News From NAMSS
2016 NAMSS Regional Education Summit
The Recertification Application Has Moved Online!
"Accrediting Body's Failure to Detect Violations at Cleveland Clinic's Marymount Lab Sparks Federal Review"
"N.J. Court: Doctors Don't Have to Disclose They Lack Malpractice Insurance"
"Fewer Pediatric Services for Residents Of Hartford's North End"
"Former Hospital Director Claims Retaliation in Lawsuit"
"New Law Tightens Regulation of California Surgical Centers"
"Don't Neglect Employee Well-Being in the Quest for Patient Satisfaction"
"Deaf Patients Say It Can Be Difficult to Communicate at Hospitals"
News From NAMSS
2016 NAMSS Regional Education Summit
The 2016 NAMSS Regional Education Summit is scheduled for March 11-12, 2016 at the Hyatt Regency Orlando in Orlando, Florida! Take advantage of high-quality educational workshops and connect with fellow MSPs from across the country!
If you’re preparing for NAMSS certification exams and missed the preparation courses offered at the Annual Conference, consider attending the Regional Education Summit and participate in our Credentialing Specialist (CPCS) Exam Preparation Workshop, Medical Services Management (CPMSM) Certification Preparation Course, and Credentialing 101. Registration and hotel reservation information will be available shortly.
Optimizing Your Use of Federal and State Exclusions and State Sanction Sources
October 21, 2015 from 2:00 – 3:00 pm ET
This webinar has been approved for 1.0 CE
Presented by Dan Decker and Questin Francis of TyphoonData
TyphoonDATA will further your knowledge and application of HHS OIG’s List of Excluded Individuals and Entities (LEIE) and state Medicaid exclusion sources. TyphoonDATA also intends to further participants' knowledge and application of state Board Actions. Due to Recent changes in capabilities, interpretations, and enforcement trends, your need for an up-to-date understanding of the functions and departments of these agencies is crucial to your protection. The market is generally under-informed on the extent to which these differences effect the efficiency and completeness of departmental programs named above, warranting this hour long discussion.
Consulting as an Expert Witness in Credentialing and Privileging
November 12, 2015 from 2:00 – 3:30 pm ET
This webinar has been approved for 1.5 CEs
Presented by Kathy Matzka, CPMSM, CPCS
Consulting as an expert witness in litigation can be rewarding. Credentialing professionals are often needed to offer an opinion as to whether or not a facility being sued for negligent credentialing met the applicable standard of care. It can be become an additional “profit center” with very little overhead involved and can be a rewarding aspect of your career development.
Attend a NAMSS PASS Training Webinar!
“Patient Safety: The Critical Role of NAMSS PASS”
The next webinar will be held on: Thursday, November 19 - 1:00 - 2:00 PM EDT
This is a new webinar focusing on Patient Safety and how NAMSS PASS is the critical solution to one of the on-going challenges we face as MSPs. When practitioners do not fully disclose their work history, MSPs are not able to verify what they don't know and places their patients and facilities at risk. This important webinar covers the critical role of how NAMSS PASS addresses this issue. This webinar is free and you will receive one CE credit for attendance.
Click here to register now and to view all upcoming webinar dates!
The New Era of Electronic Provider Data
November 19, 2015 from 2:00 – 3:00 pm ET
This webinar has been approved for 1.0 CEs
Presented by Sorin Daivs, Managing Director of CAQH
At the end of these presentations, participants will be able to:
- Name the challenges of collecting vast amounts of provider data and how that impacts its use for credentialing and other purposes.
- List the benefits of using an online solution vs. traditional methods to capture administrative data to create a single source of truth for a robust provider data repository.
- Recognize how healthcare reform, including the Affordable Care Act, is impacting the need for more types and use of administrative provider data beyond credentialing.
The Recertification Application Has Moved Online!
We've gone digital! All certificants due for recertification in 2015 are now able to submit recertification applications online! The application is now available at www.namss.org/recertification. Paper applications will no longer be accepted.
A full listing of those due for recertification in 2015 as well as 2015 Recertification Policies and Guidelines can be found at www.namss.org/recertification. All 2015 recertification applications must be submitted by December 1st, 2015.
Attendees at last week’s Annual Conference had a great time connecting with colleagues and posted their photos to social media using #NAMSS2015. Check out highlights from Seattle on Facebook. What was your favorite part of the Annual Conference? Share it with NAMSS!
Accrediting Body's Failure to Detect Violations at Cleveland Clinic's Marymount Lab Sparks Federal Review
Cleveland Plain Dealer (10/01/15) Ross, Casey
Federal health officials are now reviewing the failure of the College of American Pathologists (CAP), a national accrediting organization, to uncover critical violations at a Cleveland Clinic-owned laboratory found to be putting patients in "immediate jeopardy." Clinic doctors said a team from CAP inspected Marymount Hospital's lab late last year and found only minor deficiencies. However, the Centers for Medicare and Medicaid Services (CMS) found a half-dozen major violations at the lab just three months later. The disparity has triggered an agency review to assess the accuracy and effectiveness of CAP's inspection. CMS conducts yearly reviews of all six accrediting organizations certified to inspect clinical labs nationwide, zeroing in on instances where accrediting bodies fail to detect major deficiencies that are later uncovered by CMS. These labs are not only relied upon to ensure the safety of blood transfusions, they also are tasked with providing accurate and timely test results to physicians and their patients. However, their work is overseen mostly by private nonprofit organizations that are not required to make lab inspection results public. CAP declined to release its Marymount inspection findings, arguing that its private relationship with the lab comes with an "expectation of confidentiality."
N.J. Court: Doctors Don't Have to Disclose They Lack Malpractice Insurance
Insurance Journal (10/02/15)
The New Jersey Supreme Court recently ruled that physicians do not have to inform their patients whether they have malpractice insurance for surgeries they are recommending. The unanimous ruling stemmed from a lawsuit against anesthesiologist Richard Kaul, who officials say performed back surgeries for years in same-day operating centers even though he lacked training to operate on spines. James Jarrell and his wife won a $750,000 judgment against Kaul after he experienced sharp pain after being operated on. But they sought additional compensation on appeal, arguing that Kaul should pay because he lacked malpractice insurance and failed to tell them. The court disagreed. Kaul lost his medical license years ago after a state investigation into complaints for patients who had severe pain after surgery.
Fewer Pediatric Services for Residents Of Hartford's North End
Hartford Courant (Connecticut) (10/08/15) Kovner, Josh
In the 16 months since St. Francis Hospital trimmed payroll and relocated some services at its two outpatient clinics in north Hartford, Conn., the number of patient visits has dropped by thousands in pediatrics. At the same time, the hospital has had to scramble to reopen OBGYN services in the wake of a community outcry. St. Francis, which recently merged with the country's biggest chain of Catholic hospitals, expects 3,600 pediatric visits at the Gengras clinic this year versus 8,700 visits in 2015. As the hospital has reduced clinical staff in north Hartford, it has expanded its services in the suburbs. The hospital has opened three "FastCare" walk-in clinics in local grocery stores. Some of the parents who stopped going to the Gengras pediatric clinic after the part-time physicians were pink-slipped, have taken their children elsewhere. This has left community members and the local chapter of a national pediatrics association concerned that many have not been able to find adequate care close to their homes. Some parents had been going to the same doctor at Gengras for years.
Former Hospital Director Claims Retaliation in Lawsuit
Farmington Daily Times (NM) (09/28/15) Garrison, Steve
In New Mexico, a former San Juan Regional Medical Center director has filed a lawsuit claiming she was fired by the hospital in retaliation for speaking out against the credentialing of unqualified radiologists. Rebecca Hahn filed the lawsuit last month in Aztec District Court, seeking unspecified damages on claims that include retaliation, breach of implied contract, defamation, and intentional infliction of emotional distress. Hahn claims she was told by John Buffington, her direct supervisor, not to voice concerns in September 2006 over the credentialing of resident students as locum tenens, or temporary, radiologists. Hahn, who was then serving as director of staff medical services, claims the credentialing violated the hospital's by-laws and its credentialing and privileging standards. She further charges that a lawyer for San Juan Regional Medical Center told her in July 2012 one of those resident student radiologists later misread an appendix scan and caused a woman's miscarriage. She reportedly met with hospital CEO Rick Wallace on July 16 of that year to discuss the alleged improper credentials and was subsequently fired on Sept. 21. Hospital spokeswoman Roberta Rogers said in an official response that the facility was limited in what it could say because of employee and medical privacy concerns, but she denied Hahn's claims.
New Law Tightens Regulation of California Surgical Centers
Outpatient Surgery (09/22/15) Gapinski, Kendal
Thanks to a new state law increasing oversight of outpatient surgery settings, California ambulatory surgery centers (ASCs) will face unannounced inspections and gain access to more credentialing information for doctors. Passed by the California legislature, the bill was signed into law in September shortly after a California HealthCare Foundation report, titled "Limited Visibility: Making Information Available on Outpatient Surgery in California," raised concerns about limited information and regulation over ASCs in the state. There are three primary components to the new law. The first is allowing accrediting agencies to hold unannounced inspections at ASCs following an initial survey. Second, the new law requires all physicians working at ASCs to undergo a peer review evaluation every two years. The results of these review will then be handed over to the governing body of the center, who must share this information with accreditors during the facility's survey. Finally, the law increases centers' access to information about doctors prior to granting or renewing their privileges. Both consumer protection groups and ASC associations, most notably the California Ambulatory Surgery Association, have announced their support for the new law.
Don't Neglect Employee Well-Being in the Quest for Patient Satisfaction
Fierce Healthcare (09/29/2015) Budryk, Zack
New research from Gallup shows that hospitals may look to increase patient satisfaction while disregarding the morale of their employees. The study analyzed five categories: an employee's feeling of purpose, their financial security, their overall health, social relationships, and sense of community. Less than 10 percent of respondents strive in all five measures. This is not entirely the fault of the hospital, the study pointed out. Healthcare workers tend to neglect their own well-being and leave themselves susceptible to burnout. This is why organizations must step forward to care for their employees, especially because research shows that workers with high well-being are more resilient in the face of stress. Healthcare providers have multiple ways they can improve employee morale, including healthier food options and fostering a sense of community.
Deaf Patients Say It Can Be Difficult to Communicate at Hospitals
Baltimore Sun (09/13/15) McDaniels, Andrea K.
Advocates for the deaf say patients who are hearing impaired are often unable to communicate with doctors or hospital staff due to a lack of translation services, which can make dealing with medical care and life-and-death situations all the more difficult and even frightening. The Governor's Office of the Deaf & Hard of Hearing in Maryland is working with hospitals to improve sign language interpreting services and aiming to establish regulations to ensure only qualified and maybe even licensed interpreters are used. Federal disability law requires hospitals to provide translation services for deaf and hard of hearing patients. But advocates say the services hospitals provide are sometimes inadequate, and that translators are either not provided consistently or do not stay through entire visits. Many hospitals use video services, but some deaf patients say those systems are not reliable. "Communication is very critical so medical providers can understand what patients need and patients can understand what kind of care is being provided to them," says Kelby Brick, the recently appointed director of the Governor's office. "Without that information, the providers are operating in the dark, and that can have devastating consequences for the patients and increase liability for hospitals."
Abstract News © Copyright 2015 INFORMATION, INC.