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Health-Chex Nurse-led Healthcare Consulting Firm
Consulting & Training | Healthcare IT | Quality & Safety
Tailored solutions | Charlotte-based, US-wide

The super users learned it in an hour. They taught it in ten minutes.A hospital had the vendor train only its super user...
10/22/2026

The super users learned it in an hour. They taught it in ten minutes.

A hospital had the vendor train only its super users, then trusted them to train everyone else.

Here's what happened:
• Each super user passed on what they remembered and thought mattered most
• Some followed the training script they'd been given. Some didn't.
• Their own skill with the system varied
• No one set aside time for the rest of the staff to actually be trained

In the end, the technology never stuck.

Super users are valuable. But they're a support system, not a training plan. Every role still needs protected training time, a consistent script and a check that people can actually do the task.

Has your organization relied on super users to train everyone? How did it go?

Our free Training Needs Assessment worksheet helps you plan training by role. Download it through the link in the first comment.

Today is National Check Your Meds Day. Here's a question for anyone who builds or supports clinical systems:How close is...
10/21/2026

Today is National Check Your Meds Day. Here's a question for anyone who builds or supports clinical systems:

How close is the medication list in your EHR to what's actually in the patient's home?

Medication reconciliation is one of the most important tasks in the record and one of the hardest to get right. The patient forgets the over-the-counter pills. The specialist's prescription lives in another system. The "active" list carries a drug that was stopped two years ago.

Good informatics can't fix that alone, but it can make the right thing easier:
• Put reconciliation where it happens in the workflow, not three screens away
• Make stopping a medication as easy as starting one
• Show who last reconciled the list, and when

What's the biggest barrier to an accurate medication list in your organization? Tell us in the comments.

Ten weeks until the 2027 NCQA PCMH standards take effect on January 1.The biggest changes are in care management, and th...
10/20/2026

Ten weeks until the 2027 NCQA PCMH standards take effect on January 1.

The biggest changes are in care management, and they land in what staff document, not just in what a policy says.

The care plan alone now needs four parts:
1. A problem list
2. A medication list
3. Expected outcomes, with a patient treatment goal or a SMART goal
4. A return date or timeframe for review

In practice, that means a template change, a documentation habit and a chart audit. That's more than a memo's worth of work, and it's hard to do well in December.

If you support a recognized practice, this belongs on the October calendar.

Where is your practice in getting ready: updated templates, staff trained, or still reading the standards? Tell us in the comments.

Need help with readiness, policies or a mock survey? Our NCQA accreditation team can help. Call 980-284-3500.

It's National Healthcare Quality Week, and we want to recognize the people behind it.Healthcare quality professionals do...
10/19/2026

It's National Healthcare Quality Week, and we want to recognize the people behind it.

Healthcare quality professionals do work that patients rarely see. They catch the near miss before it becomes harm. They turn a pile of data into the one measure that changes practice. They prepare for the survey, the audit and the accreditation visit, then do it again next year.

Quality and safety is one of our three practice areas at Health-Chex. That covers NCQA accreditation support, clinical safety reviews and Safety Checks, our in-home safety assessment for older adults. Dee Baker, who leads this work, says it best: quality is never finished. It's what you check again tomorrow.

To every quality professional reading this: thank you.

Tag a quality colleague who deserves a shout-out this week.

A hospital recently rolled out a new wireless communication system for its clinical staff.The technology worked. The rol...
10/15/2026

A hospital recently rolled out a new wireless communication system for its clinical staff.

The technology worked. The rollout didn't.

Nobody on the hospital's side owned the project. The nurses who would carry the devices every shift weren't in the planning meetings. Neither were the charge nurses, unit managers or the people who would support the system at 3 a.m. Everyone assumed someone else was managing it. By the time the problems showed up, they were happening on the units, during patient care.

Our founder spent five years deploying wireless clinical communication systems, and this pattern is the most common one we see: a solution fails not because it doesn't work, but because the right people weren't at the table to make it work.

In this month's Checkpoint, Alexandria Pender, who leads our Consulting & Training practice, explains how to catch this before go-live, not in week one. Swipe through for her four tips.

We'd like to hear from you: who is most often missing from the table at a go-live?
A) Frontline staff who will actually use it
B) A named owner on the organization's side
C) IT and support for after go-live
D) Someone with the authority to say "not yet"

Tell us in the comments and share the go-live story you still think about.

Free tool in every issue. Read October's issue and subscribe through the link in the first comment.

The nurses opted out.A hospital rolled out wireless devices so patient calls and alarms would go straight to the nurse a...
10/14/2026

The nurses opted out.

A hospital rolled out wireless devices so patient calls and alarms would go straight to the nurse assigned to each room. One step made it work: at the start of every shift, each nurse adds herself to the staff assignment that links her device to her patients' rooms.

Many didn't. After years of alarm fatigue, they were sure they'd see the light over the door or hear the call at the nurses' station. Why sign up for more noise?

So the calls went to no one's device.

The technology was ready. The workflow wasn't designed around the people using it. Alarm fatigue doesn't disappear when you add a device. If anything, nurses brace for more noise. The design has to answer that first: which alerts go to the device, which don't, and what happens when no one is assigned.

Nurses and informatics teams: what has actually helped with alarm fatigue where you work?

We'll go deeper on designing around real workflows in the November issue of Checkpoint. Subscribe through the link in the first comment.

The slippery bath mats kept going back because they were easy to remove and wash. During a Safety Check, we found slippe...
10/13/2026

The slippery bath mats kept going back because they were easy to remove and wash.

During a Safety Check, we found slippery mats in front of the shower and the toilet. Her daughter removed them. By the next visit, they were back.

Her reason made perfect sense: the mats were easy to wash and dry, and she likes her home clean and tidy.

It's National Case Management Week, and every case manager knows this moment. A safety plan only works if it fits the person living it. Take away something someone values without offering a better option, and it comes back.

The better fix is rarely "no mats." It's a washable mat with a backing that grips the floor, or a grab bar where she reaches anyway. Safety she'll actually keep.

Case managers: how do you handle a client who undoes the safety fix? Tell us what's worked for you.

And thank you for the work you do, this week and every week.

Safety Checks is our 90-minute in-home safety assessment for older adults. Call 980-284-3500 to learn more.

Every Health-Chex engagement starts the same way: understand how the work really happens, then design a solution people ...
10/09/2026

Every Health-Chex engagement starts the same way: understand how the work really happens, then design a solution people can actually use. We put that one method to work in three areas:
🔹 Health Information Technology: implementation, workflow, and go-live support
🔹 Consulting: project management and strategic guidance
🔹 Quality & Safety: NCQA support and Safety Checks home assessments

Grateful for last month's conversations. Here's to the month ahead.

Coming home from the hospital or rehab is a big step, and the home should be ready before your loved one arrives.Our fre...
10/08/2026

Coming home from the hospital or rehab is a big step, and the home should be ready before your loved one arrives.

Our free Home Safety & Discharge Readiness Checklist is a room-by-room guide for families, caregivers, and discharge planners. It covers walkways, bathrooms, stairs, lighting, fire safety, and the medication and follow-up items that are easy to miss.

📥 Download link in the comments.

Want a professional to walk the home with you? A Health-Chex Safety Checks assessment includes an on-site, room-by-room review, prioritized recommendations, and a follow-up call. Call 980-284-3500.



Here's your free Home Safety & Discharge Readiness Checklist:https://www.health-chex.com/wp-content/uploads/2026/10/Health-Chex_Safety-Checks_Home-Safety-Discharge-Readiness-Checklist.pdf

How many handoffs happen in a single patient visit at your practice? If you're not sure, that's worth finding out.Our fr...
10/07/2026

How many handoffs happen in a single patient visit at your practice? If you're not sure, that's worth finding out.

Our free Workflow Self-Assessment Checklist walks you through 15 questions that surface the bottlenecks most small practices miss, across intake, handoffs, documentation, technology, and training. It takes about 15 minutes, and you can fill it in on screen.

📥 Download link in the comments.

Want a second set of eyes on your results? Call 980-284-3500 to book a free consultation.



https://www.health-chex.com/wp-content/uploads/2026/10/Health-Chex_Workflow_Self-Assessment_Checklist.pdf

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Charlotte, NC

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Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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+19802843500

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