to assess performance of existing strategies
-
Organize client charts in accordance to regulatory standards
Regulatory Compliance
The Agency for Health Care Administration (AHCA), Department of Children and Families (DCF) regulatory bodies governs mental health providers to determine compliance, standards and quality of care by performing onsite and desk surveys.
Facilities are not perfect.. that is just a reality. Sometimes, things are missed and there is not enough man power to address plaguing issues. Those plaguing issues come to light as findings with penalties during a survey visit.
Services include but are not limited to:
-
Policy & Procedure tracking
-
Facility liaison during & after surveys
-
Behavioral Health Network support
-
Internal audits of facility
-
Survey preparation
-
Fraud, Waste and Abuse Review
-
Managing Entities collaboration (MEs)
Safety First
The COVID-19 pandemic continues to overwhelm the SAMH/BH safety systems and challenge its ability to keep up with infection breakouts, client falls, medication administration errors and tracking pressure sores. Juggling it all is overwhelming for anyone team, person, committee or facility.
Client and Staff safety is a priority. How does your facility prevent and reduce risks, infection exposure, errors and harm during treatment?
By implementing best practices and streamlining redundant tasks that create an just-culture where reporting, accountability and teamwork are standard practice.
Services include but are not limited to:
-
EHR data mining and tracking
-
Infection prevention committee
-
Provider documentation flow
-
Incorporation of client medical records
-
Grievance and Compliant committee
-
Staff communication in EHR
-
Emergency Preparedness
-
Mock Elopement, and Fire Drills
Quality Care & Improvement
Centers for Medicare & Medicaid Services (CMS) defines Quality improvement as "the framework used to systematically improve care. Quality improvement seeks to standardize processes and structure to reduce variation, achieve predictable results and improve outcomes for patients, healthcare systems and organizations."
A comprehensive process helps your facility highlight strengths, and reinforce facility commitment to exceeding quality standard measures and setting the bar for quality client care.
Services include but are not limited to:
-
Root Cause Analysis (RCA)
-
Facility workflow study and evaluation
-
Navigation of tags, moratoriums and emergency suspension
-
Incorporation of client medical needs
-
Recovery Oriented System of Care (ROSC)
-
Meaningful Measures Framework
Staff Training & Development
Staff development and training ensure clients receive the best care possible, boost your facility reputation, and reduce staff errors and turnover.
Florida Rule 65E-12.106 "All staff development and training activities shall be documented and shall include activity or course title; number of contact hours; instructor’s name, position and credentials; and date."
65D-30.0046 Staff Training: "Providers shall develop and implement a staff development plan. At least one (1) staff member with skill in developing staff trainings plans"
Services include but are not limited to:
-
General & Incident Report training
-
Staff position description review
-
Staff credentialing
-
Documentation and EHR
Reportable Incidents
Substance Abuse & Mental Health is governed by Rule 65D-30, F.A.C., Chapter 394 Part IV and Chapter 397 of the Florida Statues provide guidance and direction for continuum of care in community base services that include prevention, treatment and detoxification services.
Services include but are not limited to:
-
Adverse Critical Incident investigation and reporting through AIRS
-
Acceptable regulatory action plans
-
SWAT, GAP and Root Cause Analysis,
-
Implementation of elopement and grievance process
-
Events and incident through DCF
-
Policies and Procedure specific
-
Application of standards and rules
-
Evaluation of program impact
-
Map of program & intended services
-
Baker Act Designation process
Program Development
Patient rights can be violated without malice intentions and warning.
The Patient Rights-Based approach encompass awareness of all levels of perceived or fact based discrimination that threatens the patients right to individual dignity, respect and quality treatment of care.
Florida Statues 394.459 (4) (b) "Facilities shall develop and maintain, in a form accessible to and readily understandable by patients and consistent with rules adopted by the department, the following:"
Services include but are not limited to:
-
Value & impact of program
-
Integration of new program
-
Development of program specific staff training, and job descriptions
-
Data analysis system that captures real time quality of care
Accreditation & Credentialing
All practitioners, and facilities are required to obtain licensures, accreditations and certifications to operate a healthcare facility within the State of Florida.
Accreditation is the measure of quality. It goes beyond holding an operational license or meeting CMS payment and regulatory standards.
It is the process that provides your facility the opportunity to demonstrate your ability to meet patients needs while adhering to Federal and state requirements.
Services include but are not limited to:
-
Acceptable Survey Action Plan
-
Liaison between governing bodies
-
3rd Party Licensure assistance
-
Proactive actionable measures
-
Tracking and trending areas of opportunities
-
Reporting outcomes deliverables, and survey findings