ACHC Annual Report - 2024

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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