Assisted Living Oversight

State regulatory agencies play a significant role in improving the quality of life for elderly residents in assisted living facilities. Regulators are slowly implementing fundamental reforms to increase oversight, and to ensure facilities meet minimum quality standards. The increased oversight is due to the increase in elderly population which will nearly double in size by the year 2030; making assisted living a viable option for the elderly. The assisted living population is also changing as facilities are admitting more residents with increased levels of disability that requires complex treatments and services. The quality of assisted living services has become a growing concern.

Generally, facilities are regulated by one or two state agencies such as Department of Health and Senior Services and or/ department of social services. State regulators function to ensure assisted living facilities are compliant with mandatory state regulations or meet the minimum requirements of the states assisted living regulations. Facilities are primarily monitored through on site licensure inspections. Initial Inspection surveys are mostly conducted annually in most states. Surveys are generally unannounced and conducted on-site over a three- to five-day period during which the state’s regulators evaluate all aspects of resident care and services. Surveys of assisted living facilities are typically conducted during weekdays, although the inspection teams could conduct a percentage of inspections early in the morning, at night, on weekends and during holidays.

The survey team inspects the facility and interview staff and residents to identify deficiencies which determine that the facilities have violated a specific state or federal regulation. Deficiencies vary in scope and severity from isolated violations with minimal resident harm to widespread violations which cause injuries or put residents in immediate danger. A facility may be cited for a deficiency as a result of an on-site inspection or evaluation of written reports.

When deficiencies are cited, the regulators will require the facility to submit a written plan of correction within a certain number of business days regarding how the deficiency will be corrected. In severe violations, where current conditions at the facility pose a serious risk to the health and safety of residents or staff, the regulators can demand or initiate immediate corrective actions. Some state requires facilities to inform residents and families regarding deficiencies or post deficiencies in a conspicuous place.

If warranted, the regulators may impose a fine, suspend admissions, temporary revoke a facilitys license, close a facility, or impose other sanctions as permitted by the state licensure regulations.

Over the years, Precision Management and Consulting Services, a premier consulting agency has provided services to facilities suffering from low census due to repeat violations and stigma associated with frequent visit from state regulators. Such facilities known as repeat violators are associated with sub standard care and services, are avoided by referral sources, and only attract residents rejected by other facilities.

Services provided by PMCS is to assist facilities comply with all relevant state and federal regulations and to rapidly adapt to increasing regulatory reforms to increase oversight. PMCS prepare facilities to be ever ready when the state regulators walk through their doors unannounced. Our quality assurance and regulatory compliance manual or frequent site inspection services assist facilities to become fully aware of areas of deficiency and avoid violations and penalties. PMCS work closely with facilities to develop and implement strategic and effective plan of corrections. Ultimately, the goal of our regulatory and compliance services is to help facilities consistently provide high quality care to a varied group of frail and very old residents. Compliance with regulatory standards, and consistency in quality care that will improve the facilitys reputation in the community, and eventually improve census.

Non Emergency Medical Transportation business

Everyday, thousands of patients and their families are faced with the challenge of arranging non emergency medical transportation for their loved ones. The federal and state government recognizes the importance of meeting the transportation needs of medically frail patients who do not require emergency medical transportation. The United States Congress enacted Section 6083 of the Deficit Reduction Act of 2005 to allow the introduction of Non-Emergency Medical Transportation (“NEMT”) brokerage systems for Medicaid recipients at the state level.

Non-emergency medical transportation involves getting a patient to and from the source of
medical care when the medical condition is not life threatening. This includes non-emergency
ambulance, medi-car, taxicab, service car, livery or private automobile. The Non-Emergency Medical Transport (NEMT) business service is a growing Industry as the need for this specialized service continues to grow. Many existing companies and new businesses are venturing into the NEMT business as an additional source of revenue or as a stand alone profitable business. However, the start up process for Non emergency Medical Transportation business is moderately difficult. Recent study published in a business journal in 2009 indicates 69% of businesses that venture into the NEMT business abandon the start up process. This is due to lack of correct information or unavailability of information to help with the start up process.
There is more to non emergency transportation management than getting from one location to the next. The NEMT business is heavily impacted by laws and regulations that are specific to states, counties or municipalities. Businesses that start an NEMT business with an informative and detailed start up guide have a higher chance making it past the start up phase.
NEMT services are a good business by all accounts. This is a service that is needed. The elderly, disabled people including veterans, people with chronic medical conditions that require frequent medical appointments rely heavily on NEMT businesses to get their medical needs met.
The recent economic hardships have resulted in lower revenues for taxi and limousine and other companies. An NEMT business provides a solid and steady base of revenue for these businesses. However the success of any NEMT business is highly dependent on the establishing effective policies and procedures, education and training programs for staff, quality improvement programs and practices and most important an effective marketing strategy.The Non Emergency Medical Transportation start-up guide by Precision Management provides direct and detailed answers to the daunting questions that confront businesses during the start up process. The start up guides goes further to address policies and procedures requirements, success proven marketing strategies, risk management. Ultimately, the goal of the guide is to help NEMT businesses achieve a higher customer satisfaction and the success of new businesses in the NEMT service industry.