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A mid-size, rural, single-owner home health agency receives a DPH/CMS re-survey which results in seven Conditions of Participation out of compliance. They are placed on the de-certification track and call McCoy & Connolly for assistance.

During our initial assessment agency ownership dismissed the Administrator, and we agreed to teach and mentor a newly appointed Director during the plan of correction development and implementation.
We recommended that the agency restrict new admissions and focus on repairing the systemic problems noted in the survey.
McCoy & Connolly prepared an extensive Plan of Correction (PoC) which included: revision of the agency’s Annual Program Evaluation, conducting a Professional Advisory Board meeting which included presentation and discussion of the Program Evaluation, observation of field staff during home care visits, presentation of numerous staff in-services including topics of Infection Control, Care Coordination, Conditions of Participation, the role of the RN Case Manager, documentation, care of the diabetic patient and other patient care issues. McCoy & Connolly completed the Plan of Correction and submitted the plan and attachments to the DPH field office and the regional CMS office.
Following the PoC submission, our team stayed on site several days per week to ensure the plan was thoroughly implemented and staff was sufficiently prepared for the re-survey process.

The agency successfully passed the re-survey.

McCoy & Connolly conducted a mock survey process which demonstrated that the agency had continued to maintain compliance while increasing the agency’s census by 25% and implementing innovative clinical programs such as tele-health.

A small, urban, institutional home health agency receives a disastrous DPH survey resulting in nine Conditions of Participation out of compliance. When were contacted to assist in the implementation of the PoC, we were informed that the Administrator/Director of Clinical Services and the Quality Management Coordinator had been terminated.

McCoy & Connolly performed the typical PoC implementation functions and, in addition: mentored the acting Administrator/Director to her new role, advised the agency to purchase a documentation system as the prior one was out of compliance with the OASIS regulations, educated staff to the revised paperwork, convinced the institution to move forward ASAP to computerize home care documentation, advised the institution regarding poor staff productivity and financial performance, revised policies and procedures, established a Performance Improvement program, conducted 100% chart review, presented a blueprint for operating a MediCare agency to the institution’s leadership, revised the format, content and membership of the Professional Advisory Group meetings, revised the Program Evaluation process, created a Case Manager model of care utilizing RN and LVN teams, and educated institutional leadership and home care staff about all aspects of regulatory compliance.

The agency successfully passed the re-survey, and implemented a computerized documentation system.

A mock survey found the agency in compliance with all the CoPs. The productivity of staff increased. Financial losses were reduced by 50%.