2019 - Contracted Services: Ensuring Compliance with the CMS Hospital CoP Standards, Joint Commission and DNV

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
Final CMS Work sheet and Contract requirement
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