If a CMS surveyor showed up at your hospital tomorrow would you know what to do? Are you sure you are in compliance with the entire grievance requirements by CMS and the complaint standards by the Joint Commission (TJC) or your accreditation organization? Do you have a grievance committee? Do you provide a written response as required by CMS? The CMS grievance requirements have recently been a frequent source of investigation. In fact, it was the third most common problematic standard for hospital. The grievance standards are located in the patient rights section.
CMS issues their first memo summarizing noncompliance and grievances were a top problematic standard. The January 28, 2016 report by CMS found 773 hospitals out of compliance! Don’t let this happen to your hospital.
Join Sue Dill Calloway, RN, MSN, JD, in this session to learn what you need to ensure compliance. Many hospitals are surprised at the number of regulations and the detailed requirements to comply with this problematic standard. Most hospital in the US that accepts Medicare or Medicaid reimbursement must be in compliance with the CMS Conditions of Participation (CoPs). This program will cover in detail the CMS requirements for hospitals to help prevent the hospital from being found out of compliance with the grievance regulations.
Sue will also discuss TJC standards on complaints and DNV Healthcare on grievances and how these cross walk to the CMS grievance interpretive guidelines. The session will also cover what is now required to be documented in the medical record. This is a must attend for any hospital since their staff should be aware and follow the hospital grievance and complaint policy, which should be approved by the board.
The AHRQ have asked the Office of Budget Management to approve a proposal to test the prototype consumer reporting system for patient safety events. This included a proposal to collect information voluntarily from patients, consumers, family members and others via the internet or telephone. This 90-minute session will discuss the AHRQ proposed consumer reporting system for patient safety events and how this could impact the area of grievances and complaints. Finally, the role of the consumer advocate in this area will be discussed.
Who should attend:
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...
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