2024 ANNUAL REPORT
2024 ANNUAL REPORT
BUILDING BRIDGES
home health
pharmacy
0%
100%
0%
100%
1%
6% 14%
15%
23%
10%
33%
4% 7%
8% 11%
8%
60%
2%
Organization & Administration Most home health deficiencies come from standards within the Provision of Care and Records Management section. Initiating a quality project related to complete and accurate documentation of orders and care delivered could be a great starting point to lower the frequency of issues in this category. Fiscal Management
Organization & Administration Pharmacy deficiencies were stable from 2023 to 2024 with negligible shifts of one or two percent in sections 4, 6, and 7. Risk Management: Infection and Safety Control remains the most frequent opportunity for improvement. Fiscal Management
Program/ Service Operations
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Program/ Service Operations
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
renal dialysis
home infusion therapy
0%
100%
0%
100%
1%
3% 11% 7%
36%
8%
35%
3% 13%
8%
3% 12%
59%
Organization & Administration Provision of Care and Record Management standards were the most likely to be found noncompliant in 2024 and at a higher rate than in 2023 (59% vs. 53%). Documentation deficiencies are the most frequent issue across standards in this section. Fiscal Management
Organization & Administration The percentage of Provision of Care and Record Management deficiencies increased in 2024 and Risk Management: Infection and Safety Control deficiencies decreased but these remain the areas with the biggest opportunities for dialysis providers to improve their services. Program/ Service Operations Fiscal Management Human Resource Management Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Program/ Service Operations
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
sleep
hospice
0%
100%
0%
100%
3% 13% 4%
26%
19%
23%
12%
6% 10%
21%
53%
6%
3%
Organization & Administration Hospice deficiencies were stable from 2023 to 2024 with negligible shifts of one or two percent in sections 5 and 6. Documentation deficiencies remain the most frequent issue across Provision of Care and Record Management standards. Fiscal Management
Organization & Administration In 2024, sleep testing saw small changes in the percentages in sections 5, 6, and 7, with Provision of Care and Record Management and Risk Management: Infection and Safety Control nudged upward by a declining percentage of deficiencies in Quality Outcomes/Performance Improvement. Fiscal Management Provision of Care & Record Management Program/ Service Operations Human Resource Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Program/ Service Operations
Human Resource Management
Provision of Care & Record Management
Quality Outcomes/ Performance Improvement
Risk Management: Infection & Safety Control
Fiscal Management Section 3
Human Resource Management Section 4
Provision of Care and Record Management Section 5
Quality Outcomes/Performance Improvement Section 6
Risk Management: Infection and Safety Control Section 7
Program/Service Operations Section 2
Organization & Administration Section 1
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