Quality Improvement & Patient Safety

Peer Review Network

Through IHA’s Ventures subsidiary, healthcare organizations are afforded the opportunity to participate in a unique, highly secure, cloud-based peer review system. Designed for both external and internal reviews, the system supports hospitals’ and clinics’ efforts at achieving higher levels of healthcare quality.

Credentialing Review

IHA continues to be a qualified entity in Idaho’s State Rural Health Plan to perform the CMS-required biennial credentialing reviews. IHA's quality team has the expertise and resources needed for you to meet the CAH Conditions of Participation and stay up to date on federal and state credentialing guidelines.

Quality Assurance Review

IHA continues to be a qualified entity in Idaho’s State Rural Health Plan to perform the CMS-required annual quality reviews. IHA's quality team has the expertise and resources needed to assist you in meeting the CAH Conditions of Participation and stay up to date on federal and state guidelines.

Swing Bed Review

Assuring that all rules are met with Medicare’s complex Swing Bed program can be a difficult task. IHA’s team can help assure your hospital is meeting the CMS Conditions of Participation that are required under Appendix W and PP when moving patients from acute to skilled care. Success in this area allows hospitals to assist patients in reaching their highest potential for health and independence prior to returning to home.

Discharge Planning Process Review

CMS revised discharge planning requirements for CAHs to better align with those of acute care hospitals. The goal of these revisions includes improving transitions of care and reducing hospital readmissions. The purpose of this review is to evaluate your hospital’s current compliance with the requirements found under these regulations and provide you with any identified opportunities for improvement for areas not in compliance.

EMTALA Review

CMS has placed increased scrutiny on EMTALA compliance in CAHs via the CMS State Operations Manual. EMTALA violations, regardless of intent, can be very costly to a hospital and result in the withdrawal of Medicare eligibility. The purpose of this review is to evaluate current regulatory compliance and improve patient care for your hospital's emergency services.

Infection Prevention & AMS Program Review

CMS revised IPC requirements and have added requirements for AMS in CAHs. The goal of these revisions includes, improving hospital infection surveillance; identification and containment of hospital and community acquired infections; and preventing the mutation and spread of MDROs. The purpose of this review is to evaluate your hospital’s current compliance with the requirements found under these regulations and provide you with any identified opportunities for improvement for areas not in compliance.

Staff Contacts

Nicole Davis (Hernandez)
208.489.1372 info@teamiha.org

Karen Leach
208.489.1406 info@teamiha.org