To bring our Complaints and Grievances processes in line with the new Network contract, we’ve modified our web pages on the topic.
Providers: Make sure you have the HealthInsight Grievance Poster posted in your lobby or another area that is accessible to patients and guests. There are links to the posters and brochures on the web pages listed above. Feel free to print out some brochures and pass them out to patients or have them available in your lobby. Ensure that all patients understand how to file a grievance with you, with the Network or with the State. Please keep in mind that no patient should ever suffer any retaliation for filing a grievance. The Network is here to assist you and your patients in resolving any concerns that may arise in a collaborative and positive manner.
CMS has announced the appointment of a Provider Ombudsman for the New Medicare Card, to serve as a resource for the provider community. The Ombudsman will ensure that CMS hears and understands any implementation problems experienced by clinicians, hospitals, suppliers, and other providers, will communicate about the New Medicare Card to providers, and help to develop solutions to any implementation problems that arise. To reach the Provider Ombudsman, contact: NMCProviderQuestions@cms.hhs.gov .
The Medicare Beneficiary Ombudsman and other CMS staff will address inquiries from Medicare beneficiaries and their representatives through existing inquiry processes. For more information on the Beneficiary Ombudsman see https://www.medicare.gov/Pubs/pdf/11173.pdf and https://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html .
We’ve published a Patient Bulletin on Dialysis Scheduling, listing typical scheduling difficulty scenarios, and tips for patients and staff on making the process easier. Find it with our other Patient Bulletins at https://www.nwrn.org/patients-a-family/ptedres/mon.html .
The May issue of Network 16 News is titled What to Know about HIPAA, and it includes a list of the 18 patient identifiers that, when any one or more of which are present, create Personally Identifiable information that must be protected according to HIPAA rules.
The “Question Corner” this month is about the most common patient concerns. The “Hot Dates” section lists the October 22, 2017 Network 16 Annual Quality Conference in Tukwila WA (see https://nwrnbulletins.wordpress.com/2017/05/04/nw-101-nw16-quality-conference/ ), and the September 23-25, 2017 ANNA Management & Leadership Conference sin Miami FL (see https://www.annanurse.org/events/nephrology-nursing-practice-management-leadership-conference ).
Find Network 16 News at https://www.nwrn.org/providers-and-professional-staff/nw16n.html .
The CMS Quality Improvement and Innovation Group is hosting a session with Medicare beneficiaries, families, caregivers, and advocates to gather information about healthcare quality improvement integration, gaps, and ideal outcomes, on Wednesday, April 12, 2017 at 2pm EDT, which is 11am PDT. You can join the Webex at https://mitre.webex.com/mw3100/mywebex/default.do?service=1&siteurl=mitre&nomenu=true&main_url=%2Fmc3100%2Fe.do%3Fsiteurl%3Dmitre%26AT%3DMI%26EventID%3D242824642%26UID%3D0%26Host%3DQUhTSwAAAAPoyDgLCLfLHjFHMF3xlLgEaTGbwbt46gcB7K653b4OYK3brFSWysdXI47I6qwFjY4ppqs-YZaENcrmcI4mHSBk0%26FrameSet%3D2%26MTID%3Dm346742cc4264be6c6281a1ac541e94d5 , meeting number or access code 634 491 197, password QIO12SoW. Or you can call in to 877-668-4490.
You can get Webex help at http://help.webex.com/ . The CMS QIIG is at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityImp rovementOrgs/Current.html .
The Northwest Chapter of the NKF Council of Nephrology Social Workers will hold their Spring 2017 Educational Conference on May 11-12, 2017 in Issaquah WA. The May 11 agenda includes sessions on salt and water, fluid and sodium overload, patient and social work approaches to fluid management, and sleep disorders. Renal dietitians are also invited to the May 11 sessions, and RD CEUs will be offered. May 12 sessions include patient safety and grievances, Dialysis Patient Citizens, and compassion fatigue.
Find the Conference brochure and registration instructions at https://s3-us-west-2.amazonaws.com/nwrn.org/files/N/CNSW.0517.pdf . Registration must be postmarked by April 28, 2017, and early registration is recommended because of space limitations. Payments postmarked prior to April 20, 2017 will be eligible for a prize.