QUALITY & RISK MANAGEMENT SERVICES

Is the opportunity clinical, documentation-related, or both?

We identify the key drivers behind mortality, patient safety indicators (PSI), and HAC performance, providing the insight needed to target meaningful improvement.

Talk To Us!

Trusted by 1,250+ Hospital Facilities and Physician Groups Nationwide

The logo for thomas jefferson university is white on a white background.
A white background with a few lines on it
A white background with a few lines on it
A red circle with a blue star and three white stars on it.
A white background with a few lines on it
White horizontal banner with a thin black strip along the bottom and a small blue mark near the center.
Mostly white blank image with a faint horizontal line near the bottom
The answer rarely sits with one team

Quality performance spans CDI, coding, physician leadership, and operations. We bring those teams together to uncover what is driving results and align actions that improve performance regardless of methodology.

Quality and risk expertise across every measure that matters

  • Mortality review: case-level review of patient severity, documentation of disease burden, and complications impacting observed-to-expected performance
  • PSI validation, including inclusion and exclusion criteria, present-on-admission accuracy
  • HAC review and validation
  • Expertise in Vizient, Elixhauser and other risk-adjusted quality frameworks
  • Quality program assessment, design and implementation
  • Targeted education and remediation

How we help

Ongoing mortality, PSI, and HAC review, so when focus and parameters shift, you have experts that already understand the process and how to measure your data.

Quality review workflows, governance and cross-team processes, designed with you and put in place.

A focused, independent review of mortality, PSI, and HAC results to validate coding and documentation accuracy, uncover what’s driving performance, and identify opportunities before results go external.

Targeted education for physicians, quality, and CDI and coding teams, based on audit findings and root cause concerns.

WORKING TOGETHER

Reviewers who know your methodology and can act on findings immediately.

Our Promise

  • Clinically experienced reviewers, with CDI, coding and quality expertise 
  • Findings grounded in the methodology your organization uses: CMS, Vizient, Elixhauser or otherwise
  • Clear, actionable, prioritized next steps, not just report findings


FAQs

  • How do you figure out what's driving a PSI or mortality result?

    We go beyond the score to understand the cases driving it. We evaluate clinical factors, documentation gaps, coding accuracy, reporting methodology, and workflows to pinpoint what’s influencing performance and where you can take action.

  • Can you check our coding before it shows up in our quality results?

    Yes. We can audit the coding and documentation behind your PSI, HAC and mortality results on its own, separate from a full quality review — so you catch an accuracy problem before it's a reported one.

  • What happens after a program assessment?

    You get a prioritized action plan. We can help carry it through with education, workflow changes, program redesign or ongoing review, or hand it off to your team.