HQAA Blog

New Year’s Resolutions

Posted by Steve DeGenaro on Fri, Jan 12, 2024 @ 09:27 AM

When the ball dropped at the stroke of midnight January 1 this year, did you make any resolutions? Most people do—sometimes a new diet, an exercise program (January 1st is traditionally the busiest day in a gym!), a more responsible financial plan, or some version of “be a better person” by saying something nice to a new person every day or trying to bestow a compliment on a stranger.

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Topics: Employee Training, Billing, Showroom, Retail, Customer Service, Business Practices, Marketing, Equipment

Ending the Year in Style

Posted by Steve DeGenaro on Fri, Dec 15, 2023 @ 03:05 PM

I imagine it’s the same in other industries—December in DME can be a hectic, scatterbrained race to the finish. (“The finish” in this case being the end of the year). Financially speaking, it’s a time to try to maximize earnings and pad the bottom line, wrapping up billing cycles and completing tasks to prepare financially for the new year. Patient/customers that have met their deductible are anxious trying to consume healthcare before a new deductible cycle begins. December 31st is the end of a quarter, the end of a month, and the end of the year and there’s two major holidays –Christmas and New Year to work around. Staff wants to spend time with their families. And of course, company holiday parties abound.

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Topics: Employee Training, Personnel Files, Billing, HQAA Accreditation, Process Improvement, Materials Management, Showroom, Delivery, Warehouse, Customer Service, Disaster Preparedness, Emergencies, Business Practices, Infection Control, DMEPOS

The Surveyor’s Questions

Posted by Steve DeGenaro on Fri, Nov 10, 2023 @ 09:16 AM

One of my funniest memories from surveying was many years ago at a small DME company in the Midwest. The staff was pleasant and accommodating and had been well prepared for the survey. But for some reason (probably related to a co-worker’s retelling of a “bad” survey that she’d gone through), the staff was pretty nervous about the accreditation visit. I pride myself on NOT presenting an intimidating attitude, but the staff at this place thought I was the police, the IRS, and the guy in charge of the Inquisition rolled into one. I tried my best to put the staff at ease. At one point, I asked a customer service representative about how they conveyed information on the patient’s rights and responsibilities to new customers. She fumbled through a pretty good answer. I asked her if she could name one of the responsibilities and she answered that they need to inform the company if they move or if their insurance changes (a good answer). I asked her if she could name a right and she froze up. Finally, she took a deep breath and blurted out: “The right to remain silent”.

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Topics: Employee Training, Billing, HME Accreditation Requirements, Clinical Practice Guidelines, Retail, Delivery

Quality Improvement Indicators

Posted by Steve DeGenaro on Mon, Oct 09, 2023 @ 09:03 AM

DME owners and managers often cite quality improvement (QI) and/or performance improvement (PI) as one of the most difficult concepts to understand and one of the most difficult programs to implement within their businesses. And industry consultants and surveyors find the so-called QI Standards some of the most frequently cited standards for deficiencies and recommendations, and one of the areas in which they spend the most consultative time educating companies.

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Topics: Quality Improvement, HME Accreditation Requirements, Process Improvement, Customer Service, Business Practices

What Goes on the Truck (and What Doesn’t)

Posted by Steve DeGenaro on Thu, Sep 14, 2023 @ 11:43 AM

I’m not going to name names, but many years ago, as a young surveyor, I was inspecting delivery vehicles at a place (the location will remain unnamed) and observed one of the worst safety hazards I ever saw in my career. A delivery technician who covered a two-state territory had been in the adjacent state where fireworks were legal, and decided to stock up for the

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Topics: HME Accreditation Requirements, Avoiding Deficiencies, Delivery, Oxygen, Equipment

Mission & Vision: The First Standard for a Reason

Posted by Steve DeGenaro on Tue, Aug 15, 2023 @ 02:45 PM

The very first standard in the HQAA Accreditation Standards is ORG 1 MISSION & VISION. The “mission & vision” standard is the first standard for a reason: the mission and vision set the tone for your organization’s corporate culture and define who you are and why you exist. They represent not only what your organization does, but why it does it. The “how it does it” will come later with the various policies & procedures, but this first standard talks about something more basic and philosophical.

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Topics: HME Accreditation Requirements

Happy New Fiscal Year

Posted by Steve DeGenaro on Mon, Jul 10, 2023 @ 04:12 PM

Calendar year is a very predictable January 1-December 31 each year. With very few exceptions, this is “the year” and most folks say “Happy New Year” on January 1st. The exception to that is in the world of business—where there are arcane and unusual, but well thought out, differences and exceptions.

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Topics: Quality Improvement, Quality Standards, Process Improvement, Avoiding Deficiencies, Disaster Preparedness, Business Practices, Equipment

The Human Resource File

Posted by Steve DeGenaro on Mon, Jun 19, 2023 @ 10:54 AM

Accreditation documentation requirements for the human resource files are relatively straightforward, yet the human resource (“HR”) standards continue to be some of the most frequently cited standards and generate the most questions from DME customers. HQAA’s recent standards revisions and updates included several of the HR standards. This fact, along with the continued questions and citations for HR standards suggest it was time to revisit the personnel file and review expectations.

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Topics: Employee Training, Personnel Files, Renewing Accreditation, HQAA Accreditation, HME Accreditation Requirements, Avoiding Deficiencies

The Value of Conventions, Conferences, and In-Person Seminars

Posted by Steve DeGenaro on Wed, May 03, 2023 @ 10:00 AM

During that little pandemic thing we dealt with 2020-2022, our structure, processes, and even values changed in many ways. It can be argued that many of these changes made us stronger, more flexible, and more efficient. Think of things like teleconferencing for meetings, billers working from home, porch drop off deliveries, and virtual equipment set up/instruction. We, as an industry, were pretty resilient. Some of the changes however were generally perceived to be negatives. For instance: we lost in-person customer service skills. Good, bad, or indifferent, our industry adapted to these changes quickly. In some cases, it’s safe to say we’re never going back.

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Topics: Employee Training, Quality Improvement, Process Improvement, Business Practices, Equipment

'Best If Used By...’ --A Look at Products with Expiration Dates & How They Are Surveyed

Posted by Steve DeGenaro on Tue, Apr 11, 2023 @ 03:17 PM

A woman in the grocery store who happened to be in line in front of me realized an item she was buying from the frozen food section was past its expiration date by about a month. She came to this realization perusing her items and just in time to bring it to the check-out clerk’s attention. The clerk admitted she didn’t realize frozen food even HAD an expiration date, and called a stock boy over to replace the item. The woman turned to me to apologize for the delay and said something about how the quality control in the store wasn’t what it used to be.

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Topics: Quality, Process Improvement, Retail, Delivery, Oxygen, Warehouse, Customer Service, Business Practices