AHRQ issues final rule for patient safety organizations

Hi AHAP members,

The Agency for Healthcare Research and Quality (AHRQ) issued its final rule for Patient Safety Organizations (PSO) last week. The final rule provides some finality to the Patient Safety and Quality Improvement Act of 2005, which provided for the creation of PSOs. The PSOs are supposed to encourage hospitals to voluntarily submit data and other information to a PSO so that the industry as a whole will benefit. Those facilities who participate in a PSO are afforded some legal protections.

The final rule did not change much from the proposed rule issued in February. However, some additions were made, including the need for a PSO to inform its providers if the PSO inappropriately releases confidential patient safety work product (PSWP), and increased flexibility in how a PSO differentiates itself from its parent organization. Some changes include additions to the list of which organizations cannot become a PSO, and more flexibility of how PSOs can store PSWP.

The final rule will become effective January 19, 2009. Until then, the Interim Guidance issued by the AHRQ will serve as the effective rule. To read more, click here.

Happy Thanksgiving!

Heather Comak, assistant director of AHAP

 

News regarding The Joint Commission's critical access hospital accreditation program

Hello, everyone. Just wanted to let you know about some breaking news out of today's Federal Register:

The Centers for Medicare & Medicaid Services (CMS) announced in the October 24, 2008 Federal Register that The Joint Commission’s critical access hospital accreditation program will undergo a 180-day probationary period while gaps between the standards and CMS Conditions of Participation (CoP) are fixed.

According to the Federal Register, “review of The Joint Commission revised accreditation standards for hospitals revealed that significant gaps remain between The Joint Commission standards and the Medicare hospital CoPs.”

In addition, “if we determine that an AO [accreditation organization] has failed to adopt requirements comparable to CMS requirements, we may grant a conditional approval of the AO’s deeming authority for a period of up to 180 days to adopt comparable requirements.”

You can read the complete announcement in the Federal Register here.

We'll be watching this as things develop both here in the blog as well as in Briefings on The Joint Commission. What's your impression on this situation? Do you feel like CMS is cracking down deliberately on The Joint Commission? Or is this just a step towards getting everyone on the same page?

Medicare Improvements for Patients and Providers Act

From BOJ Editor Matt Phillion:

I just wanted to update you on a news brief I posted to the group a few weeks back. Congress overruled yesterday President Bush’s veto of the Medicare Improvements for Patients and Providers Act, based on a bill authored by Senate Finance Committee Chairman Max Baucus (D-Mont.).

While the primary focus of the bill is to improve several key aspects of Medicare, for those of us working in the area of accreditation, under the category of “Enhancements for Rural and Other Hospital Care,” note this short passage:

Revokes unique authority of the Joint Commission on the Accreditation of Healthcare Organizations to deem hospitals in compliance with Medicare Conditions of Participation.

There will be a 24-month transition period for The Joint Commission to complete the application process for deeming authority, and “the amendments made by this section shall not effect the accreditation of a hospital by the Joint Commission, or under accreditation or comparable approval standards found to be essentially equivalent to accreditation or approval standards of the Joint Commission, for the period of time applicable under such accreditation.”

Additional information can be found online here: http://finance.senate.gov/sitepages/medicare2008.htm

What are your thoughts? Does this level the playing field for other accrediting organizations? What effect do you think this will have on hospital accreditation, if any?

We have reached out to The Joint Commission and several other organizations for comment; I will be sure to distribute to the group follow-up information as it arises.  

Matt Phillion
Managing Editor, Briefings on the Joint Commission

Update: Joint Commission to lose "unique" deeming authority?

From BOJ Editor Matt Phillion:

Hello, everyone. I just wanted to update you on the developing story in last week’s post. Senator Max Baucus’ (D-MT), chair of the Senate Committee on Finance, bill containing language to revoke the unique deeming authority status held by The Joint Commission failed to find support on the Senate floor. Meanwhile, a competing Medicare reform bill, introduced by Senator Charles Grassley (R-IA), has been introduced, containing similar language regarding The Joint Commission’s deeming authority.

Senator Grassley’s proposed Medicare reform package can be found here. A summary of Senator Baucus’ proposed legislation can be found here.

Matt Phillion
Managing Editor, Briefings on The Joint Commission

 

Joint Commission to lose "unique" deeming authority?

From BOJ Editor Matt Phillion:

Hello, all. Just wanted to update you on a developing story:

Montana Democratic Senator Max Baucus, chairman of the Senate Committee on Finance, announced proposed legislation last week which included language to revoke the unique deeming authority status held by The Joint Commission.

 

This change would require all accrediting bodies, including The Joint Commission, to apply for hospital deeming status for hospitals—a process The Joint Commission and other accreditors undergo for other organizations and facilities (for example, laboratories and ambulatory centers). The Joint Commission currently does not need to undergo this application process for hospitals.

 

The Joint Commission issued a statement on Tuesday, June 10, supporting the legislation, while proposing several amendments. The Joint Commission has requested CMS issue “modernized guidelines and procedures for assessing compliance with existing conditions of participation for hospitals,” according to the official statement. The accreditor also requested a two-year period to undergo the application process following the issue of those guidelines and procedures. Finally The Joint Commission suggests that provisions are made to give the Health and Human Services (HHS) secretary the ability to create up-to-date methodology for assessing the performance of accreditors.

 

A summary of Senator Baucus’ proposed legislation can be found at http://finance.senate.gov/sitepages/legislation.htm.

 

Go to http://baucus.senate.gov/ for Senator Baucus’ Web site.

 

Matt Phillion

Managing Edior, Briefings on The Joint Commission