Regulatory Readiness Solutions, LLC
Mission
To provide healthcare leaders peace of mind by offering superior compliance insight, eliminating high-risk findings and ensuring regulatory compliance; saving organizations valuable time and resources by partnering with a proven and accredited regulatory professional.
I am a committed, passionate leader who brings decades of experience in Healthcare Regulatory Compliance, Risk and Quality. I have significant experience creating effective compliance solutions and hardwired, efficient processes. I bring an innate ability to research and interpret regulatory standards and have strong experience with CMS, TJC, OIG, Ambulatory, Hospital, Behavioral, LTC, OSHA and NFPA regulations.
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I got my start in healthcare compliance at 20 yrs old, when I joined the Air Force as a Healthcare Administration Specialist. For 8 years overseas, I managed regulations and OIG inspections for base military hospitals.
Since then, I have managed 100+ healthcare compliance surveys by state and federal regulatory bodies. I've become known as "The Fixer" and am especially skilled in effectively preparing facilities that are struggling or under pressure from State/TJC/CMS.
I bring a proven reputation as a results-driven compliance leader with dynamic change management skills and decades experience in producing successful Rapid Readiness Results and Excellent Survey Outcomes
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My passion is helping teams achieve regulatory success!
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Services
Services are completely customizable.
After your free 30-minute initial consultation, I’ll create a personalized consultation plan that best fits your organization's needs and schedule.
Mock Surveys
I will create and follow the same agenda TJC or CMS uses to survey your organization.
quickly assess your gaps; • Highly skilled in leading and executing high-pressure survey preparedness involving multi-disciplinary teams at all organizational levels. From EVS to OR to Admitting; not a stone goes unturned during my readiness efforts.
I can also provide a Modified Mock Survey with no system tracers or less survey days based on your needs
Expert Standards Interpretation
I offer exceptional experience successfully working with ADHS, CDPH, CMS, OIG, TJC, OSHA and OCR regulatory bodies.
I provide expert interpretation and guidance on state and federal standards compliance and survey readiness; offering expertise in 37 states' rules and all federal healthcare standards/regs
Focused Tracers/Deep Dives
Focused Tracers are completed on high risk issues such as Infection Prevention, Anesthesia/Sedation, Sterile Processing, Tissue Mgmt, Restraints, etc; providing a gap analysis and action plan
Deep Dives are a comprehensive standards review with leaders/staff educating them on a certain sections of standards, usually high risk.
Examples are:
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Medical Staff standards & document review
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Medication Mgmt/Abx Stewardship program rqmts
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Mgmt of Suicide Risk pts
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EOC/Emer Mgmt documentation rqmts
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Outsourced Required Positions
Compliance, Privacy, Safety
Don't have or need a full-time, onsite Compliance Officer, Safety Officer or Privacy Officer?
As a contract Compliance Officer, Privacy Officer, or Safety Officer -
I'll fulfill all compliance requirements of the position to include meetings, documentation, monitoring and guidance.
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Required Document Review/Creation
I review your required survey documents for compliance with regulatory expectations, as well as providing resources and guidance on writing and organizing them.
Includes State, TJC, CMS, OCR, OIG and more.
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Want to save the headaches?
I can create your required survey documents, plans and evaluations for you based on standards and surveyor expectations.
Some examples include:
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Infection Control Plan & Evaluation
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Infection Control Risk Assessment
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Envir. of Care & Emer Mgmt plans
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Quality Plan and Evaluation
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Patient Rights policy
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Restraints policy
​ESC, Statement of Deficiencies and Corrective Action Plans
I offer expert guidance in the development of state, TJC, and CMS responses and action plans.
I guarantee your submission meets compliance.
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Physician and Staff Education
Whether its a leadership presentation or a hands-on working group with physicians or dept staff; I am skilled at translating compliance standards into meaningful, easy to understand education. I also provide effective and easy-to-use tools and resources. Several of my testimonials below reference my engaging, creative and supportive interactions with staff and physicians.
Webinars available!
Laurie, CEO AZ/CA Hospitals
“As the CEO of a brand-new hospital in Arizona, I worked with Gina for 4 years. Gina had the responsibility of putting a quality and regulatory program together for us. She worked collaboratively with the entire team of clinical professionals to ensure our opening survey went well. We passed with flying colors and it was not a small task. Then came the challenge of keeping all of our policies, procedures, practices in alignment with The Joint Commission for future surveys. Gina and her team were fantastic and we never had a problem with meeting our regulatory requirements. Gina has a full understanding of the clinical requirements even though she doesn’t have a clinical license. She always had a tremendous amount of respect from our nurses and physicians. She is not afraid to roll up her sleeves and work side by side with the staff to ensure everything is in place. You will not be disappointed with Gina’s stamina, professionalism, and knowledge of her topic. I fully endorse Gina and her company: Regulatory Readiness Solutions, LLC."
Kim, VP, Nursing
"Gina’s knowledge and interpretation of accreditation standards is exceptional. She organized efforts and lead teams, in collaboration with hospital leaders, to ensure compliance was built into the culture, the decisions made, and the delivery of care with each discipline. Several survey officials have expressed how impressed they were of Gina’s knowledge and ability to thoroughly navigate, interpret, review and speak to hospital documents and compliance in all topics. She is truly an expert and I valued her extraordinary work."
Cathy, CNO AZ Hospital
"Thank you for the great leadership. Your knowledge of the regulatory world is amazing and your help during our survey was extraordinary. We are honored to consider you part of the team."
Laura, CEO AZ Hospital
“Gina, I want to recognize you for the outstanding work that you do! Thank you for your strong leadership, expertise in so many areas, your initiative and amazing responsiveness. You do an amazing job and provide me with such confidence that our regulatory needs are covered. You are a role model for accountability”
Kim, DoN, AZ Hospital
"I can confidently endorse Gina for her outstanding leadership in ensuring regulatory readiness.
Gina demonstrated unwavering commitment and organization during our Joint Commission survey preparedness. Her visibility and creative approach were instrumental in engaging and supporting our team throughout the process. Her expertise and commitment to excellence were evident, and I highly recommend her for any healthcare consulting needs."
Contact me
Phone
(480) 540-9745
Website
Location
Gilbert, Arizona
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