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UICClassPresentation9.1.2020.pptx
UIC Class Presentation 9.1.2020
Capri Reese, Nurse Practitioner
Discussion will define the alphabet soup of regulatory agencies:
The Joint Commission (TJC), HFAP, IDPH, CMS, etc.
Operations of Public Hospitals: Session 3
HFAP
Healthcare Facilities Accreditation Program (HFAP) is authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the Medicare Conditions of Participation and Coverage.
HFAP
The HFAP Difference
HFAP is user friendly
Our standards manual is clear and easy to read, and our accreditation requirements are clearly tied to the corresponding Medicare Conditions of Participation.
Successful accreditation is based on the facility’s ability to correct deficiencies so there is no downside to discovery of issues during the survey process.
HFAP
HFAP is educationally focused Our surveyors are experienced health care professionals who understand the many complexities of a health care facility and help make the survey process more realistic and educational.
If a deficiency is identified, our surveyors are able to draw from their experience and offer practical solutions, usually on the spot.
HFAP
HFAP is cost effective. The fee for HFAP accreditation is straightforward and because our standards are so clearly written, additional consultations and workshops are available, but not required.
HFAP accreditation also is recognized by the federal government, state departments of public health, insurance carriers and managed care organizations.
IDPH: File A Complaint
The Department investigates quality of care issues, such as allegations of actual or potential harm to patients, patient rights, infection control, and medication errors. The Department also investigates allegations or harm or potential harm due to an unsafe physical (building) environment.
Complaints submitted to this site are limited to hospitals, home health agencies, hospices, end-stage renal dialysis units, ambulatory surgical treatment centers, rural health clinics, critical access hospitals, clinical laboratories (CLIA), outpatient physical therapy, portable X-ray services, community mental health centers, accredited mental health centers (only Medicare Certified), comprehensive outpatient rehabilitation facilities, Free Standing Emergency centers, alternative health care delivery and health maintenance organizations (HMOs).
The Department’s Central Complaint Registry is limited to the mandates provided in the licensing acts, regulations, and federal Medicare Conditions of Participation or coverage for the programs the Department manages.
IDPH: Who Can File A Complaint
Complaints may be filed by, but are not limited to, patients, patient family members, care givers, staff or advocacy groups.
Is the identity of the complainant disclosed? The identity of the complainant is not disclosed to the facility by the Department. The complainant may provide a name, address and phone number to the Department. This information is required if the complainant would like to receive written notification of receipt of the complaint and notification of the outcome of the complaint investigation. Complaints may be filed anonymously.
IDPH: Who Can File A Complaint
What happens after a complaint is filed? When will my complaint be investigated?
All complaints are logged and reviewed. Complaints are investigated on a priority basis. Depending on the nature, scope, and severity of the complaint allegations, the investigation may take from a few days or weeks, to several months.
