Grievances and Complaints: Ensuring Hospitals Compliance with the CMS CoPs, Joint Commission, DNV Standards and OCR

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A recent report by CMS found that thousands of hospitals are out of compliance with the hospital CoPs. Compliance with the CMS hospital grievance requirements is widely problematic for hospitals. Join our expert, Sue Dill Calloway, as she provides guidance on these regulations as well as the Office of Civil Rights (OCR) requirements for hospitals under Section 1557 for grievances alleging noncompliance to the discrimination law. Also, gain a complete understanding of the Joint Commission complaint standards as well as the DNV healthcare grievance requirements.

Join us for this two-hour online training to discover how you can align policies, procedures, education and training with the standards to avoid noncompliance.

Section 1557: The policy required & timelines for filing grievance
Policies & procedures to ensure prompt complaint resolution
Keys to respond to grievances: The CMS 7-day rule & timeline
Critical guidelines for complying with patient rights standards
What hospitals are being cited for & steps to avoid a deficiency

Program Highlights

Patient Grievances & Complaints: Ensure CMS, TJC, OCR, & DNV Compliance

Keys to distinguishing between a grievance & complaint
Updates to Section 1557 on compliant processes
Governing boards & the complaint process - their roles & responsibilities
Real life examples - why hospitals are cited & how to avoid a deficiency

Complying with Patient Rights: How, When & What You Must Provide

Providing notice of patient rights - the latest CMS requirements
Patients' rights to file a grievance - what you need to know
Critical requirements for your Grievance Committee

Complaint & Grievance Policies and Processes Your Hospital Must Enforce

Verbal & written requests: Ways to respond promptly & effectively
What are the HIPAA rules if the complaint is not from a patient?
Ways to track & trend data to ensure better patient care

Live Question & Answer Session - Have your questions answered by the expert!

About the Speaker

Sue Dill Calloway, RN, MSN, JD CPHRM, CCMSCP, has been a nurse attorney and medical-legal consultant for more than 30 years. She has presented numerous educational programs for nurses, physicians, and other health care professionals on topics such as patient safety, Joint Commission, CMS, and HIPAA issues.

Sue is the past Director of Hospital Patient Safety with The Doctors Company and OHIC Insurance Company. She is on the board for the Emergency Medicine Patient Safety Foundation and previously was their chief learning officer.
She has past experience as a nursing professor, medical malpractice defense attorney, and director of health policy and risk management for eight years for the Ohio Hospital Association.
Sue is also past VP of legal services, compliance officer and privacy officer for a community hospital. Sue was part of the patient safety committee and involved in risk management activities.
She has written 102 books and thousands of articles.

Program Benefits

The third most common reason hospitals are non-compliant and get into trouble fall under the patient rights section! Don't let this happen to your organization. Learn what you need to do to ensure complete compliance. Many hospitals are unaware how many regulations and requirements go into this problematic standard. The CMS grievance requirements have recently been a frequent source of investigation. Join us for a two hour, in-depth training that can keep you out of hot water and compliant.

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