Emergency Department Compliance Manual

Book excerpt: Emergency Department Compliance Manual, 2013 Edition provideseverything you need to stay in compliance with complex emergency departmentregulations.The list of questions helps you quickly locate specific guidance on difficultlegal areas such as:Complying with COBRADealing with psychiatric patientsNegotiating consent requirementsObtaining reimbursement for ED servicesAvoiding employment law problemsEmergency Department Compliance Manual also features first-handadvice from staff members at hospitals that have recently navigated a JointCommission survey and includes frank and detailed information. Organized bytopic, it allows you to readily compare the experiences of different hospitals.Because of the Joint Commission's hospital-wide, function-based approach toevaluating compliance, it's been difficult to know specifically what'sexpected of you in the ED...Emergency Department Compliance Manualincludes a concise grid outlining the most recent Joint Commission standardswhich will help you learn what responsibilities you have for demonstratingcompliance.Plus, Emergency Department Compliance Manual includes sampledocumentation that hospitals across the country have used to show compliancewith legal requirements and Joint Commission standards:Age-related competenciesPatient assessment policies and proceduresConsent formsAdvance directivesPolicies and protocolsRoles and responsibilities of ED staffQuality improvement toolsConscious sedation policies and proceduresTriage, referral, and discharge policies and proceduresAnd much more!Emergency Department Compliance Manual has been updatedto include new and updated legal and regulatory information affecting your ED,including:Updated questions and answers, covering such topics as:Physician Payment Sunshine Act requirementsWhat a HIPAA audit involvesJoint Commission requirements for patient-centered communicationJoint Commission requirements for the use of scribesHospitals' response to uncompensated emergency department careFactors, including drug shortages, that affect patient safetyJoint Commission requirements to manage patient flowThe Supreme Court decision's impact on health care reformFraud and abuse updatesOIG reassignment alertStage 2 meaningful use requirementsAffordable Care Act summary of health plan benefits and coverage (SBC)requirementsHospital value-based purchasing updateMedicare Shared Savings Program requirementsNew Joint Commission survey questions and answersUpdated sections on hospital accreditation standardsNew and updated forms, policies, and other reference materials to facilitatecompliance, including:Memorandum of Understanding Regarding Reciprocal Lateral TransferSample Lateral Transfer into HospitalTransfer ProcessCommonly Abused Prescription DrugsMedication Use AgreementED Director's Weekly Wrap-Up Reportto StaffCommunication Template: Staff MeetingSafety TriggersED Registered Nurse Clinical Ladder ProgramED Registered Nurse Clinical Ladder Program: Expectations/Criteria for EachDimensionED Nursing Education File ChecklistED New Hire PlanExtra Shift Bonus PolicyGuidelines for Extra Shift Bonus PayED Overtime JustificationED Communication ChecklistED Downtime Track