HQAA Blog

The last year has given us several natural disasters.  We’ve seen “Nor’easters”, major fires, hurricanes, floods, and mudslides, which left major highways destroyed and communities completely isolated.  It’s been a rough year! 

Mathematician and author Vernor Vinge popularized (and named) the notion that technological change grows exponentially.  He called the phenomenon “exponentially accelerating change” and wrote both scientific articles and popular culture fiction about the concept.  We have all heard statistics thrown around; such as the fact that your child’s IPOD has more capability than the computer on the Apollo mission that landed on the moon in 1969.  Or that we’ve developed more technology in the last 25 years than in the previous 10,000 years.  

Early in my consulting and inspecting career, I became fascinated by the concept of customer service.  Why are some organizations more customer service-oriented than others?  How do organizations promote a culture that encourages excellent customer service?  What can staff and management do to make customers happy with their experience?  I noticed that some of the medical equipment companies I visited had excellent customer service, others had mediocre customer service, and still others (not many, thankfully!) had horrible customer service.  I set out to understand the art of customer service and tried to answer the above questions by gathering fact patterns and collecting observations about the customer service I witnessed on my visits. 

“Cheers to a new year and another chance to get it right” --Oprah Winfrey

Confidentiality, privacy, and the protection of their medical records and information is something that our customer/patients have come to expect.  It’s been over ten years since HIPAA (the Healthcare Insurance Portability & Accountability Act of 1996) went into effect and consumers have had over a decade of education every time they interact with any business related to healthcare. The consumer is a lot more well informed about their rights now compared to a decade ago.  So, it might surprise some of us to find out that in the DME world, there are still instances of security and privacy breeches where medical information is NOT protected.  

All accrediting bodies, HQAA included, have standards that require an effective equipment tracking system in place at every organization surveyed.  Tracking systems are essentially a tool to help you keep track of where all your equipment and supplies are at any given time. The purpose of these tracking systems is for not only good overall inventory control and management, but also to facilitate a recall in the event a manufacturer or the FDA institutes a recall. 

Say the word “warehouse” to many people, and you conjure up images of a dark, dusty, damp place with rows of equipment and boxes, piled to the ceiling.  A home medical equipment company’s warehouse certainly can be the source of problems, deficiencies with standards, safety hazards, and infection control issues.  But with just a little planning, some elbow grease and hard work, and a bit of ongoing monitoring, you can turn your warehouse into a clean, safe, even pleasant environment that improves operational efficiencies and helps your employees do their job well. 

On a recent survey, a DME manager was surprised when I asked about the schedule for their marketing representative so I could set up some time to talk to her.  The organization was not being argumentative, but were truly surprised to find me interested in chatting with her about her the marketing she was doing.  “She really doesn’t have anything to do with the accreditation process and her work has no impact on accreditation at all”, they explained. 

Towards the end of the Provision of Services (PS) standards, almost to the end of the section, is the very simple accreditation standard PS 9: The Coordination of Care.  The standard, in very simple, straightforward language, reads:

The organization documents the coordination of care between all those involved in the delivery of services or equipment/devices to the client. The organization documents communication with the client and between providers in a standardized manner within the client medical record.

Quality improvement (QI) is often cited by owners and managers as one of the most difficult processes to understand.  Programs are established and resources spent in an effort to maintain compliance in this area.  Organizations report to surveyors that the process of maintaining their QI program can be cumbersome, time consuming, and useless.