Grievances: Ensure Hospital Compliance with CMS, OCR & Joint Commission Standards

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
120 minutes
Product Description

Are You Ready For A CMS Surveyor Visit?

If a CMS surveyor showed up at your hospital’s door tomorrow, would you know what to do? Are you sure your facilities comply with the grievance requirements called for by the Centers for Medicare and Medicaid Services (CMS), the Office for Civil Rights (OCR), and the Joint Commission—and your accreditation organization? Did you know that the third most common problematic standard for hospitals is CMS grievance requirements? A recent report found that more than 1,000 U.S. hospitals were out of compliance with conditions of participation (CoPs)? Don’t let this happen to your facility!

Learn how to comply with grievance standards called for by CMS and other agencies in this compliance-focused audio presentation hosted by Sue Dill Calloway. She will detail the federal laws affecting hospitals, explain which are enforced by which agencies, and walk you through the standards of compliance you must heed—all with an eye toward helping you establish a properly prepared grievance committee.

After attending this event, you will understand best practices for physicians and nurses, know how to create a policy handling grievances and complaints (and know to follow it!), and be able to help your facility close the gap between what it is currently doing and what it is required to do.

Session Highlights

This program will teach you how to:

  • Create and implement guidelines necessary for meeting CMS grievance requirements
  • Follow grievance procedures in a way that satisfies CMS regulations
  • Respond to grievance complaints made through an interpreter or by a person with low health literacy
  • Respond to both written and verbal grievance complaints
  • Provide patients with information about how to contact a quality improvement officer

Session Agenda

  • CMS hospital conditions of participation (CoPs) 2018 – what hospitals need to know about grievances
  • OCR Section 1557 of the ACA
  • Nondiscrimination provision ACA 2016
  • Non-discrimination law
  • Auxiliary aids and services
  • Grievance process survey procedure
  • Beneficiary & Family Centered Care (BFCC) QIOs
  • CMS changes to come with QIO
  • TJC complaint standard
  • DNV healthcare NIAHO on grievance

Who Should Attend

  • Consumer advocates and patient advocates
  • Chief operating officers
  • Nurses with direct patient care
  • Nurse managers
  • Department directors
  • Chief executive officers
  • Quality improvement coordinators
  • Nurse directors
  • Compliance officers
  • Risk managers
  • Patient safety officers
  • HIPAA privacy and security officers
  • Anyone involved in the implementation of the CMS grievance, DNV, OCR, or Joint Commission complaint standards

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

Order Below or Call 1-844-384-4744 Today

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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of...   More Info
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