Grievances and Complaints: Compliance with the CMS and OCR Requirements
Grievances and Complaints: Compliance with the
CMS and OCR Requirements
MHA Members $200.00 | Non-MHA Members $350.00
Tuesday, July 28 | 9:00 - 11:00 AM
Offered Through Partnership with Georgia Hospital Association
OVERVIEW:
This program will cover the Centers for Medicare & Medicaid Services (CMS) requirements on grievance regulations.?
The speaker will review a federal law that is enforced by the Office of Civil Rights requirements under Section 1557 of the Affordable Care Act. Hospitals must have a grievance procedure and compliance coordinator to investigate any grievances alleging noncompliance with this law, including discrimination.????
Staff should be aware of and follow the hospital grievance and complaint policy, which should be board-approved. This program will also cover what is now required to be documented in the medical record.?
LEARNING OBJECTIVES:
At the conclusion of this session, participants should be able to:
-Discuss that any hospital that receives reimbursement for Medicare patients must follow the CMS Conditions of Participation on grievances.
-Recall that the CMS regulations under grievances require a grievance committee.
-Explain that patients must be provided with a written notice that includes steps taken to investigate the grievance, results of the investigation, and the date of completion.
-Describe why the Office of Civil Rights requires hospitals to have a process to handle grievances related to discrimination.
TARGET AUDIENCE:
Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.
FACULTY:
Laura A. Dixon, BS, JD, RN, CPHRM
Laura A. Dixon served as the director of risk management and patient safety for the Colorado Region of Kaiser Permanente. Prior to joining Kaiser, she served as the director of facility patient safety and risk management and operations for COPIC from 2014 to 2020. In her role, she provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states.
Dixon has more than 20 years of clinical experience in acute care facilities, including critical care, coronary care, perioperative services, and pain management. Prior to joining COPIC, she served as the Western region director of patient safety and risk management for The Doctors Company in Napa, California.
As a registered nurse and attorney, Dixon holds a Bachelor of Science from Regis University, RECEP of Denver, a Doctor of Jurisprudence from Drake University College of Law, Des Moines, Iowa, and a registered nurse diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
This speaker has no real or perceived conflicts of interest that relate to this presentation.