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Laguna health services improves compliance for upcoming CMS recertification

May 02, 2023 | San Francisco City, San Francisco County, California


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Laguna health services improves compliance for upcoming CMS recertification
The City of San Francisco is making significant strides in improving health services at Laguna Honda Hospital, as highlighted in a recent government meeting. The hospital has been working closely with the Health Services Advisory Group, a quality improvement expert, since May of last year. This collaboration aims to enhance processes and ensure regulatory compliance following a settlement agreement.

As part of this initiative, Laguna Honda has undergone two 90-day monitoring surveys conducted by the Centers for Medicare & Medicaid Services (CMS) and the California Department of Public Health. The results show notable improvements from the first survey to the second, indicating progress in meeting the established action plan. The next survey is anticipated to take place between late May and June.

The action plan, developed through a root cause analysis, serves as a roadmap for Laguna Honda's recertification efforts. It initially included 330 milestones, all of which are on track to be completed by May 13. However, as the hospital continues to address findings from the surveys, the total number of milestones has increased to 500, reflecting ongoing commitment to long-term improvements.

Monthly reports are submitted to CMS, detailing progress and compliance with the settlement agreement. Laguna Honda has successfully met all required milestones each month, demonstrating a strong commitment to enhancing care quality and operational standards.

As the hospital prepares for its upcoming recertification survey, officials express optimism about the improvements made and the potential for a successful outcome. The focus remains on ensuring that these enhancements are sustainable and integrated into the hospital's organizational processes, ultimately benefiting the community it serves.

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