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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, OCR, and the complaint standards by the Joint Commission 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 hospitals.
Join us, as our expert goes over how to navigate the various standards and guidelines set forth to be in compliance. You'll be surprised by number of regulations and detailed requirements that are needed to comply with this problematic standard.
Anyone who is involved in the implemention of the CMS grievance, DNV, OCR, or Joint Commission complaint standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, nurses (all levels), Joint Commission Coordinators, department directors, board members, quality improvement coordinators, risk managers, legal counsel, patient safety officers, emergency department managers, compliance officers, clinic managers, nurse directors (OR, ICU, CCU), outpatient directors, HIPAA privacy and security officers, director of business office, lab directors, and policy and procedure committee.
|- Background on CMS CoPs||- CMS deficiency memo|
|- OCR grievance requirements under Section 1557||- TJC standards|
|- CMS definition of grievance||- Definition of staff present|
|- TJC definition||- Referral to QIO|
|- Changes to QIOs process||- 7 day rule|
|- System analysis approach||And so much more!|
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