Healthcare Policy Management

ComplianceBridge TotalCompliance™ provides a cost-effective solution that enables healthcare organizations and hospitals to improve efficiency and achieve healthcare policy compliance through automated review/approval lifecycle management, publication, distribution, and tracking of their policies and procedures. A typical healthcare organization may have hundreds, possibly thousands of documents containing policies and procedures that are critical to the organization.

Five Key Benefits for Healthcare Organizations
  • Reduce risk of litigation and potential fines
  • Improve patient care and related services
  • Improve employee accountability
  • Reduce costs and stop chasing papers
  • Gain more insight and control of your organization

Hospital Policy Management

Hospital management entails maintaining quality policy compliance and patient safety, managing labor costs, revenue generation and governmental regulations, and finding ways to comply with mandates. Universal healthcare could complicate matters for hospital policy management. With increasing cost pressure, higher demands on patient care, and more complex procedures, hospitals are challenged with efficiently managing daily operations while managing policy compliance. Hospitals are continually pressed to redesign care processes and work environments to reduce medical errors.

Outpatient Care

Practitioners express concerns about exercising professional judgments when faced with regulations and maintaining standards of care for the poor that are consistent with professional standards. Practitioners discussed the ethical values that guided their actions, including the application of care management policy in a consistent manner, preserving community trust via transparent communication, and relying on evidence-based community needs assessments when planning programs. When faced with ethical challenges, practitioners often sought out colleagues, policy makers, and others for aid and counsel. Practitioners also struggled to find ways to keep communities informed about public health issues without inciting fear or creating an overwhelming demand for services.

Nursing, Residential, and Long-term Care

Demand for long-term care exceeds the supply of qualified workers who can deliver those services, resulting in severe workforce shortages. Rapid turnover among home care workers also contributes to inconsistent and often inadequate staffing. The scarcity of nurses and professional workers, who provide most of the care in long-term care facilities, is found in nursing homes and in agencies that provide home and community-based care. Further complicating the quest for quality long-term care is the lack of clarity about which changes to the health care system might lead to higher quality encounters between caregivers and patients.

Non-Profit Healthcare

In America's healthcare system, which is predominantly controlled by private entities, there can be substantial differences between for-profit and nonprofit health care. Nonprofit organizations face unique challenges in large part because “success” is less dependent on the bottom line. In addition, nonprofits often struggle to adapt to a continually changing medical landscape, as technology and knowledge constantly evolve. Many of these organizations—hospitals, free clinics, and other facilities—were founded to serve underserved communities, but these noble intentions aren’t enough to ensure financial stability. A lot of patients are too poor to afford even discounted medical services. For that reason, nonprofits must strive to raise funds and resources through donations and volunteer workers.

Claims Processing

Healthcare organizations are constantly striving to streamline claims processing. Healthcare-related claims are often complex, and processing of claims is often regulated by many practice management policies and procedures to ensure the claim handling is done accurately.

TotalCompliance delivers a solution to easily and efficiently manage all of your healthcare policies, procedures, and other critical documents in accordance with the unique needs of your organization.

Learn more about how it works, browse the list of key capabilities, or watch a demonstration video to see how TotalCompliance would benefit your organization.