Full Compliance with ALL Regulations/Certification • State-Specific Regulations & the JOINT COMMISSION

On-site Inspection to Evaluate Building Compliance with all Regulations
(AHCA, Dept of Health, Office Surgery Registration, The Joint Commission Standards)

Site-specific Manual Preparation
-  Office Based Surgery Certifications
-  Comprehensive Emergency Management
-  Accreditation programs for Health Care Clinic • Office Based Surgery Center • ASC
-  Risk Management
-  HIPAA Program
-  Policy and Procedures Manual
-  All Required Forms
-  Develop Structured Employment Files to Reduce Liability (Employee • Contractual • Allied Health Credentialing)

- Joint Commission Standards for Office based Surgery & ASC

- Risk Management
- Safety Management
- Infection Control
- Human Resources
- Performance Improvement
- Provision of care and Treatment

Assist with Certification Inspection Process

Develop Comprehensive Programs
- Quality Assurance
- Quarterly Visits
- Committee Meetings
- All Necessary Documentation

Miscellaneous Services
- Contract Review
- Hospital Privileges
- Medical Staff Organization
- Credentialing

Dr. Laura A. Leyva, LHCRM, MBA-HS
- Senior Health Risk Manager
- CEO/Senior Consultant