Hospital Compliance

Periodic summary of antimicrobial susceptibilities of local bacterial isolates submitted to the hospitals

CMS Compliance

Document compliance successes, commitment to the compliance process, and improvement related to federal regulations.

Risks and Trends

Recognize internal hospital risks, challenges, and emerging risk trends in healthcare quality and processes to ensure compliance.

Featured Application

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Risk Mitigation

Discover unknown risks such as needed policies, communication failures, missing quality control and oversight procedures.

Man and woman at desk reviewing charts

Document Performance

Evaluate compliance compared to national and state standards. Recognize needed improvements in the health care application and process.

Frequently Asked Questions

Compliance assessment documentation, and self improvement represents a very effective mechanism for hospitals to ensure they are providing the best possible care. It is also an effective way for staff and leadership to communicate about best practices and areas that require improvement.

Each hospital is unique in terms of its staff expertise, administration, leadership, communication, profile of services, as well as patient demographics and community. As a result, it is likely that each hospital will have a unique profile of strong compliance areas as well as others that may need improvement.

A compliance risk-assessment system is a process that allows hospitals to identify, document and improve areas of risk. This should improve internal health care processes, increase communication, increase staff and leadership engagement, and avoid potential state and federal penalties.

A compliance risk-assessment system is a voluntary system designed to parallel procedures used by state and federal agencies. This ensures compliance and provides a platform for each hospital to improve its internal health care processes and recognize areas that may need improvement.

The goals are to provide:
  • a mechanism for hospitals to improve health care operations
  • recognize potential risks and deficiencies
  • increase staff and leadership engagement in process improvement
  • establish clear lines of communication necessary oversight processes
  • provide an environment for self improvement with open communication without retaliation

For effective compliance processes, the total cost of staff, time, and other factors is about $1. Compared to about $10 of saved cost when these processes are implemented The risk-assessment process is a significant foundation for this savings. Overall, it reduces the cost and improves the quality of healthcare.