A multi branch agency landed in a TPE probe at the worst possible moment, documentation fatigue was peaking and leadership feared a clawback. Here's how the record set went in clean and the nurses got their evenings back. The agency's name is withheld to protect confidentiality, the numbers are representative of engagements like this one.
A multi branch agency found itself in a Targeted Probe and Educate (TPE) probe just as documentation fatigue hit its peak. Narratives across the record had drifted into copy paste. Decline, the thing that justifies the benefit, wasn't being clearly documented. The story the charts told wasn't the story an auditor needed to see.
Underneath it, the nurses were exhausted. Charting was running two hours past the end of every shift, morale was slipping, and leadership was staring down a real risk of a clawback on top of a retention problem. The compliance exposure and the burnout were the same problem wearing two faces.
We moved the agency to HOPE Readiness and put clinical rigor back into the documentation before the record set ever left the building, while taking the after hours charting load off the nurses.
The compliance win and the retention win turned out to be the same win.
The TPE probe closed with zero findings, no clawback, no repayment. With scribes carrying the documentation, nurses got roughly 8.5 hours back every week, and the two quarters that followed saw turnover fall as the after hours charting that had been driving people out finally stopped. Fixing the record fixed the retention problem at the same time.
“My nurses aren't buried in paperwork for hours after their shifts anymore. Retention is up and morale is night and day.”Clinical Director, multi branch agency
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