Catalog Number : ngd1735
Title : Contract Management
Speaker : Sue Dill

Webplay Recording Date : 2-9-2015
Webplay Price : $ 125 for two weeks viewing

Webinar Purpose:

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. CMS recently issued a memo summarizing deficiencies received by hospitals and of the deficiencies many were related to contract management which will be discussed in this webinar.

Hospitals have been asked why they have contracted with certain entities. Hospitals must also have a process to evaluate the contracted services. The evaluation needs to ensure compliance with the provisions contained in the contract with oversight from the Board. The bottom line is whether the hospital uses its own employees or contracts out the service with contracted employees, the hospital must still evaluate the service and ensure patients are still getting good quality of care.

CMS has added a section to the CMS worksheets to ensure that surveyors address the contract management issue.

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 their Board make sure that contract services are reviewed as part of the QAPI process

Target Audience: 

Director of Accreditation and Regulation, Hospital Attorneys, Risk Managers, CNO, Individuals responsible for contract services, CEO, CFO, CMO, Quality Improvement Director, Department Directors, Board Members, Credentialing Committee Members, Medical Staff Services professionals, Patient Safety Officer, Compliance Officer, Nurse Directors, JC Coordinator, Regulatory Department Directors, Nurse Educators, In-house Legal Counsel, Contract Managers and anyone responsible for monitoring or assessing contract services such as department managers and directors

A Few of the Topics that will be covered:

• The Joint Commission standards LD.04.03.09
  • Contract standard and the EPs
  • Same level of care
  • Updates
  • 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

Contact Hours:

Nursing participants: Instruct-online has approved this program for 1.8 contact hours, 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 1.5 Hour Attendance Certificate for each program.

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.