Overview: The webinar will explain the process for covered entities and business associates to use to draft, adopt, and implement HIPAA compliance policies. The webinar will begin with a discussion of how to decide, using a gap analysis and a risk analysis, what policies the organization needs, including required, addressable, and other policies. Then, the webinar will cover writing a policy. Writing a policy is easier than one may think. It is a three-step process: researching, drafting, and revising.
This webinar will teach you to ask questions, solicit help, collect samples, keep the principles of substance, organization, coherence, style, and correctness in mind while you are drafting, send your draft out for review, incorporate comments, implement the policy, and repeat as necessary. The prospect of developing and writing perhaps as many as 70 policies to attain HIPAA compliance may still seem daunting, but this webinar will teach you how to make a checklist, take it step by step, and enlist the help of others when you need it.
Why should you attend: The majority of the DHHS civil money penalties and settlements in lieu thereof involve, sometimes with other violations, failure to perform a written risk analysis, failure to develop required policies, and failure to conduct adequate HIPAA training. These penalties usually are in the seven-figure range.
Failure to conduct a written risk analysis, adopt required policies, or conduct required training qualifies as "willful neglect," which carries the highest civil money penalty ("CMP") and which penalty cannot be waived by DHHS as can violations due to a reasonable cause. DHHS entered into a settlement with Massachusetts General Hospital for $1 million for a breach involving leaving paper PHI records on a subway. The sanction was because Massachusetts General had not trained its workforce on proper security for PHI taken offsite and did not have a work-at-home policy. Significantly, HIPAA does not even mention working at home, much less specifically require such a policy.
Areas Covered in the Session:
Learn how to decide which policies to write and adopt, using gap analysis and risk analysis
Learn which policies are required and which are addressable
Learn about other policies that your organization may need that are not mentioned in the HIPAA regulations but that organizations have nonetheless been fined for not having
Ask questions. Learn why you need to nail down the answers to at least 12 questions before you try to write a policy and how to do so
Solicit help. Learn whom to solicit help from both within and outside your organization and when and why and how
Collect samples. Learn what samples to collect and from whom
Substance. Learn what substance means and how to achieve it
Organization. Learn how to draft a clear beginning, a clear middle, and a clear end
Coherence. Learn how to connect your ideas so that readers will not have to wonder where something came from or why
Style. Learn how to write for your target audience as simply and clearly as possible
Correctness. Learn how to get rid of the static in your writing
Review. Learn whom to contact to review your drafts
Incorporate. Learn how to resolve disputes and incorporate changes
Implement. Learn how to lay out a plan for implementation of the policy, including publishing, distribution, implementing (and perhaps even training the workforce on the policy), and schedule for annual review and revision, if necessary
Questions and answers
Who Will Benefit:
Information Systems Manager
Chief Information Officer
Health Information Manager
Alice M. McCart has been an editor for more than three decades and an attorney admitted to practice law in Illinois since 1993. She has master’s degrees in teaching and journalism and enjoys freelance editing, tutoring, and teaching effective writing to adults. She has held positions in the federal government, in professional associations, in the corporate world, in private law practice, and in HIPAA consulting.
Phone No: 800-385-1607
Event Link: http://bit.ly/1kERG1f
Overview: This program will discuss the CMS worksheet on discharge planning. The discharge planning worksheet states that the necessary medical record information, such as a discharge summary, should be dictated and in the hands of the primary care physician or other physician before the first visit. Is your hospital familiar with the interpretive guidelines and the worksheet information? Come learn what other important things CMS has in their revised worksheet on preventing hospital readmissions!! CMS has recently issued their third revisions to the worksheets.
Every hospital that accepts Medicare and Medicaid must be in compliance with the CMS discharge planning guidelines. These standards must be followed for all patients and not just Medicare or Medicaid. CMS requires a number of discharge planning policies and procedures so come learn which ones are required and why. CMS is placing a high priority on improving patient safety and the quality of care. This is consistent with their initiative, the Partnership for Patients: Better Care, Lower Costs, which is aimed to keep patients from getting injured or harmed while in the hospital setting. The goal is to reduce hospitals acquired conditions by 20%. CMS feels that hospitals in full compliance with the hospital CoPs will be in a better position to reduce healthcare acquired conditions.
Areas Covered in the Session:
CMS issues Discharge Planning memo issued May 17, 2013
Transmittal issued July 19, 2013
CMS Deficiency Memo shows this is a problematic area
Blue box or advisory boxes
Consolidation of 24 standards into 13 tags
CMS crosswalk to old tags
Identification of patients in need of discharge planning
Discharge planning evaluation
RN, social worker or qualified person to develop evaluation
Discussion of evaluation with patient or individual acting on their behalf
Discharge evaluation must be in the medical record
Physician request for discharge planning
Implementation of the patient's discharge plan
Reassessment of the discharge plan
Freedom of choice for LTC or home health agencies
Transfer or referral
Who Will Benefit:
Transitional Care Nurses
Chief Nursing Officer
Chief Operation Officer
Chief Medical Officers
Sue Dill Calloway R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.
Phone No: 800-385-1607
Event Link: http://bit.ly/1jWTzKU