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Patient Complaints and Grievances – Time to Take Them Seriously
  Recorded December 20, 2004

Faculty: Dan Mulholland & Phil Zarone

There's an old saying: "It doesn't pay to complain because no one ever listens."

If a patient complains, the hospital better listen. If it doesn't, the Feds will be all over it. New interpretive guidelines for the patients' rights sections of the Medicare Conditions of Participation for Hospitals issued earlier this year are very specific about how hospitals need to respond to patient complaints and grievances.

Unfortunately, CMS surveyors in some states are taking liberties with the new rules. They are telling hospitals that they have to go beyond the basic CMS requirements and make disclosures to patients that could be used against the hospital in a subsequent malpractice case. Admitting fault or disclosing otherwise privileged information through the patient grievance process could be disastrous from a liability standpoint.

Topics discussed include:

  • Medicare CoPs on Patient Grievances: What They Say ... and What They Don't!
  • Patient Issues vs. Patient Grievances: How to Tell Them Apart
  • Avoid Turning Your Grievance Process into a Ticking Liability Time Bomb
  • Coordinating Your Grievance Procedure with Managed Care Grievances
  • How to Explain the Rules to Surveyors
  • JCAHO and State Licensure Rules on Patient Grievances
  • Protecting Legal Privileges While Handling Patient Grievances
  • Coordinating Patient Grievance Procedures with Unanticipated Outcome Disclosures, Sentinel Events Reviews, and Medical Error Reporting
  • What Your Grievance Process Needs to Say

Audio CD: $225

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