HQAA Blog

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

A New Year: A New Company

Posted by Steve DeGenaro on Wed, Jan 04, 2023 @ 03:41 PM

2023. We’re twenty-three years into the new millennium.  Medicare is close to sixty years old. Time is marching on quickly—relentlessly, some would say.  New Year’s Eve parties continue the great tradition of partying into the wee hours, ringing in the New Year with a toast, and getting up January 1st with a renewed optimism, a positive outlook on life, and a list of resolutions to improve.  You might say it is a great example of continuous quality improvement.  

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Topics: Employee Training, Security, Quality Improvement, Renewing Accreditation, Compliance, Process Improvement, Materials Management, Showroom, Retail, Warehouse, Work, Disaster Preparedness, Business Practices, Marketing, Equipment

New Year’s Resolutions

Posted by Steve DeGenaro on Fri, Jan 10, 2020 @ 10:57 AM

In all aspects of a person’s life, the first of the year affords an opportunity to “start fresh,” begin again, and resolve to improve.  Every year, I humbly suggest all business owners and managers take a look at their organizations, take stock in what they’ve accomplished, consider opportunities for improvement, and resolve to make the next year better than the last one.

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Topics: Personnel Files, Quality Improvement, Showroom, Retail, Warehouse, Business Practices, Marketing

Customer Complaints Can Be a ‘Good Thing’

Posted by Steve DeGenaro on Wed, Nov 13, 2019 @ 08:32 AM

Nobody wants to have a customer complain about any aspect of their business.  Complaints are negative feedback, indicative of an unhappy customer, and generally a bad thing.  They can be harsh or mild, constructive or destructive, fair or unfair, deserved or not deserved.  But at the core of any customer complaint, there is feedback about a customer experience, or at least their perception of that experience.  And this information and feedback can be a treasure trove of information to use to improve the customer experience, your internal processes, and how your organization does business. 

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

Effective ‘Onboarding’ & Improving Employee Retention Rates

Posted by Steve DeGenaro on Wed, Sep 11, 2019 @ 01:21 PM

Statistics vary, but a general rule of thumb is that 35-45% of all new employees will leave the company that hires them within two years.  One piece of the data that is consistent is that the rule of thumb applies to all industries and sectors, high wage earners and workers making minimum wage, young and old, male and female.  That statistic should stun managers, supervisors, and business owners and should serve as a “call to arms” encouraging companies to study how they hire and orient new employees to their jobs. 

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

DME Policy Manuals

Posted by Steve DeGenaro on Thu, Nov 08, 2018 @ 10:28 AM

Many in the home medical equipment industry equate policy manuals to their accreditation inspections. And of course, these bulky tomes are certainly a large part of the accreditation and survey experience for every DME. Policy manuals serve as the road map for how work gets done within an organization, a set of rules for the organization, and the document that defines the structure, function, and philosophy of the organization. Let’s look at what a policy manual should contain and how it impacts not only accreditation, but also the overall day-to-day operation of an organization.

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Topics: Employee Training, HIPAA, Security, Personnel Files, Quality Improvement, Billing, Renewing Accreditation, Quality Standards, HQAA Accreditation, HME Accreditation Requirements, Patient File Requirements, Compliance, Patient Privacy, Clinical Practice Guidelines, Materials Management, Avoiding Deficiencies, CMS, Complaint Process, Quality Care, Showroom, Retail, Delivery, Clinical Respiratory Services, Oxygen, Warehouse, Safety Officer, Competence, Customer Service, Disaster Preparedness, Emergencies, Business Practices, Marketing

Resolutions for the New Year - DME Style

Posted by Steve DeGenaro on Fri, Jan 05, 2018 @ 02:32 PM

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

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Topics: Quality, Employee Training, HIPAA, Personnel Files, Quality Improvement, Billing, Quality Standards, Patient File Requirements, Compliance, Patient Privacy, Process Improvement, Materials Management, Avoiding Deficiencies, Showroom, Retail, Delivery, Warehouse, Safety Officer

Quality Improvement

Posted by Steve DeGenaro on Fri, Jul 07, 2017 @ 01:50 PM

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. 

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Topics: Quality Improvement, Process Improvement

4 Easy Steps to Ensure Your Warehouse Meets HME Accreditation Standards

Posted by Steve DeGenaro on Tue, Feb 04, 2014 @ 03:55 PM


Say the word “warehouse” and many people 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 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. 

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Topics: Quality Improvement, HME Accreditation Requirements, Avoiding Deficiencies, Warehouse

DME Accreditation: How to Improve Quality & Performance Documentation

Posted by Jim Moyer on Wed, May 01, 2013 @ 07:27 AM

When it comes to DME accreditation, surveyors receive multiple inquiries on an ongoing basis regarding how to monitor quality continuously and improve the performance of their organization.

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Topics: Quality Improvement, Quality Standards, HME Accreditation Requirements, Process Improvement