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Contracted Services: Ensuring Compliance with the CMS Hospital CoP Standards, Joint Commission and DNV - Webinar (Recorded)

  • Webinar

  • 180 Minutes
  • January 2018
  • Compliance Online
  • ID: 4899970
Why Should You Attend:

This presentation will cover all of the contract requirements for hospitals accredited by the Joint Commission. This standard was amended every year for the past three years. The CMS telemedicine standard also updated a section in the Joint Commission contract standards. It is covered in the TJC contract tracer. This program will also cover the standards for hospitals accredited by DNV-GL.

The webinar will include the CMS hospital condition of participation requirements for contracts. Every hospital that accepts Medicare or Medicaid reimbursement must follow the CMS contract regulations and interpretive guidelines. The board will have to have a contract with the telemedicine facility that they are using for teleradiology and telecommunication and this program will talk about what must be in the contract.

CMS has added a section to the final CMS worksheets to ensure the surveyors addresses the contract management issue.Areas Covered in the Webinar:

The Joint Commission standards LD.04.03.09
Contract standard and the EPs
Same level of care
Updates
Hospital leader responsibility for contracted services
Safety and quality requirements
Limited applicability to patient care services
Consults and referrals not subject to requirements
Staff competence
Credentialing/privileging and CMS interpretive guidelines
Transmittal issued
CMS changes on telemedicine
Performance improvement requirements
Ideas on how to review contracts
Credentialing and privileging
Nature and scope of services
Leadership approval of contracts
Monitoring the performance of contracts
Contracts with other accredited organizations
Communicating expectations in writing
Contracts that do not meet expectations
Continuity of patient care maintained if contract terminated
Contract lab services
3 FAQs
Telemedicine contracts
TJC contract services tracer
CMS Contract Regulations and Interpretive Requirements
Introduction into CoPs
CMS deficiency memos and areas in contract management cited
How to locate current copy
Contract part of CMS hospital worksheet
List of contracted services required
CMS contract section in worksheets
Board responsible for contracted services
Board action to identify quality problems
Performance improvement requirements
Final CMS Work sheet and Contract requirement
DNV-GL Standards on Contract Management
Measurement, monitoring and analysis
Board legal responsibilities for contracts
Contracted services requirements
Ensuring contracts are safe and effective
Telemedicine contracts
List of contracts required

Speakers

Sue Dill Calloway is a nurse attorney, a medical legal consultant and the past chief learning officer for the Emergency Medicine Patient Safety Foundation. She is the immediate past director of Hospital Patient Safety and Risk Management for The Doctors Company. She is currently president of Patient Safety and Health Care Education and Consulting. She was a medical malpractice defense attorney for many years and a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer.

Ms. Calloway has done many educational programs for nurses, physicians, and other health care providers. She has authored over 102 books and numerous articles. She is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. She has taught many educational programs and written many articles on compliance with the CMS and Joint Commission restraint standards.