In our symplr education webcast series, we’ve spoken to Rick Curtis, CEO of The Center for Improvement in Health Quality (CIHQ), who is a nationally recognized expert on the CoP (Conditions of Participation) and the Centers for Medicare & Medicaid Services (CMS) Certification and Survey Process. He recently spoke with us about the Medicare CoP and the new allowance for hospital systems to have a single organized, integrated medical staff.
We’ve organized Rick’s conversation into a two part blog series covering his main points. We start with the changes in allowance for medical staff integration and things to consider before restructuring.
The push to increase vertical hospital system integration is a movement that has been gaining momentum in recent years. It has brought more value into the quality of care received by patients, because it helps alleviate the high cost of investment in new technologies and facilities for leading practices and allows hospitals to diversify services.
The CoP for medical staff requires a single hospital staff for each hospital. Hospitals that belong to a health system have the option to integrate their medical staff amongst their entire network by following four main requirements for CMS compliance.
Four Main Medical Staff Requirements for CMS Compliance
These four main requirements enable hospitals to operate while keeping the needs of their local communities in mind. These requirements were modified by the CMS and are what surveyors will be looking for, as well as any of other accrediting agencies (i.e. the CIHQ, The Joint Commission, DNV, URAC, or HFAP).
Since there are many unique configurations within a network of hospitals, CMS provides guidelines on how you can best structure things to make sure you are compliant. However, with older hospitals or networks who already practice staff integration, these structures may lead to inherent complications. To help smooth the structuring process, Rick talked through his 3 main areas of caution for integrating into a single medical staff.
Things to Consider When Structuring into a Single Medical Staff
While integration is ideal for modern hospital systems, acting in the interests of your local communities is key. CMS looks carefully into the quality of care provided to patients. If integration doesn’t enhance the quality of care, then it may not be a viable option.
The second part of our blog series will cover Rick’s expertise in by-law adjustments for networks and the process of creating a governing body over the unified medical staff.
For more information about CMS for Multi-Hospital Systems and Integrated Medical Staff Offices, listen to our symplr education series webcast with Rick Curtis. To learn more about simple and effective solutions for the credentialing process, schedule a Demo with symplr now!