Global Connect 4 Global Enterprises
Connecting Talent for Creative Enterprises for Sustainable Prosperity!
Offices: Addis Ababa, Ethiopia; London, Great Britain; Washington, DC, USA.
A Management Consulting firm for promoting business enterprises.
EOM 4 Success: Enlighten, Organize and Mobilize for Success
Belai Habte-Jesus, MD, MPH, FRSPH
Measuring Performance 4 Success!
- The Alpha –Numeric Tool (123 &ABC)
- Qualitative & Quantitative Performance Evaluation Tools
- Design, Process and Outcome Evaluation
Measure of Success/MoS@>90% Compliance
1. A+= >95% MoS 4. C= >70% MoS
2. A= >90% MoS 5. D= >60%MoS
3. B= >80% MoS 6. E= >50% MoS
Empowering Talent for Success! Via Continuous Education 4 Life
- Recruiting Talent 4 Business Enterprises.
- Best Practice Guidelines for Success: PPP/Partnerships 4 Promoting &Preventing
- Promoting the culture of Integrity: ICE/Integrity, Compliance and Excellence
• Preventing WAF/Waste, Abuse and Fraud
• By CAT/Complete, Accurate and Timely Documentation and Signature.
• Via Continuous Education 4 Excellence via CAT In-service Training!
• Tool: Use of SMART Home Visit Appointment Planner
Mobile health: Making wellness accessible and affordable to all
The most expanding and profitable business ever!
Global Connect 4 Global Enterprises is the solution
Call: V: 703.933.8737, C: 571.225.5736, eFx: 1.888.88.606.27
A. How we do business: Promoting 3A+3Es & FOC
- Accessible, Affordable, Accountable Care
- That is Efficient, Effective and Equitable and
- Delivered within an environment of Freedom of Choice
B. The Five Pillars of Success
- ICE/Integrity, Compliance & Excellence
- Investment 4 Profitability
- Growth and Marketing 4 Improving Census
- Quality based Perception of Care: Survey, Compliant Resolution
- Human Resources & Talent Management
C. Calendar based SMART Productivity
Resources: Integrating TST/Time, Space and Talent
- Technology Driven Integration: integrating vision, voice & text
- The Alphanumeric Grid: integrating numbers and letters (1,2,3 and A, B, C)
- Pathway 4 Excellence & Success: use of SMART Checklist
SMART/Specific, Measurable, Achievable, Realistic & Time Sensitive
Answering: (what, how, why, who, when and where)
Suggested MIS software’s
How do we make success happen?
The culture of success: GPAD, Due Diligence with a Checklist
Monitoring Goal, Progress, Achievement and Dreams… (1,2,3 & A, B, C)
Remember: The pathway to Success! Integration & CAT documentation
1. Events >>> 2. Facts >>> 3. Information >>>4. Wisdom >>>5.Genius>>>4Success!
• A series of events make facts and accumulation of facts information
• Organized information becomes wisdom and integrated widow creates a Genius
• A Genius serving others in Diversity is Success creating Divinity in Diversity!
Divinity & Prosperity is achieved by serving others in Diversity! Mobile Health makes Divinity happen!
Enlighten, Organize and Mobilize for Productivity
Corporate, HR/Talent and Clinical Operation level.
Achieving Corporate Compliance: Governing Board, PAC and SMT
• Corporate Meetings Minutes with Productivity Reports
• Corporate Good Governance: Promoting GG=SAT
GG=SAT, Stakeholders Accountability & Transparency
FoC= Freedom of Choice: Perception of Care: PSS/PCR
Meetings: Monitoring the Pillars of Success across the organization
- Annual Governing Board Meetings: 15 February
- Quarterly Prof Adv Committee Meetings: 15 January, 15 April, 15 July, 15 October
- Monthly Senior Management Team: 15th of each month (Jan-Dec)
- Weekly Staff Meeting at Noon:
Mondays: 12:00 Weekend Review, Census and Marketing Plan
- Tuesdays: 12:00 Human Resources: Recruitment, Retention and Staffing
- Wednesdays: 12:00 Chart Audit for Quality Assurance
- Thursdays: 12:00 MIS: Data: Coding, Billing, Payroll
- Friday: 12:00 Management: Billing, Coding, HR, Quality & Marketing
Working towards Evidence based Compliance with Measure of Success >90% Compliance
A. Corporate Compliance
B. HR/Talent Compliance
C. Operational Compliance
A. The Corporate Compliance:
A.1 What: Compliance
1. Article of Incorporation and Bylaws
2. Operational Policies and Procedures
3. Licenses and Certifications
4. Organizational Structure
5. Appointment Letter for GB, PAC & SMT with Job Descriptions
How: Evidence based Compliance: “If It is Not Documented! …It Did Not Happen!”
A.2 Corporate Meetings and Productivity Reports of Compliance
Calendar based productivity with Minutes and Reports
- Annual: Governing Board: 15 February: Resources +Talent + Standards
- Quarterly: PAC Meetings: Ethics, Quality, 15th (Jan, Apr, `July & Oct)
- Monthly: Senior Management Meetings: Productivity Reports @ 1/12 interval
- Weekly: Staff Meetings: Productivity Reports @ Weekly interval
B. HR/Talent Compliance: promoting Recruitment and Retention
- Recruitment: Application, Resume, Reference and License & Certification
- Verification: I-9 Work Permit, Background Check, Picture ID: SSN
- Competency: CPR, Orientation, Supervisory skills Check, Eval @ 3/12, 12/12
- Professional Development: KAP: Knowledge, Skills, Attitude and Practice Assessment and Next Steps of leadership
C. Operational Documents: Calendar based productivity:
MoS/Measure of Success@>90% Compliance
- Ref & Admission: >90% MoS- 1,2,3 days: Adm within 48 hours, Visit within 72 hours, QA & Billing daily within a week and track payment @daily, weekly, monthly, etc.
- Care: CoC/CoC with CAT documentation of Plans of Care and Visit Notes
- Transfer/Discharge: D/T-Summary (History, Treatment and Rehabilitation Goals)
Combating WAF with ICE via CAT
Remember: CAT/ Complete, Accurate and Timely documentation with Signature
Remember: If it is not documented! ….It did not happen!
The Challenge: OIG Strategic Plan for 2015-20120
(>90%Certification &>25% Billing Error)
1) The Challenge: Prevent WAF/Waste, Abuse and Fraud
2) The Solution: ICE/Integrity, Compliance and Excellence 4 Success!
3) The Opportunity: Accreditation and Excellence based Business Growth
The Strategy: Promote the culture of ICE via CQI &ET, RR, CCO
via CQI/Continuous Quality Improvement by Eliminating Threat, Reducing Risk & Converting Challenges into Opportunities
o Some body’s challenges are some one else’s’ opportunity
o Opportunity comes to a prepared mind and Ready 2 Go- organization!
4) The Approach: Calendar based Checklist & Appointment Planner
Our Strategy: ET, RR, CCO
Eliminate Threat, Reduce Risk and Convert Challenges in 2 Opportunities!
The Global Connect Enterprises 5 Tools of Success!
Five Tools: RCA, CORT, NDSIM, OA and SMART
- Identifying the Challenge: Research Pyramid/Root Cause Analysis
- CORT Analysis: Challenges, Opportunities, Risks and Threats
• Converting Challenges into Opportunities
• By Eliminating Threats and Reducing Risks
• Providing Option Appraisals towards Best, Win-win and compromise options
• Integrating Need, Demand and Supply Interaction Models
• Operate with SMART Work Plan that is Specific, Measurable, Achievable, Realistic and Time Sensitive.
CAT/Complete, Accurate and Timely
Documentation with Signature
Promoting the culture of ICE/Integrity, Compliance and Excellence-Always!
CORT Analysis: Challenges, Opportunities, Risks and Threats
Our strategy: Eliminate Threat, Reduce Risk and Convert Challenges into Opportunities.
Remember: Somebody’s challenges and some one else’s’ opportunities!
Luck /opportunity chooses the prepared mind and organization
3.NDSIM: The Needs, Demand, and Supply Interaction Model
The ideal universe is one sphere where Need=Demand=Supply
The Universal Healthcare that of 3As + 3Es: is Affordable, Accessible, Accountable and Effective, Efficient and Equitable that is Prevention and Early Intervention Focussed with early Rehabilitation to normal wellbeing.
Need what is identified as important
Demand what people are prepared to pay for/price
Supply what professionals provide
A. Unmet Spheres of Need, Demand & Supply
B.Met Need, Demand Supply: Universal Health Care
Integrating the universe of Need, Demand and Supply: Universal Health Care Plan?
• Clinical Need: identified and authorized MD Order, MD Plan of Care
• Demand: Insurance Verification and payment methods: Public, Private Pay
• Supply: Patient Satisfaction with MD Plan of Care, Clinical Care Plan:
• Satisfaction with the Outcome: Goal/Activity: Type, frequency, duration, progress, MoS: Measure of Success to measure of Outcome/Satisfaction @>90% compliance
Marketing: User-friendly problem solving approach to growth and opportunities
Patient Satisfaction the Best Marking Tool:
MD Offices, Hospitals, Rehab Centers, Discharge Planners and Community
Decision Science & Option Appraisal: Evidence based Qualitative and Quantitative Tools
Option Appraisals: Integrating Choices of Time and Priorities: 0, 1,2,3 and ABC
Options in terms of Priorities and Time: The ABC 123 Grid of Options
Priorities Time: Immediate, Intermediate and Long Ter
0 1 2 3
1) Best Option A. Immediate
2) Win-Win Option B. Intermediate
3) Compromise Option C. Long Term
There are Nine Options for Each Decision! Making the Priorities in time
Organized Options:09/nine Disorganized Options:0.~
1) A. Best Option: 3A, 2A, 3A
2) B. Win-Win Option: 3B, 2B, 2B
3) C. Compromise Option: 3C, 2C, 1C
- Calendar based SMART Work Plan (Daily, Weekly, Monthly, Quarterly)
1) Specific: What activity?
2) Measurable: How many and for how long?
3) Achievable: managing resource and talent?
4) Realistic: managing standards and expectation?
5) Time Sensitive: How often and how soon?
GC /Global Connect Tools 4 Success
• Presentation of Certification of competency, authority and credibility
• Accredited Certification bodies: ACHC, CHAP, TJC
• ACHC.org, CHAPinc.org, TJC/jointcommission.org
Standard compliance tools: Forms, Checklists and Alerts
CHAP: Community Health Accreditation Partner: 50 Years, DC (HH, PH, NS
ACHC: Residential Nursing Facilities, Hospice, Rehab facilities,
TJC: Hospitals, Urgent Cares, MD clinics, Pharmacies
Budget Based Consulting
Contract that specified:
2) Products and
Process & Options
2) Monthly Payment
3) Final Payment
Benefits of Accreditation
Mobile Heath is a People Centered Business
Promoting Wellbeing of People: Body, Mind and Spirit /Primate, Human & Divine
Anatomy, Physiology and Emotions & Perceptions
Rule of 8: Daily Time Management
1) 8 hours for Rest & Sleep,
2) 8 hours for work and productivity
3) 8 hours for leisure and creativity
Integrating the Body/Mind/Spirit of the Primate, Human and Divine
The three bio/physio-metrics: BMI, BCG, COM
1) Anatomy: BMI: Body Mass Index: (Wt/HtxHt) : 19-25; Body Fat%: Male, Female
A. Normal: BMI range: 19-25
B. Over weight:>25 Brain, CVS,RS, Endocrine and Mobility
C. Obesity: >30 Brain, CVS, Lung, Endocrines, Brain, Mobility
2) Physiology: Functionality: DEMMM/Digestion, Elimination, Memory, Mobility &Mood,
3) Memory: Orientation in Time, Space and Person
4) Mobility: BCG/Balance, Coordination & Gait,
5) Mood: Cognition, Anxiety, Depression
6) Mind: CEM: Cognition, Orientation, Mood
Cognition: Judgment, Memory, Emotion, Perception & Prioritization
Orientation & Coordination in time, space and person,
Mood: Normal, Anxiety, and Depression
A. Nutrition: Balanced Diet: Quality and Quantity and Frequency
1) Quality: Balanced intake of Fruits, Vegetables, Cereals, Carbohydrates, Proteins, Minerals, Vitamins, Fats
Colored Food on the Table: Rainbow: Green, Gold and Orange: GRG
2) Quantity: The size of your fists: fluid and solids: 2×225=450 ml @2 -3 hours
3) Homeostasis: Keep your body pH@7.35-7.40 by Drinking WATER
B. Exercise: Biometric and Isometric Exercises improving Balance, Gait and Mobility
C. Rest/Sleep: Eight hours of restful sleep
Objective Tools for measuring Performance
Evaluation: Design, Process and Outcome
Qualitative & Quantitative Performance Evaluation Tools
Standards, Compliance and Satisfaction
Taking care of people is why you got into the business of health care.
Accreditation is an extension of that mission.
• It communicates to your patients and their families that providing services in a way that exceeds quality and compliance standards means something to you.
• When you work with Accreditation, you not only strengthen your commitment to the people you serve, but also grow your business, offer outstanding quality, and forge a partnership with people who really care about home and community-based health care.
• Accreditation gives our provider partners benefits that are unparalleled in the industry.
Improved Business Performance
• Compliance standards lead to two things: 1) better quality care, and 2) better business processes.
• Since compliance standards are relevant to home and community-based care, practical, straightforward and tailored to our customers’ specific business model, you can use them as part of your business plan.
• Are you a new or developing organization? or one that has some experience?
Our standards can be your foundation.
• Already an established organization? Compliance standards can help you think through operational challenges that mature organizations face.
• Whether your company is large or small, new or established, our process and standards will help your business to continually improve.
Standards Beyond State and Federal Regulations
Compliance to Professional, State, and Federal Regulations
Solving WAF with ICE via CAT
A. The challenge: WAF: Waste, Abuse and Fraud
B. The Solution: ICE: Integrity, Compliance and Excellence
C. The Strategy: CAT: Complete, Accurate and Timely documentation with signatures
ICE/Integrity, Compliance and Excellence
• You need to meet state and federal regulations to be able to operate. But, we know that your standards exceed “meeting” requirements: You want to be the best.
• We want you to be the best as well. When you provide the best care, patients and families will choose you.
• Our standards go above and beyond the minimum guidelines so that you can lead the provision of care in your community, not simply participate in it.
• Your customers have high standards, too: Our seal of approval demonstrates your commitment to quality.
Exploring the Accreditation Industry
The three best Accreditation Agencies
ACHC, CHAP and TJC
1. ACHC: Residential Facilities
2. CHAP: Community based organizations
3. TJC : MD run institutions such as hospitals
1. Accreditation that s Recognized by Payers for Value for money
2. In the home and community-based health care industry, Accreditation reputation is second to none.
3. Insurance companies and payers know that accreditation seal of approval means that your company performs far above minimum regulatory requirements.
4. They are assured of the quality of your services, and feel confident in what you provide. They know you’ve taken the necessary steps to keep patients safe and well cared for.
5. Recognition from payers keeps your billing and reimbursement processes clear and uncomplicated.
6. This means predictable cash flow; less time spent on claims denials and more customers choosing your organization, since they know their insurance will cover your services.
A Partner Dedicated to Education
1. Our accreditation process is educational — not punitive. We are dedicated to helping you learn so you can provide better care, grow your business and prepare for the future.
- We provide research-informed tools and information to help you understand far more than just our Standards of Excellence and how to integrate them; we’ll help you keep a focus on what’s next in health care.
An Option for CMS “Deemed” Status
A. ACHS/CHAP/TJC have “deeming” authority granted by the Centers for Medicare and Medicaid Services (CMS) to determine whether you meet their quality standards and the Medicare Conditions of Participation. If you are a home health, hospice or a home medical equipment provider, you can opt to seek deemed status under CMS.
B. Through deemed status, you can reduce the number of Site Visits from different agencies, since deemed status accreditation can replace state surveys — with one exception, Medicare does validate our findings with a small sample (3 to 6 percent) of “deemed” organizations each year. This means that CMS holds us to the same standards we hold you.
Online Tools and Live Help
• Online tools — available throughout this website provide you with the resources you need. Our fact sheets, tutorials and webinars will help you be both informed and prepared.
• Real people in real time. If you ever have questions or concerns, our customer service representatives are available to help you. We’re committed to getting you the information and support you need.
Preparation for the Future
• The health care landscape is changing. We change right along with it, giving you flexibility and agility to navigate updates in rules, regulations and standards of care.
• Our strategic partnerships and commitment to the latest research are some of our strongest assets. With them, we help you understand what’s happening and what’s to come.
• While accreditation today represents a snapshot of quality at a specific place in time, we envision a revolutionized accreditation experience for the future — one where invisible, integrated assessment tools help our qualified experts measure the quality care you provide. We’re already hard at work extending the functionality of on line training/education developing standards for the future!
The Accreditation Marketplace
As an accredited agency, you get exclusive access to the Accreditation Marketplace — a “store” of sorts where you can order business cards, brochures, letterhead and more, all cobranded with the Accreditation logo or seal.
This helps you advertise your accreditation within your community and among potential customers.
Mobile Health, Home Health the Wave of the Future
1. From skilled nursing services to occupational therapy, home health agencies provide invaluable care and support services to people in their homes.
- Whether as part of a public or private agency, providers specialize in skilled nursing services and other therapeutic/rehabilitative services in the home, including occupational therapy, physical therapy and speech language therapy, medical social work and home health aide care as well as nutrition counseling, wound care, palliative care and behavioral health care.
- Their goal is to help patients heal, recover after surgery or learn to manage a chronic illness.
Accreditation with ACHC/CHAP and TJC shares that goal.
As a partner in accreditation, we provide the tools and resources home health providers need to deliver the best patient care.
Who should apply for accreditation?
• Any home health organization that provides care directly to patients. ACHC/CHAP/TJC provides home health accreditation for deemed (Medicare-certified) and non-deemed programs.
• Licensing requirements for home health providers vary by state. If you’re unsure about licensing requirements in your state, check here before applying.
What are the costs?
1. Costs for accreditation vary depending on the type of services you provide and the number of locations where you provide them.
2. ACHC/CHAP/TJC accreditation for all services is valid for a three-year period. Costs are billed in four interest-free installments.
How do I apply for accreditation?
There are only seven steps for ACHC/CHAP/TJC accreditation, from the initial application to full accreditation. Get started now!
Where do I go for help?
If you need support as you fill out your application, check our frequently asked questions about the accreditation process or send us an email — we’ll be in touch within 24 hours. Call 571.225.5736 or 703.993.8737 and ask for Dr B Jesus or email @: GlobalBJesus777@gmail.com
Benefits of ACHC/CHAP& TJC Accreditation
- Taking care of people is why you got into the business of health care. ACH
C/CHAP/TJC accreditation is an extension of that mission. It communicates to your patients and their families that providing services in a way that exceeds quality and compliance standards means something to you.
When you work with ACHC/CHAP/TJC, you not only strengthen your commitment to the people you serve, but also grow your business, offer outstanding quality, and forge a partnership with people who really care about home and community-based health care.
ACHC/CHAP/TJC accreditation gives our provider partners benefits that are unparalleled in the industry.
• Improved Business Performance
• Standards Beyond State and Federal Regulations
• Accreditation That Is Recognized by Payers
• A Partner Dedicated to Education
• An Option for CMS “Deemed” Status
• Online Tools and Live Help
• Preparation for the Future
• CHAP Marketplace
Find out what questions our customers have asked as they start on the path to accreditation.
Contact us at:
Belai Habte-Jesus, MD, MPH; FRSPH
C: 571.225.5736 or V: 703.933.8737
Ask for Belai Habte-Jesus, MD, MPH
NOTES AND RECOMMENDATIONS
BENEFITS OF GLOBAL CONNECT ACCREDITATION CONSULTANTS
- Support and Guidance in the Accreditation and Certification Plan
Guidance in registration, certification, accreditation, overall compliance
Support in Pre-Survey Planning and Planned Mock Survey Audits
Support in Post Survey Plan of Correction Development, execution and compliance
Support in Post Survey In-service training and Priority Focus Area development
Support in Post Survey change in the culture of the organization towards competitiveness
Lead in Corporate Compliance, Article of Incorporation, Bylaws, Certification, Governing Board and PAC recruitment, orientation, competency assessment, performance
Evaluation, and professional development at personal and corporate level.
Lead in Monthly SMT Meetings and Minutes and business development, marketing
Lead in MIS and Staff Recruitment and Retention and Evaluation
Lead in overall Organizational Health and Performance towards competitiveness and profitability
Global Connect Enterprises, Inc.
Global Mobile Health
Belai Habte-Jesus, MD, MPH, FRSPH
eFax: 803.933.8737, V: 571.225.5736, c: 703.933.8737
THE ACCREDITATION CHECKLIST
- Corporate Checklist
- Human Resources Checklist
- Clinical Operation Checklist
- MIS and Financial Checklist
- Perception of Care and Marketing Check
A. The Corporate Compliance checklist
No Lists Yes/No MoS@: >90%
1 Article of Incorporation, Bylaws and Governing Board
2. Medical Director
3. Director of Nursing/Director of Clinical Services
4. Director of Corporate Compliance
2 Business Plan, Budget, Marketing Plan
3 License: Federal, State, County, Professional
4 Certification: Business, OSHA, CLIA, BBB,
5 Accreditation: ACHC, CHAP, Joint Commission
6 Credentialing: Public and Private Insurance
7 Organizational Structure: Board, PAC, CEO, Compliance, Finance, HR, Clinical, Pubic/Community Relations
8 Governing Board: Odd numbers: 3,5,7
9 Professional Advisory Committee: Odd numbers: 3,5,7
10 Management Information System: Corporate, Clinical, HR, Finance, Public Relations
B. The Human Resources Checklist
1 Application Form, Resume, References
2. License, Certifications, CPR, Insurance
3. Photo ID: Driving License, Passport, Background Check
4 Work Permit, I-9 Certification
5 Health Certification: Infectious Diseases, TB/Hep B
6 Appointment Letter with Benefit Package
7 Job Description, Responsibilities at Primary, Secondary & Tertiary levels
8 Orientation: Demonstration, Supervision
9 Competency Assessment: Self and supervisor
10 Performance Evaluation @90 days and Annually
11 Professional Development: In-service training and career advice relevant to the competency of the individual and needs of the organization
C. Clinical Operations
1. Referral and Admission
2 MD Order and MD Plan of Care
3 Prof. Care Plan: MD, RN, LPN, HHA, PT,ST, OT, MSW
4 Intervention/Visit Notes
5 Coordination of Care, Continuity of Care
6 Medication Management
7 Risk Factors:
1. Emergency Management: Level I, II, III
2. Pain Management: 1-10
3. Medication Management: Profile, Reconciliation, Error, compliance to type, dosage, frequency, duration…
4. Fall Prevention
5. Infection Control: Universal Precautions
8 Transfer & Discharge Summary
9. Perception of Care: Satisfaction Survey, Complaint Resolution Incident Report and communication with internal & external stakeholders
10 Compliance Checklist: WAF: Waste, Abuse & Fraud with CAT documentation