“Disruptive” Practitioners: Legal Issues & Solutions for Your Code of Conduct and Medical Staff Policies
Problems caused by professional misconduct range from patient care jeopardized by victimized providers to liability for harassment in this era of #MeToo. However, outbursts and other inappropriate behavior can be symptoms of physician burnout or undiagnosed physical conditions. Conduct can be subjective; claims can result from retaliation or malice. Monitoring the work readiness of physicians and other prov..
Medical Staff, Telemedicine and Other Changes: Meeting CMS Conditions of Participation and TJC Standards
The Centers for Medicare and Medicaid Services (CMS) hospital CoPs has a section on the medical staff. It includes information on credentialing and privileging requirements, implementing Medical Staff (MS) bylaws and rules and regulations, hospitals in systems. This webinar will also cover the Joint Commission standard for medical staff, plus telemedicine and the federal regulations under CMS associated wit..
CMS made a change effective November 29, 2019, regarding History and Physicals. Healthy outpatients may not be required to have a history and physical. The process to do this will be explained including a required policy, Medical Staff and Board approval, revised medical staff bylaws and more. The webinar will discuss what should be in the policy. Many hospitals are not familiar with what is req..
Sometimes hospitals fall for a complicated re-do of medical staff documents that falls apart after the consultants leave the building. Or the medical staff bylaws have developed into a patchwork quilt of quick-fix additions created to respond to a plan of correction or accreditation survey report. Even updated bylaws can be improved by isolating processes to expose inefficiencies and inconsistencies.This we..
When contemplating the use of a supplier you would normally have many requirements and expectations that must be met. These include technical, regulatory, quality, responsiveness, location, readiness, and those less defined but critical. One of the tools at your disposal to verify the supplier’s acceptability is to audit its operation. This webinar is designed to provide the participants a working knowledge..
This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback, and Stark laws, and discuss how marketing activities can trigger either or both.This program will review the Federal False Claims Act and its various elements. It will examine what it covers and how it works, what is required to prove a false claim, who can bring an action under the Act, its damages, ..
This session will discuss the roles and functions of staff in a case management department that are needed to support the department’s goals through collaborative professional processes. The skill sets and characteristics for the role of the RN case manager and the social worker will be reviewed, as well as identifying the most contemporary functions needed to respond to changes brought on by healthcare ref..
Learn to identify and apply differing and conflicting rules with respect to the specific health care practitioner, the specific health care facility practice, and the emerging rules and regulations for electronic medical records confidentiality, security, and disposition. In addition to these clinical requirements of a specific profession, additional state laws set forth the content and retention of other t..
The topic is breaches of the impermissible use or disclosure of protected health information and for state law, personal information. A breach risk assessment is required with 4 questions that must be addressed. We will review the breach risk assessment, identifying a breach, no breach is too small to review and report, and what to do when a major breach (500 records) or more is involved. With a major b..
In an era of value-based purchasing, this role is more important than ever in managing metrics such as the Efficiency Measure and Readmission Reduction. It is also critical in a bundled payment environment or accountable care organization. Learn how to incorporate this role into your daily routine using best practice strategies.This program will review the elements that most greatly impact cost and length o..
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers than it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers then it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
This program will review the compliance issues that most greatly impact your practice as a case management professional such as the 2-midnight rule, the NOTICE Act, HINNs, The Important Message, and others. Do you have a utilization review committee and is it compliant with the Conditions of Participation for Utilization Review? Are you compliant with the Federal rules for discharge planning? Case managemen..
Healthcare facilities struggle with compliance for the OSHA Bloodborne Pathogens Standard, especially with the newer requirements from the Needlestick Safety and Prevention Act. This session will be delivered by a former OSHA National Bloodborne Pathogens Coordinator and will give you first-hand experience regarding some of the mistakes that healthcare facilities make that result in citations and fines. It ..
As this promotion reached our website, the Coronavirus is sweeping around the globe. Millions are quarantined in Chinese cities, where untold thousands are infected and the acknowledged death toll is climbing into four figures. Thousands of passengers and crew members are under lockdown on luxury cruise ships off the coasts of Japan and New Jersey. And the first cases have been reported in New York City.Ens..