Facilities

K Martin Consulting, a personal, practical, to the point, healthcare consulting firm, can provide management and clinical care, consultation & education for the Skilled Nursing/Long Term Care, Assisted Living, and Hospital professions.

Survey Compliance for CMS, State, Joint Commission standards,
 Mock Surveys,
 Clinical Care Standards,
 Policy and Procedures, Quality Management, Educational endeavors and much more, is available and tailored to your specific needs.

Best Practices:

Performance Improvement-QAPI

Set up Wound Rounds; data collection for risk management

Falls Prevention and post-fall reporting for risk management

Staffing Analysis

Pain, Medication management

Risk Reduction

Systems Development

Detail:

1. Survey corrective action assistanceEvaluation of current Federal and/or State citations, or Joint Commission prep can be completed resulting in recommendations for timely corrective action using a ‘systems’ approach to enable sustained compliance.  Further assistance, as needed, may include but not be limited to the following:

In-service presentations

Management Oversight

Formulating policies and procedures

Development of Quality Assurance monitoring tools

Coordination of plan of correction, including writing the plan of correction, as necessary.

On-site resurvey assistance, as needed

2.  Pre-SurveyPrep for survey is done in an interdisciplinary manner involving all departments and staff. Potential  deficiencies will be reported and recommendations for corrective action supplied.  On-site survey support, if desired.

3.  Evaluation of nursing staffing patternsResident acuity levels, current nursing procedures and scheduling practices, and facility lay-out will be examined to assist in recommending adequate staffing to optimize the delivery of cost-effective quality of care.

4.  Comprehensive orientation / training  and support for special positions which include:

Director of Nursing

Administrator

Interim Administrator/Director of Nursing Support

Staff Development Coordinator

5.  Plans of Care TrainingIn-services and 1:1 training, as needed for all disciplines involved will be provided to assist in assuring quality care and regulatory compliance.  Follow through from the Care Area Assessments (CAAs) as well as the resident’s current physical and mental status will be emphasized to help ensure “working / user-friendly plans of care.”

6.  Case-Mix Index OptimizationCurrent facility Case-Mix Index, MDS 3.0 accuracy, and nursing / rehabilitation documentation will be evaluated.  Recommendations to assist in driving the Case-Mix Index upward will be made and in-services provided, as needed, to train staff on Medicare’s RUG-IV and PA MA’s RUG-III, Version 5.12 CMI  Classification System CMI and documentation necessary to maximize reimbursement from Medical Assistance and Medicare PPS.  Assistance provided, as needed, with corrective action plans.

7.  Restorative NursingAssistance provided in developing a comprehensive nursing program that will improve residents’ quality of life and assist the facility to maximize reimbursement and demonstrate cost-effective, positive resident outcomes.

8.  Educational Offerings / In-service Presentations for ALL levels of staff:  Presented, with most utilizing a Power Point format  and, if requested, taped for the facility to utilize for additional presentations.  The subject list is  available on, but not limited to, the following:

Abuse Prevention, Recognition, Reporting, Investigating, and Interventions

Accident Prevention; investigation protocols

Depression in the Elderly

Documentation – Licensed Staff and Certified Nursing Assistants

Fall Prevention & Resident Safety

Infection Control

Interdisciplinary “Working” Plans of Care

Leadership and Management Skills

Pain Management

Pressure Ulcer Prevention & Treatment Quality Initiative

Resident Rights

Restorative Nursing

Restraints – Psychoactive and Physical

Unnecessary Drugs / Behavior Management

Urinary Incontinence

Numerous State-Directed Inservices

Reasonable pricing with personal and confidential service