First service

Program Management

Xtreeme Consulting, LLC provides contract Comprehensive Program Management Services for Integrated Behavioral Health, Opioid Medication Assisted Treatment, Outpatient Treatment, Intensive Outpatient, and Health Home Programs.

Our comprehensive Program Management Services include, but not limited to the following:

• Human Resource Management
  • Recruiting, Hiring, and ongoing Personnel Management
• Revenue Cycle Management
  • Third Party Contract Negotiations, Billing, and Collections
  • Budget Development, Management, and Reporting
  • Licensing and Accreditation Management (CARF and/or JCAHO)
    Initial Application, Intent to Survey, Initial Accreditation Surveys, Annual Licensing Surveys, and Re-Accreditation Surveys
  • Day to Day Operational Management
    Direct operational involvement to insure regulatory compliance, quality patient care, and profitability...

Second service

CARF Consulting Services

On-site and remote CARF consulting services are provided in the U.S. 

Mock Surveys. Onsite reviews and mock surveys are often the best way to prepare the organization for an actual CARF survey. This can be an efficient way to become familiar with the survey process. Mock surveys are useful when preparing for initial accreditation, when a new program is added under a currently accredited organization, or in preparation for a re-survey. Mock surveys are individualized for each organization, and can include:

• Pre-survey contact and review of non-confidential document prior to the mock survey
• Orientation Conference and tour
• On-site review of policies and procedures, clinical forms, administrative and program documents, and client records, as well as interviews with governance, leadership, funders, staff, and clients
• Exit Conference with review of draft mock survey report
• Debriefing of leadership and selected personnel
• Finalized report with recommendations and consultations

Policy and Procedure Development and Review. This service includes writing new policies and procedures as well as reviewing existing documents to ensure continued relevancy and conformance to CARF standards. The review also includes identification of inconsistencies and redundancy. The frequency of reviews is determined based on the needs identified by the organization and as suggested by the CARF consultant.

Document Development and Review. This service includes report writing, document development, proof-reading, editing, and formatting of documents as well as annual updates to ensure conformance to CARF standardfs. When an organization contracts for ongoing review of documents, the frequency of reviews is determined based on needs identified by the organization and as suggested by the our CARF consultant. Many documents are required to be reviewed annually (e.g., program plans, strategic plan, risk management plan).

• Administrative Documents include: The six administrative plans (i.e., Cultural Competency & Diversity Plan, Strategic Plan, Risk Management Plan, Technology & Systems Plan, Accessibility Plan, Performance Analysis & Improvement Plan); ethical codes of conduct; job descriptions; emergency procedure evacuation drill forms; grievance forms; requests for reasonable accommodations; quarterly billing audits; and other documents.
• Program Documents include: program plan(s); screening form; client orientation handbook and checklist; assessment form; treatment plan; transition plan; discharge summary; quality records review form; and other documents.

Quarterly Records Review. Due to lack of time and/or staffing, it is often difficult for organizations to conduct the required quarterly records review of a representative sample of open and closed charts (e.g., at least 10% of each). our CARF consultants are available to provide this on-site service on a quarterly (or more frequent) basis. Written findings will be provided to managers for incorporation into training programs.

Survey Design, Administration, and Analysis. CARF-accredited organizations are expected to continually focus on the expectations of the clients, personnel, and other stakeholders. This includes soliciting, collecting, and analyzing input from clients and staff in order to implement changes in services to meet the identified needs. The leadership is also required to use the information in program, financial, resource, and strategic planning as well as for performance improvement and organizational advocacy. This component of continuous quality improvement can be challenging for many organizations. 

Pre-Survey Preparation and Organization. Consulting services can be especially helpful in the month (and days) prior to the survey or re-survey. We can assist in the organization of documents and other materials for easy access of the surveyors. When a surveyor cannot find the required information within a reasonable time, assistance is sought from the organization. When samples of conformance to the standards cannot be produced by the organization, recommendations can be given. Contracting with a CARF consultant to prepare for the on-site survey can reduce the number of recommendations received.

Quality Improvement Plan (QIP). In order to be useful, a good QIP contains interventions that effect actual and continuous change. For example, a common problem for organizations is that treatment plans are often not consistently measurable, achievable, and time-specific. An ineffective QIP action might state: "Direct-service staff will receive training about how to write objectives that are measurable, achievable, and time-specific." Although at "face value" this appears to be an effective intervention, training of staff often does not mean a direct translation to actual and consistent change. Contact us to learn more about how our CARF consultants can help write and implement effective QIPs.

Third Service

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