Smooth Sailing for Surveys

Calm Waters for Compliance

CMS, TJC, DNV, CIHQ, ICD10, RAC, MACRA.... don't let the tidal wave of regulations swamp you.

SEE OUR COLLECTION

Our Services

Hildebrand Healthcare Consulting (HHC) is a small but agile agency, with access to 20+ consultants. We provide rapid response for Regulatory Rescue ™, our trademarked approach, as well as customized proactive design and implementation of innovative approaches to

* Regulatory Compliance including Coding, HIPAA, OSHA and HR concerns,

* Survey Readiness (CMS, TJC, DNV, CIHQ, HFAP, AAAHC, PCMH), mock surveys / implementation of action plans

*Quality Assessment and Performance Improvement, (Data flow, department redesign, CORE measures, FMEA

* Patient Safety / Risk Management (including Sentinel Events, Root Cause Analysis),

* Medical Staff Credentialing and Privileging, including OPPE and FPPE

* Patient Care and Patient Flow issues, such as Utilization Review, Case management, Peer review (all disciplines)

* Coding and Billing issues such as ICD10, Denials Prevention and Management, RAC preparation and audit, Clinical Documentation Improvement, Medical necessity

* Operational Improvement training (Lean Six Sigma, process improvement, basics such as approaches to agendas and minutes)

*Interim coverage in Quality, Patient Safety/ Risk Management, Performance Improvement

Our Success Stories

Regulatory Rescue ™

Rapid deployment of employee and physician training, process change, infrastructure development (policies, forms, checklists) to respond to negative reports from regulatory bodies, often with several regulatory bodies at the same time. Successful at a 350 ADC urban hospital with 9 hospital based clinics in the Southeast, at a 2 hospital regional system in Texas that was part of a larger faith based international system, a 98 bed rural hospital in the Mid-West.

Patient Flow and Lean processes

Implementation of Lean process assessment for patient flow from ED through radiology at a large 700 bed academic medical center in the South as well as patient flow through admissions to surgery for a 400 + bed regional referral center in the South. Also provided evaluation of Baldrige readiness for a 300 + bed academic medical center in the Mid-Atlantic Region

Department Redesign

Collaborative, non-threatening redesign of Quality Department for 200 bed suburban hospital in California under Title 22 as well as a three hospital academic health system in the Rockies, a 300 + bed academic medical center in the Mid-Atlantic region, and a 2 hospital regional system in the South

Clinical Documentation Improvement, Utilization Review and ICD10

Staff and Physician training in CDI and ICD10 for a small physician's practice in the south, as well as for multiple rural hospitals and critical access hospitals in the southwest.

Patient Centered Medical Home Recognition

Remediation of gaps and successful application for PCMH recognition for several rural health centers in the South

Our Affiliations

Expertise, Energy, Excellence

PACE Healthcare Consulting

Elizabeth Lamkin, Amanda Berglund

We collaborate with our clients to build Proactive, Accountable, Compliant and Exceptional organizations. Our methodology around structure, process, and people creates systems that allow organizations to build strategies to excel in the ever-changing healthcare environment. We then translate these strategies into action plans, assist in their implementation and develop indicators to measure success. By developing lasting solutions that bridge the gap between finance and clinical operations, we enable our clients to focus on what matters most: providing quality patient care while enhancing the bottom line

EXP Healthcare Consulting

Sandy Newstein

EXP Healthcare provides a multitude of services around compliance; RAC audits and appeals; and medical necessity, coding and documentation reviews. Their consultants have deep experience across many provider types, including Acute Care Hospital, Critical Access Hospital, SNF, Behavioral Health, Long Term Care, Inpatient Rehabilitation, physician billing, outpatient, therapies and DME. EXP professionals have a wide variety of certifications and unique training and experiences to bring value to any operational excellence engagement.

Sandra Newstein, RN CPC CPC-P CPC-H AHFI CPUR CPMA CCDS, Principal at EXP Healthcare, is an experienced project leader and consultant with 35 years of healthcare experience, which includes hospital finance and compliance auditing environments. She has strong medical records and claims review, medical necessity/utilization review and coding skills.

Mellott and Associates LLC

Dr. Susan Mellott

The mission of Mellott & Associates LLC is to assist healthcare organizations improve quality and patient safety, to reduce costs, and to meet or exceed accreditation and regulatory standards.

Mellott & Associates has been successfully carrying out this mission since 1995, by helping healthcare organizations. Dr. Mellott has focused on healthcare quality in multiple settings, including hospitals, long term care centers, home health settings, clinics, and networks. She has experience in decreasing costs, improving patient/customer satisfaction and quality, while involving teams from the facility, including physicians and administrative staff. Dr. Mellott has extensive experience with the survey process, especially with The Joint Commission standards and surveys.

Dr. Mellott is also an Associate Clinical Professor for Texas Women’s University in Houston, Texas, and since 1999, as clinical faculty for the National Association for Healthcare Quality. Dr. Mellott also addresses groups around the country regarding performance and quality improvement in healthcare.

Lazor Healthcare Consultants LLC

Barbara Lazor

Lazor Healthcare Consulting brings decades of experience in nursing leadership, process improvement, and employee relations. We provide consulting and interim coverage in a variety of healthcare venues. Contact us today!