Contracted Services: Ensuring Compliance with the CMS Hospital CoP Standards, Joint Commission and DNV

Product Id : HE128
Instructor : Sue Dill Calloway
Aug 26, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 90 Minutes

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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 of 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.

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 address the contract management issue.

Learning Objectives:

  • Recall that the Joint Commission has a contract standard in the leadership chapter
  • Discuss that CMS has a section in the hospital conditions of participation that sets forth requirements for contracted services
  • Describe that the same level of care is required whether the hospital provides the services directly or through contracted services
  • Recall that CMS requires that Board to make sure that contract services are reviewed as part of the QAPI process
  • Discuss that hospitals accredited by DNV must also follow their contract management standards

Session Agenda:

  • 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
    • Credentialing and privileging
    • Leadership approval of contracts
    • Monitoring the performance of contracts
    • Contracts with other accredited organizations
    • Communicating expectations in writing
    • 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
  • Summary of contract requirements and recommendations

Who Will Benefit:

  • Director of Accreditation and Regulation
  • Hospital Attorneys
  • Chief Nursing Officer
  • C- Level people (CEO, CFO, CNO, CMO)
  • Quality improvement director
  • Medical staff services professionals
  • Patient safety officer
  • Compliance officer
  • Compliance officer
  • Nurse educators
  • Anyone responsible for monitoring or assessing contracted services such as department managers and directors    
Speaker Profile:

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 past VP of legal services at a community hospital in addition to being the privacy officer and the compliance officer. She was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.

She is a well-known lecturer and the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.

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