Headed For Survey in 2021 Or 2022? Avoid The Top 10 Citations And Keep Your Eye On Success!
August 3, 2021
Top 10 CHAP survey deficiencies in 2020:
The Community Health Accreditation Partner (CHAP)
has compiled the top 10 list of deficiencies
cited during surveys in 2020. These are the items listed in their reference material as the top 10 deficiencies and tips for compliance as of April 26, 2021:
- G440: This includes the portion of patient's rights related to charges and payment for services prior to the next patient visit. Tips: Does the document have all the required information listed? How is the patient notified with payer changes? How do you audit if the patients were informed?
- G614: Written instructions are provided to the patient including schedule of visits with the frequency of the visits. Tips: What is your process to provide this written information? Is it understandable to the patient? Consider supervisory visits that address this.
- G574: This G tag references the required elements of the individualized plan of care. Tips: Review your plans of care to make sure all items are there. In addition, these plans of care need to be individualized to meet the needs of the patient based upon what is listed in the assessment. CHAP cited the most missed elements to be measurable goals, over-the-counter meds, interventions to be completed in the visit, and co-morbidity diagnosis.
- G1022: This references the discharge and transfer summaries being sent to the appropriate practitioner within the allotted timeframes. Tips: What system is in place to make sure this is completed and timely within your agency? How is your agency informed of transfers and who is responsible to send the summaries?
- G710: This is about your skilled clinicians/ disciplines following the plan of care. Tips: Are you performing audits to identify issues with compliance to the plan of care? You need to assess and address trends you find in auditing. In addition, make sure orders are obtained prior to changing your interventions.
- G682: This is hand hygiene as part of infection control. Tips: This is direct supervision of the task on home visits.
- G536: This is your comprehensive assessment including medication review. Tips: The issue here often lies with medications being added. It is also relevant for over-the-counter meds not being included.
- G584: This G tag references verbal orders being taken by those authorized and authenticated on time. Tips: This has to be addressed as part of auditing to make sure it is done properly and timely.
- G684: This references infection control programs as part of your QAPI program. It also includes TB screening per regulation/ CDC guidelines. Tips: Make sure your agency policy and procedures are up-to-date with current CDC guidelines/regulation in reference to TB screening. There should be a tracking system and audits to make sure you are following guidelines when testing is required so you do not miss timeframes.
- G592:
This G tag references care plan revisions that include measurable and patient specific goals, patient progression toward goals, and updated information. Tips:
Again, the key here is auditing. Is your comprehensive assessment getting updated with a plan of care that matches it?
Kenyon Homecare Consulting Can Help:
At Kenyon Homecare Consulting, we focus on helping agencies provide high-quality, cost-effective care with results that matter for patients. Call us today at 206-721-5091 or contact us online
to see if we can help you prepare for survey and make sure operations have you prepped for success.
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