Grievances and Complaints: Ensuring Hospitals Compliance
Date: 11/7/2024, 10:00 AM - 12:00 PM
This program will cover the Centers for Medicare & Medicaid Services (CMS) requirements on grievance regulations. The CMS grievance requirements have been a frequent source of deficiency citations. The grievance standards for acute hospitals are in the patient rights section of the Conditions of Participation (CoPs) manual. Although there is no similar section for Critical Access Hospitals (CAH), and the requirements for acute hospitals do not apply to CAHs, those facilities should have policies and procedures to address patient rights to include any grievance or complaint.
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.
This webinar will also discuss the Joint Commission (TJC) standards on complaints and the DNV Healthcare standards on grievances, indicating that their standards cross walk to the CMS grievance interpretive guidelines. Hospital staff should be aware of and follow the hospital grievance and complaint policy, which should be approved by the board.
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