Catalog Number : ncd1701
Title : Contracted Services: Ensuring Compliance with The Joint Commission 2010 Standards
Speaker : Sue Dill

Webplay Recording Date : 7-7-2010
Webplay Price : $ 200 for two weeks viewing

Webinar Purpose:

This presentation is to cover the contract requirements for hospitals accredited by the Joint Commission. It 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.

Target Audience: 

• Director of Accreditation and Regulation
• Hospital Attorneys
• Risk Managers
• Chief Nursing Officer
• Individuals responsible for contract services
• C people (CEO, CFO, CNO, CMO)
• Quality improvement director
• Board members
• Credentialing committee members
• Medical staff services professionals
• Patient safety officer Compliance officer

Webinar Objectives:

• Recall that the Joint Commission has a contract standard in the leadership chapter that has ten elements of performance
• 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 service
• Recall that CMS requires that Board to make sure that contract services are reviewed as part of the QAPI process

A Few of the Topics that will be covered:

• The Joint Commission standards LD.04.03.09
  • Contract standard and 10 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
  • 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
  • Telemedicine contracts and three exceptions
• CMS Contract Regulations and Interpretive Requirements
  • Introduction into CoPs
  • How to locate current copy
  • List of contracted services required
  • Board responsible for contracted services
  • Board action to identify quality problems
  • Performance improvement requirements

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.