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

Contracted Services: Ensuring Compliance with the CMS Hospital CoP Standards, Joint Commission and DNV is an event dedicated to all of the contract requirements for hospitals accredited by the Joint Commission.

Topics

• Contract standard and the EPs
• The Joint Commission standards LD.04.03.09
• Updates
• Same level of care
• Safety and quality requirements
• Hospital leader responsibility for contracted services
• Consults and referrals not subject to requirements
• Limited applicability to patient care services
• Credentialing/privileging and CMS interpretive guidelines
• Staff competence
• CMS changes on telemedicine
• Transmittal issued
• Ideas on how to review contracts
• Performance improvement requirements
• Nature and scope of services
• Credentialing and privileging
• Monitoring the performance of contracts
• Leadership approval of contracts
• Communicating expectations in writing
• Contracts with other accredited organizations
• Continuity of patient care maintained if contract terminated
• Contracts that do not meet expectations
• FAQs
• Contract lab services
• TJC contract services tracer
• Telemedicine contracts
• Introduction into CoPs
• CMS Contract Regulations and Interpretive Requirements
• How to locate current copy
• CMS deficiency memos and areas in contract management cited
• List of contracted services required
• Contract part of CMS hospital worksheet
• Board responsible for contracted services
• CMS contract section in worksheets
• Performance improvement requirements
• Board action to identify quality problems
• DNV-GL Standards on Contract Management
• Final CMS Work sheet and Contract requirement
• Board legal responsibilities for contracts
• Measurement, monitoring and analysis
• Ensuring contracts are safe and effective
• Contracted services requirements
• List of contracts required
• Telemedicine contracts

Who should Attend

• Hospital Attorneys
• Director of Accreditation and Regulation
• Chief Nursing Officer
• Risk Managers
• C people (CEO, CFO, CNO, CMO)
• Individuals responsible for contracted services
• Department directors
• Quality improvement director
• Credentialing committee members
• Board members
• Patient safety officer
• Medical staff services professionals
• Nurse directors
• Compliance officer
• Regulatory department directors
• Joint Commission coordinator
• In house legal counsel
• Nurse educators
• Patient safety officer
• Contract managers
• Anyone responsible for monitoring or assessing contracted services such as department managers and directors