Services provided

Evaluate the appropriateness and specificity of individualized treatment plans for pediatric patients.
Verify that treatment goals are measurable, realistic, and tailored to the unique needs of each patient
Verify the qualifications and credentials of therapists providing pediatric therapy.

Review billing practices to ensure accurate coding and billing for pediatric therapy services.
Confirm that billing aligns with the services provided and complies with reimbursement guidelines.
Review nursing documentation, including nursing notes, medication administration records, and care logs.
Confirm that documentation adheres to regulatory standards and accurately reflects the care provided.

The investigation process typically commences with the reporting of the adverse event. Clear procedures for incident reporting ensure that any negative patient outcomes are promptly documented.
Upon receiving the incident report, an immediate response is initiated to address the patient's immediate needs. This may involve medical intervention, communication with the patient's family, and ensuring the safety and well-being of the patient.

If the investigation reveals gaps in staff knowledge or skills, an educational plan is implemented to address these deficiencies. Continuous training ensures that staff members are well-equipped to provide high-quality care.
The agency establishes ongoing monitoring mechanisms to track the effectiveness of implemented changes. Feedback loops are created to encourage reporting, learning, and continuous improvement.