On-site Visit
An on-site visit is the best way to conduct a thorough assessment of clinical operations or an individual department. The visit includes selective chart audits and review of key components such as the most recent plan of correction, performance improvement meeting minutes, grievances, incident reports, 24-hour reports, audit forms, quality measures, and more. Evaluating operational components such as systems, processes and individuals’ skill sets help identify what is working and what needs work. The on-site visit is tailored to meet the needs of the facility and can encompass a predetermined few short hours to several days.

The visit is not complete until the Administrator receives a detailed report outlining 1) Department/Program, 2) Findings, 3) Discussion and 4) Recommended Actions for Change. The information is presented in an easy-to-read format that clearly identifies the issues correlated with relevant regulations and facility policies and procedures. Actions for Change provide a springboard with ideas to make improvements.

Having someone reading charts, policy books and facility reports, asking questions and making observations can be stressful for staff. I work hard to help staff be comfortable with the experience and to be a resource for them. I tell staff all the time, “It's better if I find it rather than a surveyor or attorney.” Or better yet, “Tell me about it first so we can work on it together!”

Public Speaking & Continuing Education
I do extensive public speaking at conventions, legislative conferences, annual meetings, continuing education seminars and staff meetings. My presentation style is upbeat with real life examples infused with humor. I like to challenge the status quo and get people thinking about the same old issues in fresh and exciting ways. If you want someone to stand in front of your group and read a bunch of slides, don’t call me!

Depending on the teaching venue, most presentations can be modified to meet requested time frames and for various audiences, e.g. clinical staff, general staff, hospital staff, and physicians. Click the links below for topic information.

If you have suggestions for new programs or educational inservices, please contact me

Mandated Inservices
So you’ve had your survey and things didn’t go quite as well as hoped. Before, during and after the survey can be a challenging time for staff. When deficient practices are cited, your staff is already feeling exhausted and maybe even discouraged at the amount of work ahead of them. Part of your plan of correction may include mandated inservices to achieve regulatory compliance. By reframing this experience into one focused on opportunities for improvement and learning, I can help you and your staff find light at the end of the proverbial tunnel. In a very respectful but honest way, I incorporate relevant sections from the Statement of Deficiencies and Plan of Correction, “the 2567”, in a robust presentation that highlights important regulations, the findings, the nurse practice act when appropriate and facility policies and procedures. And guess what? It’s not boring!