WEBINAR: Contracted Services

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. This webinar will cover all of the contract requirements for hospitals accredited by the Joint Commission as well as the CMS Hospital Condition of Participation requirements. 

Webinar 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

Target Audience
Director of Accreditation and Regulation, Hospital Attorneys, Risk Managers, CNO, Individuals responsible for contracted services, CEO, CFO, CMO, Quality Improvement Director, Department Directors, Board Members, Credentialing Committee Members, Medical Staff Services Professionals, Patient Safety Officer, JC Coordinator, Regulatory Department Directors, Nurse Educators, In-House Legal Counsel, Contract Managers and anyone responsible for monitoring or assessing contracted services 

Webinar Topics:
The Joint Commission standards LD.04.03.09
Contract standard and the EPs
Same level of care
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
Ideas on how to review contracts
Credentialing and privileging
Nature and scope of services 
Leadership approval of contracts
Monitoring the performance of contracts
Contracts with other accredited organizations
Communicating expectations in writing
Contracts that do not meet expectations
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
2015 Final CMS Work sheet and Contracts

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

Sue Dill Calloway, RN, Esq. CPRHM, AD, BA, BSN, MSN, JD, Attorney at Law
President of Patient Safety, Healthcare Consulting and Education Company

Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.

Ms. Calloway has given many presentations locally and nationally to nurses, physicians and attorneys on medical and legal issues. She has authored numerous articles and over 1000 articles and 100 books, including the 2009 Joint Commission Leadership Standard (HCPro), Nursing and the Law (PESI, 1986 and 1987), Ohio Nursing Law (West Publishing), Nursing Ethics and the Law (PESI, 1986), Legal Issues in Supervising Nurses (PESI, 1988), Medicine Made Easy (PESI, 1992) and The Law for Nurses Who Supervise/Manage Others (PESI, 1993), Legal Issues in Obstetrics (PESI, 1997) and JC Leadership Standards (HCPro, 2004), and the Compliance Guide to the CMS and the Joint Commission Patient Rights Standards (HCPro, 2005), and the 2009 book on the Joint Commission Leadership Standards (HCPro). She often writes articles called the “CMS Corner” in Briefings on the Joint Commission. Ms Calloway is a 1996 recipient of PESI's Excellence in Education Award.

Nursing CEU Credits: 
Nursing participants: This webinar has been approved for 2.1 contact hours by the Iowa Board of Nursing Approved Provider Number 339. Completion of offering required prior to awarding certificate.
All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.75 Hour Attendance Certificate.
12/11/2017 9:00 AM - 12/11/2017 10:45 AM
United States


Monday, 11 December 2017

9:00 AM - 10:45 AM
12/11/2017 9:00 AM
9:00 AM - 10:45 AM
12/11/2017 9:00 AM
9:00 AM - 10:45 AM
12/11/2017 9:00 AM
9:00 AM - 10:45 AM
12/11/2017 9:00 AM

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