Medical Staff, Telemedicine and Other Changes: Meeting CMS Conditions of Participation and TJC Standards Recorded Webinar | Laura A. Dixon | From: Nov 30, 2021 - To: Dec 31, 2021 |
The Centers for Medicare and Medicaid Services (CMS) hospital CoPs have a section on the medical staff. It includes information on credentialing and privileging requirements, implementing Medical Staff (MS) bylaws and rules and regulations, hospitals in systems.
There are over 2,180 deficiencies from CMS related to the Medical Staff section. Three significant changes became effective November 29, 2019, to the CoPs under the transparency bill, discharge planning, and hospital improvement rule, all of which will be discussed to some extent. This includes changes to the history and physicals for healthy patients having outpatient procedures and changes to the autopsy rules.
CMS allows a hospital system to share a medical staff which CMS refers to as a unified and integrated medical staff. Additionally, the Medical Staff can credential the dietician to order a diet and the RD can be a member of the medical staff or just C&P without being a member of the Medical Staff. The board and Medical Staff sections will be discussed in detail.
There will also be a concurrent discussion of TJC standards for medical staff.
Although telemedicine has been a factor in healthcare for many years, COVID-19 gave it a larger role in the diagnosis and treatment of patients. Communicating remotely protects clinicians and patients from the transmission of the SAS-CoV-2 virus. The solution to do this was so obvious that the federal government, some states, and health insurers, quickly suspended regulations that limited telemedicine. It is anticipated that the telemedicine boom will outlive the coronavirus. CMS has made many changes to telemedicine during the COVID-19 pandemic. This will be discussed as well as the 1135 telemedicine waivers.
With all the recent activity in the area of telemedicine are you sure your hospital is compliant with the regulatory standards? Every hospital and critical access hospital that is doing telemedicine should ensure compliance. Both will be discussed along with the new tag numbers for critical access hospitals in 2020 and 2021.
Are you familiar with the federal regulation on telemedicine along with the CMS hospital CoP interpretive guidelines? CMS has been issuing quarterly reports of the number of hospital deficiencies and this program will discuss the most problematic standards in the telemedicine interpretive guidelines. The most problematic standard is the failure of the hospital to have the required sections in the contract for telemedicine services. This webinar will cover what provisions need to be in the telemedicine contract.
The Centers for Medicare and Medicaid Services (CMS) have conditions of participation (CoP) interpretive guidelines for all hospitals regarding their telemedicine standards. These were based on federal regulations. The regulation and interpretive guidelines also impact hospitals accredited by the Joint Commission (TJC). TJC made changes to crosswalk with the final CMS standards, all of which impact both large hospitals, small and rural hospitals, and critical access hospitals.
The regulations cover the credentialing and privileging process for physicians and practitioners providing telemedicine services. This revised process is less burdensome which means it is now a less financial burden for hospitals. CMS allows hospitals to credential by proxy. Hospitals are required to have a written agreement that meets certain criteria. Come learn all about the regulations and interpretive guidelines and the responsibilities of the board, medical staff, and hospitals to ensure compliance with the regulations or ensure you comply.
These standards have the effect of being able to bring the most up-to-date care to the most remote places. Many facilities are investing in equipment to support telemedicine. Make sure your facility complies with the regulations and interpretive guidelines.
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Who Should Attend?
Laura Dixon served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020 where she provided safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. She served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
