1 / 15

North Carolina Association Medical Staff Services MAY 15, 2008

North Carolina Association Medical Staff Services MAY 15, 2008. Renee Aird Dengler, RN, MS, CPMSM, CPCS Advocate Health Care Director, Medical & Professional Affairs. The Joint Commission. History 1910 – Ernest Codman, MD 1951 – American College of Physicians, American Hospital

liam
Download Presentation

North Carolina Association Medical Staff Services MAY 15, 2008

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. North Carolina Association Medical Staff ServicesMAY 15, 2008 Renee Aird Dengler, RN, MS, CPMSM, CPCS Advocate Health Care Director, Medical & Professional Affairs

  2. The Joint Commission History 1910 – Ernest Codman, MD 1951 – American College of Physicians, American Hospital Association, American Medical Association, Canadian Medical Association 1965 - Social Security Amendments of 1965 – Deemed Status – accredited hospitals are in compliance with most of the Medicare Conditions of Participation for Hospitals

  3. Centers for Medicare and Medicaid Services (CMS) History 1965 – Medicare and Medicaid enacted under Social Security Act 1973 – HMO Act 1977 – Health Care Financing Authority (HCFA)\ 1982 – PROs 1983 – Prospective Payment System 1985 – EMTALA

  4. Centers for Medicare and Medicaid Services (CMS) 1996 – Health Insurance Portability and Accountability Act (HIPPA) 2001 – HCFA is renamed CMS - Center for Medicare Management - Center for Beneficiary Choice - Center for Medicaid and State Operations 2003 – Medicare Prescription Drug Improvement and Modernization Act

  5. Centers for Medicare and Medicaid Services (CMS) • State Operations Manual • Conditions of Participation • Regulations and Interpretive Guidelines

  6. Centers for Medicare and Medicaid Services (CMS) • Deemed Status • TJC • AOA - HFAP • DNV - NIAHO

  7. Centers for Medicare and Medicaid Services (CMS) • Survey Process • Validation Survey • Web Sites • State Operation Manual / Interpretive Guidelines • http://cms.hhs.gov/manuals/Downloads/som107ap_a_hospitals.pdf • Email updates • http://www.cms.hhs.gov/AboutWebsite/20_EmailUpdates.asp#TopOfPage

  8. Centers for Medicare and Medicaid Services (CMS) • “Familiar” Standards • Review of Conditions of Participation, Standards & Interpretive Guidelines

  9. The Joint Commission & CMS • August 2008 Letter • Re: Deeming Authority

  10. The Joint Commission & CMS • Revised 2009 Accreditation Requirements as of March 26, 2009 • MS.01.01.01 • MS.02.01.01 • MS.03.01.01 • MS.03.01.03 • MS.05.01.01 • MS.06.01.03

  11. Clarifying Standards • Core Privileges • Telemedicine • H&Ps – APRNs, PA, Medical Students

  12. Clarifying Standards • Expedited Credentialing • Health Care Industry Representatives (HCIR) • LIP Health Screening

  13. Clarifying Standards • Ongoing Professional Practice Evaluation (OPPE) • Focused Professional Practice Evaluation (FPPE)

  14. National Committee on Quality Assurance (NCQA) • Credentialing Standards • NPDB – Proactive Disclosure Service (PDS) • Verification of “lifetime” board certification

  15. National Committee on Quality Assurance (NCQA) • Verification of CDS and DEA • Verification of Education & Training for Expired Board Certification • Pen or Pencil?

More Related