Adverse Events Focused Survey

Adverse Events in the Post-Acute setting directly impact the quality of care rendered. The Office of Inspector General (OIG) reported that one in three skilled nursing facility (SNF) beneficiaries were injured by an adverse event or temporary harm event within the first 35 days of their skilled stay.

In addition, the OIG determined that nearly 60 percent of those events were preventable.

Preventable adverse events are generally caused by:

  • Events related to Medication (Opiates, Psychotropics, Anti-Diabetics, Anticoagulants, Diuretic, Antibiotics and Cardiac/Blood pressure medication)
  • Events Related to Resident Care (Falls, Inadequate Fluid Maintenance, Respiratory distress/infection, Exacerbations of preexisting conditions, Feeding tube complications, In-house acquired/worsened Pressure ulcers, Elopement and Infections
  • Events related to care plan development, implementation and communication Preventing and managing Adverse Events is critical to providing Quality Care, Successful Survey Outcomes and Accurate and Appropriate reimbursement under CMS Quality Initiatives
The goal of the Adverse Events Focused Survey is to identify areas of potential noncompliance with federal and state regulations as they relate to reporting and preventing Adverse Events. Harmony Healthcare International (HHI) performs independent reviews and formalized audits to help categorize risk areas. The Harmony HealthCARE Specialists offer recommendations for process enhancement and continuous quality improvement. . Harmony Healthcare International (HHI) recognizes the central role that your staff play in achieving positive survey results. Our assessment includes interactions with multiple levels of facility staff with the primary focus on survey preparation.

How can Harmony Healthcare International (HHI) help?

Harmony Healthcare International (HHI) services include:

  • Review of historic Reportable Adverse Events
  • Interdisciplinary Care Plan development, implementation and communication review
  • Infection Control and Prevention Program Review
  • Identification of Policies and Procedures that incorporate standards and best practices for preventing Adverse Events in conjunction with care delivery
  • Medication Management
  • Falls Management
  • Re-Hospitalization Review
  • Physician Involvement
  • Nursing Documentation
  • Physician Documentation
  • Interdisciplinary Assessments
  • Education and training with staff on identified risk areas
  • Role of therapy in prevention
  • QAPI process 
  • Team based care
  • Person centered care
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