patient safety and quality improvement act powerpoint

When is an individual considered a member of a PSO's workforce? The hospital develops a list of look-alike/sound-alike medications it stores, dispenses, or administers. > Understanding Patient Safety Confidentiality A conceptual model of the relationships and a discussion of implications. WHAT IS QUALITY ASSURANCE. This protection helps encourage institutions and individuals to more freely report incidents, concerns, and near misses. By whitelisting SlideShare on your ad-blocker, you are supporting our community of content creators. DrOKalpak Transradial approach for complex coronary intervention zasink 2021 No public clipboards found for this slide, Enjoy access to millions of presentations, documents, ebooks, audiobooks, magazines, and more. A culture of openness is associated with lower mortality rates among 137 English National Health Service acute trusts. Quality improvement (QI) focuses on processes to improve efficiencies and eliminate waste (anything that does not add value) within a . Appropriate application of medical knowledge with due regard to the balance between the hazard inherent in every medical intervention and the benefits expected from it It is, however more complex than this. Please select your preferred way to submit a case. The Joint Commission web site no longer maintains a look-alike/sound-alike medication list; please refer to the ISMP web site referenced above for a current list of look-alike/sound-alike medications. Telephone: (301) 427-1364. (seePatient Safety Rule Section 3.206). The regulation implementing the Patient Safety and Quality Improvement Act of 2005 (PSQIA) was published on November 21, 2008, and became effective on January 19, 2009. HHS interprets the Patient Safety Rule as requiring a PSO to have a qualified workforce that is appropriate for the collection and analysis of patient safety work product performed by that PSO, and the healthcare industry utilizes many individuals with a wide variety of expertise to perform activities and services throughout a wide range of delivery modalities. A - 4 - Mastery Clear and thorough summary of the common threats to quality improvement Provided . In general, a component PSO may not share staff with its parent organization (i.e., utilize individuals or units from its parent organization in the work of the PSO) if the parent organization is ineligible for PSO listing as an excluded entity (i.e., one of the types of entities listed in section 3.102(a)(2) of the Patient Safety Rule). Looks like youve clipped this slide to already. A multi-purpose entity with a broader scope can create or designate a component that more clearly meets the mission and primary activity criterion. PSQIA establishes a voluntary reporting system to enhance the data available to assess and resolve patient safety and health care . The component of that entity can then seek listing. The PSO must certify that it is performing, and will continue to perform, each of the patient safety activities and that it is complying with, and will continue to comply with, the other requirements of thePatient Safety Rule. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. The uniform Federal protections that apply to a provider's relationship with a PSO are expected to remove significant barriers that can deter the participation of healthcare providers in patient safety and quality improvement initiatives, such as fear of legal liability or professional sanctions. L. 109-41, 42 U.S.C. Toll Free Call Center: 1-800-368-1019 Note: One source of look-alike/sound-alike medications is The Institute for Safe Medication Practices (ISMP). Policies, HHS Digital Such entities do not need to be listed as a PSO by the HHSSecretary to employ the Common Formats and thus display the logo. A PSO is listed for a period of 3 years. For more information about the definition of workforce member and the direct control requirement, see the Notice of Proposed Rule Making preamble discussion at 73 FR 8158-8159 (February 12, 2008) discussing the liability of a principal and the Federal Common Law of Agency. Learn about the priorities that drive us and how we are helping propel health care forward. May a PSO meet the requirement that its appropriately qualified workforce include licensed or certified medical professionals with contracted medical professionals? We develop and implement measures for accountability and quality improvement. PATIENT SAFETY Patient Safety Improvement Act of 2020. 4 WHAT IS QUALITY ASSURANCE Quality assurance as making sure that the The current versions of all of the Common Formats can be found at the PSO Privacy Protection Center (PSOPPC) website. The National Healthcare System Action Alliance to Advance Patient Safety. ThePSO readmissions Web pagecontains helpful information and tools that can be used by such hospitals, and PSOs that work with those hospitals, to address the causes of unnecessary readmissions. Dr. William B. Munier discussed the development and implementation of PSOs in an AHRQ WebM&M interview. The Patient Safety Act and Rule make PSWP privileged and confidential. What are the benefits to healthcare providers who work with a PSO? Evolution and transformation of patient safety in to the modern health care s Krishnan Sankara Narayanan MS, MBA, CPHQ, FASHRM, LHRM, Orientation lecture to Patient safety aspects, Teaching of Patient Safety in Pharmacy Curriculum, Hospital safety committee ptlls assignment 1, CU Errors, clinical governance and patient safety, Quality and safety in global surgery and healthcare conference presentation, Pharmacovigilance: Partnering for Patient Safety, International Federation of Pharmaceutical Manufacturers & Associations (IFPMA), P1 PATIENT SAFETY CONCEPT HOUSEMANSHIP MALAYSIA, Patients at the Centre of Patient Safety byEPF, Patients at the Centre of Patient Safety by EPF. If the nature of services or subject matter of patient safety work product collected and analyzed by a PSO changes, a PSO is required to ensure that its qualified workforce is appropriate for such changes. comply with the other certifications the component PSO has made pursuant to section 3.102(c)(2) with respect to: conducting the mission of the PSO without creating conflicts of interest. The CFS is a set of event descriptions used in retrospective review of medical records to identify whether certain patient safety events occurred. For example, if a PSO is delisted for cause at midnight on March 1, a healthcare provider can continue to submit data to the delisted PSO until midnight on March 31 and the data will be protected. What specific protections does the Patient Safety Act and Rule provide? PSWP may only be disclosed pursuant to an applicable disclosure permission specified in the rule. Learn more about the Patient Safety Rule and read the regulations. It appears that you have an ad-blocker running. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. View the Patient Safety Act in an on-line version of the United States Code (42 U.S.C. This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. Is a PSO required to meet the appropriately qualified workforce requirement when a PSO is not collecting or analyzing patient safety work product? It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care. below. If individuals or units of the parent organization serve as PSO workforce, they may only use or disclose the PSWP in their capacity as component PSO workforce members. Development of the Common Formats is an ongoing process. Telephone: (301) 427-1364. PSOs create a secure environment where clinicians and healthcare organizations can collect, aggregate, and analyze data, thus identifying and reducing the risks and hazards associated with patient care and improving quality. 03/15/12 NNLM National {Gibson} Being aware of legislation, being on listservs, participating in groups such as Consumers Advancing Patient Safety - www.patientsafety.org Josie King Foundation - josieking.org Medically Induced Trauma Support Services - mitss.org Pulse America - pulseamerica.org. We encourage you to explore our collection of best practices, reference materials and other resources. A PSO's workforce includes any individual whose conduct is under the direct control of the PSO. What is the primary activity requirement for listing as a PSO? The voluntary dimension of PSQIA is key. This position is fully remote, however, must reside in San Diego area. Slowly and steadily were working with you to improve patient safety, marching toward the day when health care is viewed as a high-reliability industry. Patient Safety Organization (PSO) Program, Resources About the Patient Safety and Quality Improvement Act of 2005, Resources for Improving Patient Safety and Healthcare Quality, Department of Health and Human Services' (HHS), Patient Safety Organizations: A Compliance Self-Assessment Guide, Patient Safety Organization Privacy Protection Center (PPC) Web site, Policies and ProceduresTopics to Address, Patient Safety Rule Section 3.102(b)(2)(i)(A), Patient Safety Rule Section 3.102(b)(2)(ii)), Patient Safety Rule Section 3.102(b)(2)(ii), PSO Privacy Protection Center (PSOPPC) website. A PSO should periodically assess whether its qualified workforce is appropriate for the services it performs to maintain listing. 73 FR 70768. If a PSO only engages in the collection and analysis of patient safety work product involving non-institutional pediatric safety events, the PSO's requirement to have an appropriately qualified workforce would be satisfied by a currently licensed pediatrician who is a member of the PSO's workforce and has sufficient knowledge, expertise, and experience related to non-institutional pediatric safety events. Policy, U.S. Department of Health & Human Services. Is a PSO required to have licensed or certified medical professionals as part of its workforce? The Patient Safety Act and Rule provide protections that are designed to allay fears of providers of increased risk of liability if they voluntarily participate in the collection and analysis of patient safety events. At this time, any comments on the Common Formats versions that are active for reporting can be submitted through the [email protected] email. Free access to premium services like Tuneln, Mubi and more. A patient's original medical record, billing and discharge information, and any other original patient or provider records cannot become PSWP. Activate your 30 day free trialto unlock unlimited reading. Posting #2023-913644. PSWP must be nonidentified before it is submitted to the NPSD. What are the Common Formats for Event Reporting (CFER)? What can an entity do if it does not meet this primary activity requirement? To renew its listing for an additional 3 years, the PSO will be required to complete and submit aPSO Certification for Continued Listingform before the expiration of its period of listing. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. the Data submitted during this 30 day period are treated as PSWP and are subject to the confidentiality and privilege protections of thePatient Safety Act. Long-Term Trends of Psychotropic Drug Use in Nursing Homes. Agency for Healthcare Research and Quality, Rockville, MD. Why is AHRQ responsible for the regulation of PSOs? If a PSO's listing is revoked for cause, healthcare providers may continue to submit data to the delisted PSO for 30 calendar days, beginning on the date and time that the PSO is delisted and ending 30 days thereafter. Definitions. PSWP may contain individually identifiable health information as defined in the HIPAA Privacy Rule. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. AHRQ has prepared aPSO Certification for Initial Listingform that an entity must use to certify that it meets the requirements to become listed as a PSO. Note that even if you have an account, you can still choose to submit a case as a guest. Now customize the name of a clipboard to store your clips. When OCR is unable to achieve an informal resolution of an indicated violation through voluntary compliance, theHHSSecretary has the discretion to impose a civil money penalty (CMP) against any PSO, provider, or responsible person for each knowing and reckless disclosure that is in violation of the confidentiality provisions. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. In Conversation With Tejal K. Gandhi, MD, MPH. 299b- 21b-26 (Patient Safety Act). implement certain aspects of the Patient Safety and Quality Improvement Act of 2005, Pub. On July 29, 2005, the President signed the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act, 42 U.S.C. The PSOPPC is developing a tool on their website that any member of the public can use to submit comments. The purpose of the Act is to encourage providers to work voluntarily with new organizations, known as Patient Safety Organizations (PSOs), to improve patient safety and to reduce the incidence of events that adversely affect patients. Writing Act, Privacy These include a requirement to enter into written agreements that contain the content specified in section 3.102(c)(3), also known as "shared staffing agreements," and restrictions on entering into such agreements with certain individuals or units if the parent organization is an excluded entity. We've updated our privacy policy. WHAT IS QUALITY ?. L. 114-74). To the extent practicable, OCR will seek cooperation in obtaining compliance with the confidentiality provisions, including providing technical assistance. The Notice extending the public comment period was published in the Federal Register on March 18, 2021. ThePatient Safety Rulerelies primarily upon a system of attestations, which places a significant burden for understanding and complying with these requirements on the PSO. After the initial comment period, the PSOPPC convenes a meeting of the PSOPPC Common Formats Expert Panel to review comments submitted by the public. The first step after development of a new or updated Common Formats is review by the Patient Safety Workgroup (PSWG) to assure consistency with definitions and formats used by other Federal agencies. For more information about the direct control requirement, see the Notice of Proposed Rule Making preamble discussion at 73 FR 8158-8159 (February 12, 2008) discussing the Federal Common Law of Agency. All PSWP submitted to a former PSO in accordance with provisions of the Patient Safety Act and Patient Safety Rule remains protected after the PSO ceases operations. Patient Safety and Quality Improvement Act of 2005, Patient Safety Organization (PSO) Program, Resources About the Patient Safety and Quality Improvement Act of 2005, Resources for Improving Patient Safety and Healthcare Quality, Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005, Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine, Notice of Opportunity to Comment published in the Federal Register on December 16, 2020, Public Comment Period Extended for Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine, Peer Review of a Report on Strategies to Improve Patient Safety, Patient Safety and Quality Improvement Act of 2005 (Public Law 10941JULY 29, 2005), U.S. Department of Health & Human Services. This diagram,Working with a PSO: One Approach,AHRQ Publication No. Introducing Comprehensive, Concurrent Patient Safety Surveillance for Hospita Teesside patient safety conference presentations, Researcher in University of Medical Sciences and Health Services, Risk Management and Patient Safety Evolution and Progress, Introduction to patient safety department, Manal Elsayed CPPS, CPHQ, CLSSBB, FISQua, DTQM, Operation room hazards AND PATIENT SAFETY, Patient safety- To err is human, building safer health system -IPSG, Patient safety and error reduction approaches. What is the deadline for submitting the forms to become a PSO? There is no deadline for applying to be listed as a PSO. QUALITY IMPROVEMENT AND PATIENT SAFETY. Position: Sr. Solutions High 5s Technology Knowledge Management Special projects Reporting and Learning ICPS Research Patients for Patient Safety Global Patient Safety challenges. There are two provisions in the Patient Safety Rule that address requirements for a PSO to maintain personnel for PSO operations. If so, is the PSWP protected? The PSO's 3-year period of listing will automatically expire at midnight of the last day of the PSO's listing period if AHRQ has not received and approved the PSO's continued listing form. Using the AHRQ Common Formats (common definitions and reporting formats) makes it possible to collect, aggregate, and analyze uniformly structured information about patient safety for local, regional, and national learning. Subpart C of the Patient Safety Rule establishes the confidentiality provisions and disclosure permissions for patient safety work product and the enforcement procedures for violations of confidentiality pursuant to section 922 of the statute. Activate your 30 day free trialto continue reading. What are the privacy and confidentiality protections for PSWP? The CFERDS is designed to help healthcare providers identify and report missed opportunities in the diagnostic process in a standardized manner across healthcare settings and specialties for the purpose of learning about how to improve diagnostic safety and better support clinicians in the diagnostic process. Right To Information Act, Hospital :: Hospiad, normafrontalis-111118075444-phpapp02.pptx, classificationofbonesanatomy-150725135414-lva1-app6891.pdf, Cell-Division-Mitosis-Biology-Lecture-PowerPoint-VCBCct.ppsx, bacteriastructureandfunction-201109055324.pdf, How to lose weight fast and easily (HOW NOT TO DIET), COMPLICATIONS OF EXODONTIA AND THEIR MANAGEMENT.pptx. Patient Safety Organizations (PSOs) conduct activities to improve the safety and quality of patient care. It is intended to facilitate the collection and organization of a basic set of meaningful data about diagnostic safety events that can be used, aggregated, and analyzed for learning and improvement. Rockville, MD 20857 The original Notice of Opportunity to Comment appeared in the Federal Register on December 16, 2020. PSQIA establishes a voluntary reporting system to enhance the data available . AHRQ/CQUIPS . This logo is intended to identify entities whose PSO certifications have been accepted in accordance with Section 3.104(a) of the Patient Safety Rule. VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans Care, but Should Take Action to Ensure That These Data Are Complete. Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Yes, a PSO is required to meet the appropriately qualified workforce requirement at all times that a PSO is listed. Often referred to as the Patient Safety Act, the provisions of this law dealing with PSOs are administered by the Agency for Healthcare Research and Quality (AHRQ) and the provisions dealing with its confidentiality protections are interpreted and enforced by the Office for Civil Rights (OCR). An example of a licensed medical professional being appropriately qualified for the work of the PSO would be a PSO specializing in pediatric safety events that has a currently licensed medical professional with relevant knowledge, expertise, and experience in pediatrics as a workforce member. This protection helps encourage institutions and individuals to more freely report incidents, concerns, and near misses. DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. PSO Program: Common Terms and Acronyms (PDF, 618 KB). If the same PSO specializing in pediatric safety events maintains a geriatrician as the only workforce medical professional, the PSO would have an insufficiently qualified workforce. PSOs create a legally secure environment (conferring privilege and confidentiality) where clinicians and health care organizations can voluntarily report, aggregate, and analyze data, with the goal of reducing the risks and hazards . Currently, there are CFER that include several event-specific modules for hospitals (CFER-H) and nursing homes (CFER-NH). Advancing Effective Communication, Cultural Competence, and Patient-and Family-Centered Care > For Professionals What is an example of how a PSO's collection and analysis of patient safety work product could change requiring additional expertise? We help you measure, assess and improve your performance. Strong privacy and confidentiality protections are intended to encourage greater participation by providers in the examination of patient safety events. AHRQ refines existing Common Formats and considers new types for development on an ongoing basis. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. The journey to zero harm moves at a similar pace. Search All AHRQ First, a PSO must have appropriately qualified workforce members, including licensed or certified medical professionals, as described in the PSO listing criteria at 42 CFR 3.102(b)(2)(i)(B). sections 299b-21 to 299b-26). To amend title IX of the Public Health Service Act to provide for the improvement of patient safety and to reduce the incidence of events that adversely effect . Second, a PSO is required to conduct patient safety activities, including the utilization of qualified staff, as described at 42 CFR 3.20. Generally, what are the staffing and personnel requirements of a PSO? Drive performance improvement using our new business intelligence tools. Yes, part of the PSO's requirement to have an appropriately qualified workforce includes that the PSO must have workforce members who are licensed or certified medical professionals, and they must be appropriately qualified. What are the circumstances in which a component PSO may not engage an individual or unit of its parent organization in the work of the PSO? Agency for Healthcare Research and Quality, Rockville, MD. By establishing strong protections, providers may engage in more detailed discussions about the causes of adverse events without the fear of liability from information and analyses generated from those discussions. Purpose. In addition, hospitals can compare their data to others and analyze trends on a community, regional, and national level. PSOs serve as independent, external experts who can assist providers in analyzing data that a provider voluntarily chooses to report to the PSO. PSOs are required to collect and analyze patient safety work product in a standardized manner, to the extent practical and appropriate, to permit valid comparisons of similar cases among similar providers. A provider PSES manages the collection of information for reporting to a PSO. The Patient Safety Rule establishes in Subpart B the requirements that an entity must meet to seek listing, and remain listed, as a PSO. Working with a PSO makes it possible for information to receive certain legal protections and to be contributed to the Network of Patient Safety Databases (NPSD). What expertise is required of a PSO's appropriately qualified workforce? Do not sell or share my personal information, 1. They have been developed for use by healthcare providers that choose to work with patient safety organizations (PSOs) listed by AHRQ under the Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act). The Patient Safety and Quality Improvement Act of 2005 (PSQIA) establishes a voluntary reporting system designed to enhance the data available to assess and resolve patient safety and health care quality issues.

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