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Contracted services can be a huge risk to hospitals if they are not managed under scrutiny. That is why CMS and TJC require hospitals to have a process to evaluate contracted services. The evaluation needs to ensure compliance with the provisions contained in the contract regulations and standards with oversight from the hospital board. Whether the hospital uses its own employees or contractors, the hospital is liable for evaluating contracted services to ensure patients receive quality care.
This program will cover contract requirements for hospitals accredited by TJC, the CMS hospital CoPs for contracts, TJC’s contract tracer, CMS and TJC telemedicine standards, and the standards for hospitals accredited by DNV GL.
|- Contract standard & EPs||- Board responsibilities||- Safety & quality requirements|
|- Leadership responsibilities||- Issued transmittals||- Continuity of patient care|
|- Staff competence||- Accredited organizations||- CMS changes to telemedicine|
|- Performance improvement req.||- Communicating expectations||- Contracted service requirements|
|- Credentialing & privileging||- Contract lab services||- How to review contracts|
|- TJC contract services tracer||- Telemedicine contracts||- CMS deficiency memos|
|- CMS hospital worksheet||- Monitoring performance||- Contract section in CMS worksheet|
|- Contract requirements||- DNV GL standards||- Ensuring safe & effective contracts|
|- Measurement & analysis||- List of contracted services||And that's not all!|
Anyone involved with or interested in compliance regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), OR Nurse Directors, ICU Nurse Directors, CCU Nurse Directors, Board Members, Clinic Managers, Outpatient Directors, Lab Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.