Long Term and Post Acute Care Regulatory Risk

The volume of regulatory compliance requirements for the Long Term and Post Acute Care (LTPAC) industry is growing at an exponential rate, as are the risks associated with non-compliance.

As a result, your compliance program has moved to the top of your administrative priority list. Having the tools in place to bring your program from a paper-based check list to automated, scalable and reportable program is now a “must have” to maintain a credible book of evidence.  You need a reliable and scalable solution to proactively assess, communicate, and — most importantly — mitigate risk across your facility, allowing you more time to focus on the quality and financial health of your facility. 

The financial and reputational risk of not remaining proactive with regulatory compliance is high, particularly when trust is such a big part of building your business. OIG audits, lawsuits, and remediation all cost money, as well as provide additional cost to the bottom line for reputational damage.  With the OIG workplan directly targeted at Skilled Nursing Facilities and other Long Term Care providers, this risk is real today and growing.

You need to maintain a single book of evidence to quickly and thoroughly answer any investigation. To understand and reduce your regulatory risk, your team needs to know the right questions to ask for your kind of system, facility or caregiver type, as well as have deep regulatory resources to reference to stay up to speed with regulations and support investigations and audits.

Unfortunately, if your existing staff is stretched thin and unable to keep up with increasing regulatory demands or maintaining consistent policies across all facilities, it leaves you further open to risk. To support a complete culture of compliance, your organization would do well to invest in workflow tools that keep you ahead of the regulatory curve with real-time updates and alerts, maintain program consistency across all your facilities, and support your existing staff to efficiently and effectively manage the complex processes involved in maintaining regulatory compliance.

Finally, maintaining information and data security in light of high employee turnover, multiple access points, and bring-your-own-device is exceedingly challenging given existing tools while the risk to your operation, reputation and financial health will all be severely impacted if you’re faced with a breach. Software as a Service, secure datacenters and security parameters that are easily controlled by your administrators or tied in directly with HR systems can help you securely manage your compliance data without IT or development staff. Use workflow tools to track HIPAA or other breaches or audit activity or specific information security risk assessment tools to ensure your information security program contains all the controls and assessment criteria necessary for HIPAA compliance and meaningful use attestation.