Patients may register a complaint online if they are dissatisfied with a service, physician/provider, health care facility, insurance agent, and/or health care plan. People can also file insurance plan-specific complaints by phone at 1-800-MEDICARE.
Full Answer
Are rehab centers harmful to patients?
Your doctor The facility must have a grievance procedure for complaints. If your problem isn't resolved, follow the facility's grievance procedure. You may also want to bring the problem to the resident or family council. The SNF must post the name, address, and phone number of state groups, like these: State Survey Agency State Licensure Office
What happens when you go to a rehabilitation hospital?
Rehabilitation Compliance Risks Christine Bachrach, Chief Compliance Officer, HealthSouth Catherine Niland, Organizational Integrity Manager, Trinity Health www.hcca-info.org | 888-580-8373 2 Agenda - Rehabilitation Compliance Risks • Understand the risks for outpatient therapy, both in the hospital and Outpatient Rehabilitation Facility (ORF)
What is the latest version of inpatient rehabilitation facility quality reporting program?
Review and Correct Reports is a single report that contains facility-level quarterly and cumulative rates and its associated patient-level data. The iQIES QM Reports are comprised of two report types, one containing facility-level measure information and a second that includes patient-level data for a selected reporting period.
How can patient and staff safety be protected in a hospital?
Your e-mail should include the name and address of the hospital, and a thorough explanation of your complaint. The public can also submit a complaint to The Joint Commission via The Joint Commission’s website: www.jointcommission.org. Scroll down to “Filing a Complaint.”
What are the 3 most common complaints about nursing homes?
There are many complaints among nursing home residents....Common complaints include:Slow responses to calls. ... Poor food quality. ... Staffing issues. ... A lack of social interaction. ... Disruptions in sleep.Mar 8, 2019
What should be reported to the Joint Commission?
Quality Reports include:Accreditation decision and date.Programs and services accredited by The Joint Commission and other bodies.National Patient Safety Goal performance.Hospital National Quality Improvement Goal performance.Special quality awards.
Can you report safety concerns directly to joint commission?
How do you file a concern/complaint? The preferred method for submitting a concern is through our online submission form as it allows for more direct, timely receipt and review of your concerns. ***The Joint Commission is not a health care provider. If you have a medical emergency, please call 911.
What is involved in maintaining safe conditions in a healthcare facility?
Patient safety involves avoiding errors, limiting harm, and reducing the likeliness of mistakes through planning that fosters communication, lowers infection rates, and reduces errors. Care providers, patients, and support staff share the same goal; the best possible treatment outcome.
What are never events in healthcare?
According to the National Quality Forum (NQF), “never events” are errors in medical care that are clearly identifiable, preventable, and serious in their consequences for patients, and that indicate a real problem in the safety and credibility of a health care facility.May 18, 2006
What are the 4 key principles of The Joint Commission?
You must treat all customers, fellow employees and contracted third parties with respect, honesty, fairness and integrity. Never compromise integrity for a quick solution. The principle of business ethics incorporates The Joint Commission values of integrity and respect as a core elements of our corporate culture.
Can patients contact the Joint Commission?
For more information, call the Joint Commission's toll-free number: 800-994-6610, 8:30 AM to 5:00 PM CST.
Who is able to contact the Joint Commission to report a serious safety concern?
The public may contact the Joint Commission's Office of Quality Monitoring to report any concern or make a complaint about a health care facility that is accredited by the Joint Commission by calling (800) 994-6610 or emailing: complaint@jointcommission.org.
What is an unsafe discharge from hospital?
Ethically challenging hospital discharges include patients with inadequate at-home care and those who leave against medical advice. Ethicists recommend the following approaches: Determine if patients have capacity to make the decision to return home without a reliable caregiver.May 1, 2016
What are the top 5 medical errors?
The Most Common Medical ErrorsMisdiagnosis. Error in diagnosis is a common medical error. ... Delayed Diagnosis. A delayed diagnosis can be as detrimental as a misdiagnosis. ... Medication Error. One of the most common mistakes that occurs in the course of medical treatment is an error in medication. ... Infection. ... Bad medical devices.
How is patient safety measured?
There are at least two well-established patient safety measurement systems available for use in the inpatient setting, namely the administrative data-based Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) and the medical record-based National Surgical Quality Improvement Programme ( ...
What are some patient safety issues?
Top 5 Patient Safety ConcernsMedication Errors. The FDA estimates that approximately one person dies every day from a medication error, and approximately 1.3 million people are harmed by these errors annually. ... Falls. ... Hospital acquired infections (HAI) ... Wrong patient. ... Pressure Ulcers.Mar 17, 2017
What is OIG in health care?
In its Compliance Program Guidance document for Hospitals, the Department of Health and Human Services, Office of Inspector General (OIG) asks the question, “Has the Hospital developed a risk assessment tool, which is re-evaluated on a regular basis, to assess and identify weaknesses and risks in operations?”
Who is Catie Heindel?
Catie Heindel is an attorney who is certified in Healthcare Compliance (CHC), Healthcare Privacy Compliance (CHPC) and Healthcare Privacy and Security (CHPS). She has over 11 years of experience in the health care compliance industry and performs regulatory risk assessment and management services for clients, both general in scope, as well as more tailored towards specific risk areas.
What is the role of the state health department?
State Health Departments. Each state has a Department of Public Health that works to ensure the health and safety of its residents. Clinicians are often legally required to report specific diseases, including some hospital infections, to their local (city) Department of Public Health which will accept the report, conduct an investigation, ...
What is the Joint Commission?
The Joint Commission – formerly called the Joint Commission on Accreditation of Health Care Organizations, or JCAHO—is a private, non-profit group that acts as a national accrediting organization for a great number of hospitals in the country.
Does Medicare have a complaint right?
Every Medicare beneficiary has the right to file a complaint, or to register a concern about their health care or health care provider. Patients and their advocates should realize that they have this right and know how to reach the entity that can take action on their complaints.
What are the risks of a facility?
Various facility risks may emerge according to the type of user in the facility. However, the physical aspects of a facility are also important to consider, no matter who plans to visit your property. Environment – Internal and external environmental conditions can create or exacerbate risks to your organization.
What happens if a tree branch falls?
A dead overhanging tree branch could fall and injure an unsuspecting passerby. And don’t forget an often-overlooked hazard: ergonomic hazards like worn down or ill-fitting office furniture that can cause injuries related to repetitive use and stress.
What is a third party vendor?
Third party vendors and contractors – Contractors often provide valuable support to a nonprofit, providing unique external perspectives and sharing their expertise with internal teams. Third parties may be responsible for specific facility management tasks ranging from housekeeping to food service, or facility management overall.
Who is Michael Gurtler?
For additional insights on facility risk and safety, we reached out to Michael Gurtler, Managing Partner & Senior Consultant at Safe-Wise Consulting. Mike has worked with youth-serving organizations for over 30 years and has been an expert resource to NRMC throughout our history.
Why are my floors slippery?
These injuries are often related to the failure to properly plan for weather effects (water, snow & ice), which can cause slippery surfaces. Poor lighting and damaged flooring, carpet, or transition areas can also lead to injuries. Untrained (or not regularly reoriented) staff can easily suffer injuries.
What is a nonprofit organization?
A nonprofit that leases space for an office occupied by a handful of staff may share responsibilities among the staff and rely on the landlord in the process. A larger nonprofit with multiple types of facilities may have a dedicated facilities manager, or perhaps a team working together on various facility issues, such as managing maintenance, ...
Is lighting an issue?
Lighting is an issue both inside and outside of the facility; incidents—including injuries and abuse— may be more prevalent in space s that are improperly lit. Weather can also put your stakeholders and facilities in jeopardy. In the summer, extreme heat can tax the electrical and cooling systems of your facility.
Why do people go to rehab?
Patients may go to rehabilitation hospitals to recover from a stroke, injury or recent surgery. But sometimes the care makes things worse. In a government report published Thursday, 29 percent of patients in rehab facilities suffered a medication error, bedsore, infection or some other type of harm as a result of the care they received.
Is physical therapy a part of healing?
The physical therapy workouts a rehabilitation facility offers can be a crucial part of healing, doctors say. But a government study finds preventable harm — including bedsores and medication errors — occurring in some of those facilities, too.
Importance of IRF Risk Assessment
- Prior to undertaking the job of developing an IRF risk assessment tool, organizations should briefly remind themselves of the importance of such a task. To begin, facilities always want to ensure that they are providing the best possible care to its patients, in accordance with professional and governmental standards. Second, since healthcare organizations operate in a f…
Elements of IRF Risk Assessment
- Every risk assessment should focus on both Internal and External risks. Internal risks are those that exist within the organization due to weaknesses in policies, procedures, systems and personnel. Organizations learn about internal risk through audits, work groups, and observing daily interaction with policies and procedures. Since internal risks are unique to every organization, su…
External Regulatory Risk Areas
- As mentioned earlier, to conduct a robust external IRF risk assessment, it is important to identify and record the universe of IRF regulatory risk areas, noting the written reference and a brief description for each risk area. Since there are number of regulatory risk areas, it may be easier to divide the risk areas into major categories, which mig...
External Environmental Risk Areas
- It is also important for organizations to consider the risks presented by the various governmental enforcement entities and those acting on their behalf. Risks associated with enforcement activities may be displayed in categories that might include most recent OIG Work Plan, OIG Evaluation and Audit Reports, OIG Announced Investigations, Centers for Medicare & Medicaid S…