FTCA MEDICAL MALPRACTICE BASICS AND PROGRAM UPDATES Christopher W. Gibbs, JD, MPH Shayna Wilborn, BSN, CNOR

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FTCA MEDICAL MALPRACTICE BASICS AND PROGRAM
UPDATESChristopher W. Gibbs, JD, MPHShayna
Wilborn, BSN, CNOR

• Department of Health and Human Services
• Health Resources and Services Administration
• Bureau of Primary Health Care
• Office of Quality and Data

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CY 2014 FTCA Deeming
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Types of Applications

• There are two types of applications for FTCA
  coverage
• EHB System was opened to receive applications on
  March 28, 2013
• INITIAL 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 application
• ANNUAL REDEEMING APPLICATION
• All currently deemed health centers must file a
  renewal deeming application to be deemed for CY
  2014. This years deadline May 3, 2013

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CY 2014 Requirement Updates

• Minutes 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

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CY 2014 Requirement Updates(continued)

• Board-approved Credentialing and Privileging
  (CP) policies
• Must be signed and dated by the Board
• (CP) Plan Page with Board of Directors
  Signature
• (CP) Plan Signed Board Minutes showing CP
  plan was approved
• Clinical policies and procedures for the
  following activities
• Referral Tracking
• Hospitalization Tracking
• Diagnostic Tracking (Should include X-Ray
  Tracking Lab Result Tracking)

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Requirements

• A complete initial or redeeming application must
  include
• An Application Form completed in EHB
• An approved Quality Improvement/Quality Assurance
  Plan, including governing board signature and
  approval date
• Two Methods to demonstrate Board approval
• QI/QA Plan Page with Board of Directors
  Signature
• QI/QA Plan Signed Board Minutes showing QI/QA
  plan was approved

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Requirements

• Summary of professional liability history for
  cases filed or closed within the last 5 years, if
  applicable
• Name of provider(s) involved
• Area of practice/Specialty
• Date of Occurrence
• Summary of allegations
• Status and outcome of claim

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Requirements (continued)

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

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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/Position
• Specialty
• Employment Status (full-time employee, part-time
  employee, contractor, volunteer)
• Date of Hire
• Current Credentialing Date
• Next Expected Credentialing Date

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TECHNICAL ASSISTANCE AND RESOURCES
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CY 2014 FTCA Application Technical Assistance
(TA) Videos

• Online Instructional Videos
• Archived 2013 FTCA Deeming Application Webinars
• Review 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.ht
  ml http//services.choruscall.com/links/hrsa130221
  .html

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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

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Risk Management Resources

• Tracking Tool Kit
• Credentialing Tool Kit
• Quality Improvement and Quality Assurance Tool
  Kit
• Credentialing Webinar Archived

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Risk Management Resources

• Risk Management Plan https//members2.ecri.org/Co
  mponents/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 I
• Developing a Risk Management Plan

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Risk Management Resources

• Sample 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/PS
  RMPol2.aspx
• Anecdotal Note for Patient Concerns
  https//members2.ecri.org/Components/HRSA/Pages/OA
  Pol4.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

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• To request ECRI accounts for your health center
  staff please contact ECRI at
• Clinical_rm_program_at_ecri.org

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Office Contact

• FTCA/BPHC Help Line
• Phone [phone]-BPHC (877-974-2742)
• 900 AM to 530 PM (ET)
• Email BPHChelpline_at_hrsa.gov
• FTCA Website http//www.bphc.hrsa.gov/ftca/