Accreditation Consulting

Maven Health Partners offers accreditation consulting for organizations seeking accreditation for the first time and those working to maintain compliance.  Accreditation expertise includes behavioral health, home health, hospice, private duty, and skilled nursing programs from accrediting bodies such as ACHC, CARF, and The Joint Commission.  Maven Health Partners is also highly skilled in disease specific and additional certifications offered through each of the accrediting bodies.  Maven Health Partner’s accreditation consulting includes individualized/custom resources with no additional intellectual property fees.  These resources cover all documentation requirements for the accrediting bodies as well as meeting and exceeding many state and federal requirements.  Maven Health Partners works side by side with your team, committing to providing a strong knowledge base for staff to feel comfortable and confident during survey times.

Survey trends by specific surveyor are tracked and trended to assist organizations in focusing their accreditation preparation efforts. Maven Health Partners is able to prioritize the 20-40% of standards being surveyed at any given time

Maven Health Partners rounds out the accreditation consulting services by including the tracking and completing of ongoing application and continued compliance deadlines.  In addition, all post-survey follow-up and quality monitoring incident responses are included in the service package.

Maven Health Partners has two ACHC certified consultants on staff.  You can find us using the keyword search of “Maven” on the ACHC certified consultant list here: https://www.achc.org/certified-consultants.html

Coming Soon: Both ACHC and The Joint Commission are soon releasing accreditation programs for assisted living organizations.  Maven Health Partners continues to stay informed on all the details for both accrediting bodies and will offer consulting services for these programs.

Corrective Action Services

Whether a result of an accreditation survey, licensure survey, annual survey, complaint, and/or quality monitoring incident, Maven Health Partners can assist clients with corrective action services.  This includes the writing of post-survey final report findings; completion of required root cause analyses; creation and implementation of audit tools specific to findings; initiation and closeout of process improvement projects; and continued compliance monitoring and response. Maven Health Partners takes charge of completing and documenting all staff education and training related to the specific corrective areas. Coaching for various sentinel event and accrediting body investigations of quality monitoring incidents is also included in corrective action services. 

Customized Resources

Documentation requirements can be time consuming to create and implement.  Maven Health Partners takes pride in staying ahead of changes and revisions to these requirements. We customize all resources to fit individual facilities as well as multi-facility organizations. Maven Health Partners customized resources include, but are not limited to:

  • Policies and Procedures
  • Competencies
  • Credentialing Materials
  • Emergency Preparedness Materials
  • Safety Committee Agendas and Minutes
  • Environmental Rounding Tools
  • QAPI Agendas and Minutes
  • Performance Improvement Projects
  • Organization Charts
  • Assistance with Mission, Vision, and Goal Statements
  • Infection Control Risk Assessments
  • Resident, Family and Staff Surveys
  • Audit Tools

Staff Education

Maven Health Partners offers both onsite and remote education opportunities including workshops, skills fairs, and competency testing for nursing, administrative, social services, maintenance, environmental services and dietary staff.  For organizations with internal staff development programs, Maven Health Partners can provide written materials, PowerPoint presentations, and competencies that meet state, federal, and multiple accrediting body regulations. 

Note: Registered Nurses and Nurse Practitioners are employed to ensure dutiful and lawful competency completion in clinical areas.