MEDICAL ERRORS AND THE NEED FOR IMPROVEMENT IN ADVERSE
EVENTS REPORTING: The Veterans Affairs Experience; The
Institute of Medicine?s Seminal Report on Medical Errors
FEDERAL LAW: The Patient Safety and Quality Improvement Act;
The Need for Federal Legal Protection; Organizational
Requirements for a PSO; Patient Safety Work Product; Network of
Patient Safety Databases
FEDERAL REGULATIONS IMPLEMENTING THE PSQIA: Regulations
and Implementation; The Certification and Listing Process;
General Certification Requirements; Certification Requirements
for Component Organizations; Certification Requirements for
Component PSOs of Excluded Entities
IMPLICATIONS OF PSQIA FOR HEALTHCARE PROVIDERS: Preliminary
Issues; Role of Individual Providers; Consequences of Disclosure
OTHER LEGAL MANDATES AND INCENTIVES ADDRESSING PATIENT
SAFETY/QUALITY OF CARE: Adverse Event Reporting; Report
Cards; ?Sorry? Legislation; Substandard Quality as a Basis for
Federal and State Fraud; Best Practices; Quality Improvement
Organizations
REIMBURSEMENT TRENDS RELATED TO PATIENT SAFETY: Government
Payor Mandates to Disclose Quality Information and Implement
Patient Safety Initiatives; Patient Safety and Quality Directives from
Commercial Carriers; CMS Denial of Medicare Reimbursement for
Medical Care Resulting from Avoidable Medical Error; CMS Final
Rule for Hospital Inpatient Prospective Payment System 2008;
National Coverage Determinations 2009; Criteria for Identifying
Hospital-Acquired Conditions; Standards and Guidelines for
Reducing Hospital-Acquired Conditions; Documenting Conditions
Present on Admission; Conditions for Payment; Addressing Risks
Presented by the 2009 Final Rule
ACCREDITATION AND CORPORATE GOVERNANCE CONSIDERATIONS:
The Joint Commission Standards; Quality Improvement; DNV
Healthcare Standards; Quality Management System; Integration
of PSO
OPTIONS FOR PSO ORGANIZATIONAL STRUCTURES: Health
System PSO; Considerations for Legal Structure and Classification;
Qualified Workforce Requirement; Contract Requirement;
Restriction on Health Insurers; Required Disclosures; Component
PSO Specific Issues; A Joint Venture PSO; Operational Activity
Requirements
CASE STUDY: ECRI INSTITUTE PSO: ECRI Institute Background; PSO
Listing; Mission and Primary Activities Structure; Deciding on a
Component; Shared Staff; Separation of Patient Safety Work Product;
Disclosures by PSOs of Relationships; Information/Knowledge
Management; Staffing and Operations; What to Include in a PSO
Plan
STARTING AND OPERATING A SMALL PRIVATE PSO: General
Qualities of a Small PSO in Compliance with the Law; Participation
Agreements and Bylaws; Designing a Data Collection Tool; Severity
Scoring; Scoring Events by Type; Audit Sessions; Product Lines;
Practical applications
APPENDICES: Participation and Confidentiality Agreement; Bylaws;
Category of Events; Sample PSO Policies and Procedures; Sample
PSO Data Collection Tool
If you are not an AHLA member and would like to purchase this book, click here.
Practical Guidance for Patient Safety Organization Implementation tackles the important subject of the Patient Safety Organization (PSO) law and how it can be used to positively impact patient safety in healthcare organizations. It provides the history behind the adverse event reporting movement, offering an overview of previous efforts in patient safety and adverse event analysis. It also discusses the nature of PSOs, and why healthcare organizations should be part of one, providing a detailed survey of the legal, reimbursement, and accreditation considerations that impact an organization's decision to become a PSO or participate in one. Finally, it analyzes the practical aspects of how healthcare organizations can set up their own PSO in accordance with the applicable law.
In this important new publication, the authors provide:
• The history behind the adverse event reporting movement, and the federal legislation establishing PSOs
• An overview of previous efforts in patient safety and adverse event analysis
• An analysis of the nature of PSOs, and why healthcare organizations should be part of one
• A detailed survey of the legal, reimbursement, and accreditation considerations that impact an Organization's decision to become a PSO or participate in a PSO
• Practical aspects of how differently structured organizations can set up their own PSO in accordance with the applicable law
• Case studies detailing the experiences that two organizations had in navigating the process of setting up and running a PSO and a PSO-like database
This publication is a joint project of Health Lawyers and the American Society for Healthcare Risk Management (ASHRM).
AUTHORS: Anne M. Murphy; Susan Wood O'Leary; Mary Anne Hilliard; Ronni P. Solomon; Maria T. Currier; Reetu Dua; Jose I. Fernandez; Rebecca F. Cady, Editor
Print this page
Email to a friend
