FTCA MEDICAL MALPRACTICE BASICS AND PROGRAM UPDATES

FTCA MEDICAL MALPRACTICE BASICS AND PROGRAM UPDATES

Christopher W. Gibbs, JD, MPHShayna Wilborn, BSN, CNORDepartment of Health and Human ServicesHealth Resources and Services AdministrationBureau of Primary Health CareOffice of Quality and Data

CY 2014 FTCA Deeming

Types of ApplicationsThere are two types of applications for FTCA coverage:EHB System was opened to receive applications on March 28, 2013INITIAL DEEMING APPLICATION May be submitted at any time during the year when the EHB system is open to receive applications. Will be acted upon by HRSA within 30 days after receipt of a completed applicationANNUAL REDEEMING APPLICATIONAll currently deemed health centers must file a renewal deeming application to be deemed for CY 2014. This years deadline: May 3, 2013

CY 2014 Requirement UpdatesMinutes from any six QI/QA committee meetings. All minutes must be dated between April 5, 2012 and the submission date of the application.Remove patient names and other identifiers Minutes from any six Board meetings that reflect Board approval of QI/QA activities. All minutes must be dated between April 5, 2012 and the submission date of the application.Remove all information not related to QI/QA activity

CY 2014 Requirement Updates(continued)Board-approved Credentialing and Privileging (C&P) policiesMust be signed and dated by the Board (C&P) Plan + Page with Board of Directors Signature(C&P) Plan + Signed Board Minutes showing C&P plan was approvedClinical policies and procedures for the following activities: Referral Tracking Hospitalization Tracking Diagnostic Tracking (Should include X-Ray Tracking Lab Result Tracking)

Requirements A complete initial or redeeming application must include:An Application Form completed in EHBAn approved Quality Improvement/Quality Assurance Plan, including governing board signature and approval dateTwo Methods to demonstrate Board approvalQI/QA Plan + Page with Board of Directors SignatureQI/QA Plan + Signed Board Minutes showing QI/QA plan was approved

Requirements Summary of professional liability history for cases filed or closed within the last 5 years, if applicableName of provider(s) involvedArea of practice/SpecialtyDate of OccurrenceSummary of allegationsStatus and outcome of claim

Requirements (continued)Explanation of any NO responsesDeeming applications for any sub-recipients (as documented on the organizations most recent approved scope from FORM 5B - see sub-recipient submission instructions.)

Requirements (continued)Credentialing list (in an excel spreadsheet) of all licensed and/or certified health care personnel employed and/or contracted by the health center, with the following information:Name & Professional Designation (e.g., MD/DO, RN, CNM, DDS)Title/PositionSpecialtyEmployment Status (full-time employee, part-time employee, contractor, volunteer)Date of HireCurrent Credentialing DateNext Expected Credentialing Date

TECHNICAL ASSISTANCE AND RESOURCES

FTCA WEBSITE

http://www.bphc.hrsa.gov/ftca/

CY 2014 FTCA Application Technical Assistance (TA) VideosOnline Instructional VideosArchived 2013 FTCA Deeming Application WebinarsReview of best practices and points out resources that are useful in developing policies and procedures that are connected to the FTCA Deeming process.Currently Available at the following links: http://services.choruscall.com/links/hrsa130220.html http://services.choruscall.com/links/hrsa130221.html

Quality Improvement Resources HRSA Quality Improvement Webinars: http://bphc.hrsa.gov/policiesregulations/quality/ECRI Resource Page: Quality Improvement: https://members2.ecri.org/Components/HRSA/Pages/QI.aspx

Risk Management ResourcesTracking Tool KitCredentialing Tool KitQuality Improvement and Quality Assurance Tool KitCredentialing Webinar Archived

Risk Management ResourcesRisk Management Plan: https://members2.ecri.org/Components/HRSA/Pages/RMPlan.aspx Event Reporting Toolkit: https://members2.ecri.org/Components/HRSA/Pages/EventReportToolkit.aspx Webinars https://members2.ecri.org/Components/HRSA/Pages/Webinar_Audioconf_Archive.aspx: Clinical Risk Management Basics Part IDeveloping a Risk Management Plan

Risk Management ResourcesSample Risk Management Policy: Physician Office Practice https://members2.ecri.org/Components/HRSA/Pages/PSRMPol3.aspx Patient Satisfaction Questionnaire https://members2.ecri.org/Components/HRSA/Pages/PSRMPol2.aspx Anecdotal Note for Patient Concerns https://members2.ecri.org/Components/HRSA/Pages/OAPol4.aspx Handling Patient Complaints https://members2.ecri.org/Components/HRSA/Pages/OAPol3.aspx Safety Attitudes Questionnaire (Ambulatory Version) https://members2.ecri.org/Components/HRSA/Pages/PSRMPol1.aspx

To request ECRI accounts for your health center staff please contact ECRI at:

Clinical_rm_program@ecri.org

Office ContactFTCA/BPHC Help LinePhone: 1-877-974-BPHC (877-974-2742) 9:00 AM to 5:30 PM (ET)Email: BPHChelpline@hrsa.gov FTCA Website: http://www.bphc.hrsa.gov/ftca/