Accreditation and Licensure Services

BESLER Consulting will collaborate with your team to assess, problem-solve and refocus decision-making strategies related to your accreditation readiness. We will assist you to meet your goals and objectives while tailoring practical solutions to your organization and ensuring that The Joint Commission and other regulatory compliance challenges are met. Our services include:

The Joint Commission Accreditation Readiness Services
BESLER Consulting provides customized Joint Commission consultation for survey readiness, compliance, quality and patient safety.  We partner with organizations of all sizes and together with senior leadership forge relationships that create a foundation for success.  Our consultants discern organization challenges and provide expert knowledge, experience and advice for organizations set on healthcare excellence. BESLER Consultants will ensure your organization is aligned with State and CMS regulations

DNV Healthcare Accreditation Readiness Services
The BESLER Consulting team has successfully completed the DNVHC, NIAHO Accreditation Standards course and the ISO 9001 Lead Auditor course approved by DNVHC.  We are also listed on the recommended DNVHC Hospital Accreditation Consultant Roster, recognized for our accomplishment.  Our Accreditation and Clinical Services team has extensive healthcare experience including accreditation, CMS and State licensure regulations.  Our breadth & depth of experience can ease the translation in formalizing your Quality Management System.

Medical Staff Office Operations Program
The Medical Staff Office is no longer a mundane, clerical function. It is now the key to an organization’s continuous compliance with the new and stringent standards, including CMS Conditions of Participation (CoP) and The Joint Commission medical staff standard revisions. The BESLER Consulting Medical Staff Office Operations Program offers a comprehensive approach to assess Medical Staff Office operations and provide solutions to improve performance.  We have practical solutions that can be efficiently implemented and sustained over time to ensure regulatory compliance.

Transplant Services Recertification
Is your transplant program in compliance with the transplant specific Conditions of Participation (CoPs) that became effective on June 28, 2007?  Will your transplant program be ready for the Centers for Medicare & Medicaid Services (CMS) unannounced survey for recertification?  BESLER Consulting provides customized integrated services that can help your organization prepare for this unannounced CMS survey. The BESLER team of consultants will work with your facility to address a variety of issues related to transplant program approval.

Ambulatory Surgical Center Licensure and Accreditation Services
Are you preparing your Ambulatory Surgical Center for initial State and CMS licensure? Accreditation? Or perhaps your Center is in need of education for your medical, clinical and support staff? BESLER Consulting provides comprehensive services to support all of your Center’s needs. The BESLER team of consultants will work with your Center to address a variety of initiatives customized to meet your individual goals. We offer a host of services tailored to the specific needs of your organization.

State and Federal (CMS) Licensing and Regulation Services
Has your organization been surveyed by State or Federal agencies? BESLER consultants will assist your facility to interpret the various regulations and their numerous implications. BESLER consulting can provide support developing plans of correction and staff education.

Continuing Education
In today's rapidly changing healthcare environment, it is important to keep abreast of changes in laws, regulations and accreditation standards.  BESLER Consultants will partner with you to provide the education and training needed to keep your staff up to speed. Educational opportunities are based on organizational needs and how they can best be met.  BESLER consultants offer train-the-trainer programs that allow your organization to provide ongoing education and monitoring.  On-site seminars for specific groups of employees or on-site individual training are available on an array of topics.

Policy and Procedure Development
Have you updated your policies and procedures to comply with the alignment of The Joint Commission accreditation standards the CMS Conditions of Participation (CoPs)?  Are you reviewing and revising your policies and procedures based upon your State licensure requirement?   BESLER Consultants will provide support to efficiently and effectively review and revise your policies to meet CMS and State regulatory agency requirements as well as your accreditation standards.  Our consultants will collaborate with your designated management team to expedite this development and can also provide training programs for your staff on the updated policies to ensure implementation into organizational practice.