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Contracts have become a recent hot topic with increased scrutiny by both the Joint Commission and CMS. Joint Commission has both a standard on contract managements and a contract services tracer. CMS recently issued a memo summarizing deficiencies received by hospitals and many were related to contract management and these will be discussed. This program will also discuss the standards for hospitals accredited by DNV-GL which are closely cross- walked to the CMS CoPs.
Hospitals have been asked why they have contracted with certain entities. Hospitals must also have a process to evaluate the contracted services. The evaluation needs to ensure compliance with the provisions contained in the contract regulations and standards with oversight from the Board. The bottom line is whether the hospital uses its own employees or contracts out the service with contracted employees, the hospital must still evaluate the service and ensure patients are still getting good quality of care. The board is responsible for oversight of contracted services and tips to ensure compliance will be discussed.
This presentation will cover all the contract requirements for hospitals accredited by the Joint Commission and changes. 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.
|- Contract standard and the EPs||- Contract part of CMS hospital worksheet|
|- Hospital leader responsibility for contracted services||- List of contracted services required|
|- CMS interpretive guidelines||- CMS contract section in worksheets|
|- Performance improvement requirements||- Board action to identify quality problems|
|- Credentialing and privileging||- Board legal responsibilities for contracts|
|- Nature and scope of services||- Contracted services requirements|
|- Continuity of patient care maintained if contract terminated||- Telemedicine contracts|
|- TJC contract services tracer||And more!|
Anyone responsible for monitoring or assessing contracted services such as department managers and directors, director of accreditation and regulation, hospital attorneys, risk managers, C people (CEO, CFO, CNO, CMO), individuals responsible for contracted services, quality improvement director, department directors, board members, credentialing committee members, medical staff services professionals, patient safety officer, compliance officer, nurse directors, Joint Commission coordinator, regulatory department directors, nurse educators, in-house legal counsel, contract managers, patient safety officer
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