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Many hospitals are surprised by the number of grievance-related investigations surveyors look for. In fact, a recent report by CMS found over 1,000 hospitals out of compliance, making grievance the third most problematic standard for hospitals. It is vital to educate staff on grievance requirements and their hospital’s board approved grievance and complaint policies.
This program will address the grievance requirements of CMS, DNV Healthcare, and OCR, as well as complaint standards by TJC and other accredited organizations. Our expert will provide a crosswalk on grievance interpretive guidelines and focus on Section 1557, medical record documentation, and patient rights.
|- Preprinted order sheet changes||- Required audits and PIs
CMS CoP background
|- Section 1557|
|- Referral to QIO & State Dept. of Health||- Board responsibilities||- Policies & procedures|
|- Final interpretive guidelines||- Required audits||- Billing issues|
|- Customer service & complaints||- Standing order memo||- Patient satisfaction|
|- Telephone complaints after discharge||- Prompt resolution||- CAH requirements|
|- System analysis approach||- Forms to collect information||- 7-day rule|
|- Grievance committee requirements||- Process for prompt resolution||- OCR grievance requirements|
|- HIPAA requirements||- DNV health NIAHO standards||And so much more!|
Anyone working with patients with grievances, including but not limited to: Nurses, Physicians, Chief Nursing Officers, Chief Operating Officers, Nursing Supervisors, OR Directors, OR Nurses, Outpatient Directors, Clinic Managers, Ethicists, Lab Directors, HIPAA Privacy and Security Officers, Nurse Educators, Performance Improvement Directors, Compliance Officers, and anyone implementing grievance policies.