"We're not finished"
There are still major hurdles Parkland must overcome before its CMS survey, which will be unannounced but complete by April 2013.
For example, the hospital still hasn't found someone to fill the position of a newly-created Chief Patient Rights and Safety Officer (CPRSO), which according to Alvarez & Marsal's CAP analysis would help Parkland "elevate the role of protecting patient rights and safety within the organization."
The CPRSO will head, also newly-created, the department of Patient Rights and Safety, which requires a reorganization of the hospital's Quality department. Laxton says Parkland is actively interviewing recognized leaders for the CPRSO position; however, even job candidates are questioning exactly what they'd be responsible for since it requires gathering so much information that isn't currently shared.
Laxton says the hiring delay is purposeful. "So that we get the role right; we are not alarmed by it."
Other, more serious recommendations that haven't yet been implemented are in the case management area. Parkland hasn't been able to improve the volume of patients discharged before 11 AM, and it has only completed 17% of measures recommended to improve patients' continuum of care beyond the acute setting.