Protect the privacy of your patients and the reputation of your facility.
Training that’s smarter, more effective, and cost efficient.
Automate the COI disclosure and management process.
Implementing a new software solution to manage conflicts of interest (COI) can be a daunting effort for an organization. The team must be fully prepared and engaged. Here are ten best practices that can help ensure a successful implementation.
The Health Insurance Portability and Accountability Act, known throughout the healthcare world as HIPAA, was signed into law by President Bill Clinton in August of 1996. In the 20 years since, HIPAA has become one of the most widely cited and discussed regulations. The actual law went into effect in 2002 and 2003.
Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.
Do you use a paper-based system for Competency and Performance Management? What if you were asked to provide a report to assess the competency of the entire organization on a skill such as blood transfusion? How long would that take you? What if your manager asks you to identify only employees who ‘Did Not Meet Expectations’ for this competency? Even worse, what if she asks “How does this compare to last year?’
With so much negative press coming out daily about compliance and so many sweeping changes being enacted in the human resources realm, especially in healthcare, there is no better time to make sure that your organization is in order.
CMS expects HealthStream and healthcare facilities to fully comply with all of the official protocols for each CAHPS survey. This is especially complicated because the rules are not consistent between programs.
The hospice industry has been subject to increasing regulation by governmental and accrediting entities. To stay up-to-date in this rapidly changing environment—and to continue to provide effective interventions for patients nearing the end of life—continuing education is a must.
A CIA requires significant attention, data collection, legal defense, negotiation, new systems, new policies, oversight, and enforcement, possibly for many years. Healthcare facilities of all types, including hospitals, pharmaceutical manufacturers, long-term care, physician groups, and more have all seen increases in CIAs. Yet, these organizations often struggle with what to do if a recipient of one.
Can you confidently say that your training initiatives are effective, that your employees are well trained, and that patients are safe? Do you have reliable data that allows you to strategically deploy training and manage your training costs? Are you prepared for your next audit? KnowledgeQ® is HealthStream’s answer to the healthcare industry’s demand for a strategic approach to annual mandatory training. The stakes are too high to continue a “check-the-box” exercise that offers almost no visibility into the cost of delivering training and whether expenditures could be eliminated or redirected to more effective initiatives.
Last month we looked at the growing problem of ransomware and the potentially devastating impact it can have on systems, patient information and the entire operations of your facility. Ransomware is just one of many security issues that every facility needs to be concerned with and take steps to prevent. The list of security concerns includes physical security, social engineering, phishing, social media, mobile devices, access to patient records, malicious software and more.
Imagine you come into work one morning and the entire computer network is shut down and all files are inaccessible! That’s what happened to a friend of mine who owns a business in New Jersey. On their network were two letters from hackers that had hacked into their computer system overnight – one that contained a link where they could get their ENCRYPTED files and network back and another that told them how to get the special software key needed to decrypt those files.
Like Chipotle, your organization may have a social media policy that bars employees from making “disparaging, false” statements about the company. Chipotle’s intended policy to protect their public image from unflattering social media posts by their employees.
Each year there are new and expanded healthcare regulations that must be understood, addressed and communicated to staff. The pace of regulations and responsibilities continues to accelerate. Recent examples include patient engagement, ICD-10, readmissions reduction, Healthcare Associated Infections, physician arrangements, and on and on and on. These are the shiny, new puppies that grab our attention. Because they are (relatively) new, we devote a lot of attention to these issues as there is a need to develop plans of action for each new area. At the same time, you need to remain vigilant on older regulations.
A new proposed rule (42 C.F.R. Part 483, Subpart B) from CMS is highlighting the Federal government’s increased scrutiny on post-acute facilities and includes new training requirements. This new rule details stringent compliance requirements that long term care facilities must follow in order to participate in the Medicare and Medicaid programs.
If you thought that the Federal government’s spotlight that has shined on healthcare compliance programs over the last almost two decades would abate anytime soon, you need to take a closer look at recent activity. Rulings, guidance and advisories from the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), the Office of the Inspector General (OIG) and the Center for Disease Control (CDC) show that the pace of new regulations and the scrutiny on compliance programs continues to increase. All of this new activity requires diligence from compliance, regulatory and accreditation officers to reduce risk, protect the organization and keep senior leadership in compliance and out of trouble.
In the next few years organizations will begin to tap into the enormous amount of real-time and historical data available and use that information to make decisions about and improve their business. These same concepts apply to healthcare training.
The Office of Inspector General has released a new document for health care Governing Boards that provides guidance for proper compliance oversight. The document reiterates the Board’s responsibility to oversee and review an organization’s compliance program. It helps Boards understand that oversight is a serious responsibility designed to undercover potential risks and compliance issues.
Now questions are being raised turning these concerns about conflicts of interest on their head. Some physicians are asking if incentive programs designed to improve quality and cost effectiveness, by promising increased revenue through “gainsharing” to physicians for attaining specific results, are creating conflicts of their own.
In January of 2012, I wrote an article titled “5 Reasons Your CFO Should Approve Your Training Budget In 2012”. It’s remarkable how little has changed. Those of you involved with regulatory compliance know that government regulations rarely terminate or remain stagnant. Quite the opposite. Most regulations expand over time and the requirements increase over time.
Patient safety has always been of primary importance for the delivery of care for any healthcare provider. Despite the focus on patient well-being, landmark studies have identified lapses in various patient safety procedures across the industry. In an attempt to correct these lapses, CMS created several programs that provide a financial incentive for patient safety in healthcare facilities. Programs from CMS either reduce payments to facilities that don’t meet certain thresholds for patient safety or present measurement information to the public to help the public make informed decisions.