DNV GL- Healthcare VAD Facility Credentialing … GL- Healthcare. VAD Facility Credentialing...
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SAFER, SMARTER, GREENER DNV GL © 2015 DNV GL- Healthcare VAD Facility Credentialing Program This presentation was presented at the Thoratec Corporation Economic Summit held on September 30- October 2 in La Jolla, CA. Please note that this presentation and content thereof represents the ideas and opinions of the presenters, who are solely responsible for such content, and not necessarily those of Thoratec Corporation. Maureen Washburn, Chief Clinical Officer, DNV GL presented on10.2.15
Transcript of DNV GL- Healthcare VAD Facility Credentialing … GL- Healthcare. VAD Facility Credentialing...
DNV GL © 2015 SAFER, SMARTER, GREENERDNV GL © 2015
DNV GL- HealthcareVAD Facility Credentialing Program
This presentation was presented at the Thoratec Corporation Economic Summit held on September 30-October 2 in La Jolla, CA. Please note that this presentation and content thereof represents the ideas and opinions of the presenters, who are solely responsible for such content, and not necessarily those of Thoratec Corporation.
Maureen Washburn, Chief Clinical Officer, DNV GL presented on10.2.15
DNV GL © 20152
This reimbursement information is intended to provide the health care professionalwith information related to billing, coding and reimbursement requirements thatmay apply to Thoratec products. It is being provided for general informational andeducational purposes only, and is not intended, and does not constitute,reimbursement or legal advice. Use of codes identified here does not guaranteecoverage or payment at any specific level and is not intended to increase ormaximize payment by any payer. Laws, regulations and coverage policies arecomplex and updated frequently. In addition, reimbursement policies vary widelyfrom insurer to insurer and will reflect different patient conditions. You should checkthe current law and regulations and insurer’s policies to confirm the most currentcoverage, coding or billing requirements. Any questions should be directed to yourattorneys or reimbursement specialist. The health care professional is responsiblefor all aspects of reimbursement, including using codes that accurately reflect thepatient’s condition, procedures performed, and products used and ensuring theveracity of all claims submitted to third party payers.
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV-GL snapshot
1864 2014
Safeguarding life, property and the environment
Enter Healthcare
1994 2008
Deeming Authority
10016,000 500
Maritime
Offshore Power Generation Aviation/Defence
Food Transportation Healthcare
75,000 certifications issued globally
400+ Hospitals
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015© Det Norske Veritas AS. All rights reserved Slide 411 September 2015
The Broader View of DNV GL
Reducing uncertainty, increasing safety Improving efficiency Enabling sustainability
Building trust
SAFER, SMARTER, GREENER
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
Our Healthcare Services
Hospital Accreditation CertificationsPrimary Stroke Center
Comprehensive Stroke Center
Managing Infection Risk
ISO 9001
Ambulatory Surgery CentersPsychiatric Hospitals
BariatricHeart Failure
Palliative Care
PENDING
PENDING
Acute Care
Critical Access
VAD Facility Credentialing Hip and Joint Replacement
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
Nationwide momentum: A few of our customers
420 hospitals77 ISO certified
HarrisHealth System
FloridaHospital
SentaraHealth System
The MethodistHospital System
St. Luke’sEpiscopal Health System
UpstateUniversity Hospital (SUNY)
Lee MemorialHealth System
AdvocateTrinity Hospital
HoagMemorial Hospital Presbyterian
Phoebe PutneyHealth System
Jersey CityMedical Center
North VistaHospital
HaysMedical Center
SeattleChildren’s Hospital
Asante RogueRegional Medical Center
Mountain VistaMedical Center
Holy CrossHospital
MadisonMemorial Hospital
Campbell CountyMemorial Hospital
Henry FordWest Bloomfield Hospital
North MemorialMedical Center
BellinMemorial Hospital
IngallsMemorial Hospital
IowaLutheran Hospital
LandmarkHospital
PeaceHealthMedical Center
Forrest GeneralHospital
OlympiaMedical Center
Verdugo HillsHospital
RidgecrestRegional Hospital Phelps
Memorial Health Center
McAlesterRegional Medical Center
Jordan ValleyMedical Center
HardinMedical Center
ContinueCareHospital
UnionHospital
PremierSurgical Institute
Pikes PeakRegional Hospital
LovelaceMedical Center
San JuanRegional Medical Center
FlagstaffMedical Center
ExeterHospital
ACCREDITATION
PRIMARY STROKE CENTER
ISO 9001
COMPREHENSIVE STROKE CENTER
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
The Survey Team…
They are people and we look for certain qualities beyond the credentials (Qualified) They are approachable (Demeanor) They want to help not hinder (Engage) They do care about your staff and your patients Partner not adversary
7 Maureen Washburn, Chief Clinical Officer, DNV Gl presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
DNV GL named a CMS-approved credentialing organization for Ventricular Assist Devices as Destination Therapy, October 30, 2014.
8 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
CREDENTIALING PROCESS Initial Survey
– Initial Survey- two days
– Credentialed for three years
Annual Survey
– Annual Survey- one day
– Validates continuing compliance with DNV GL VAD Facility Credentialing Program requirements
Surveys are scheduled
9 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Survey Team Team will always consist of at least two members:
– Clinical Specialist
– DNV GL Surveyor Team Leader
Team shall have no conflict of interest
– Consultant
– Current or past employee
10 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Initial Survey Agenda Opening Meeting
Optional Orientation Session
Tracer Activity as part of tour
– VAD Unit
– VAD clinic
– Other units caring for VAD Clients (ED, CCU, Others)
11 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Initial Survey Agenda Tracer Activity will focus on
– Patient Management
– Diagnostic Tests
– Medication Management
– VAD Protocols
– Staffing
– Surgery
– Device management
– Admission requirements
– Open record review
12 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Initial Survey AgendaOther Survey Activities
Human Resources
– Competency
– Special Training
– Evaluation
Closed Record Review
Medical Staff
– Credentialing and Privileging Process
– Competency
– Licensure & Evaluation
– Peer Review
Program Management Meeting/ VAD Multidisciplinary Group
13 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Initial Survey AgendaOther Survey Activities
Quality Management System
– Interview with Quality Staff, VAD team, VAD leaders
Daily Out briefs as requested
Closing Meeting
14 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Post Survey Activity DNV GL will forward the final survey report to the VAD Program organization
within 10 business days of the last date of the survey.
Survey Findings
Nonconformity (NC) - (Category 1)
– NC-1, Condition Level
Nonconformity (NC) - (Category 2)
15 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Customer Follow-up Required for Nonconformities A Corrective Action Plan (CAP) must be delivered to DNV GL. within ten (10)
calendar days from date of the written report.
16 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Corrective Action PlanThe CAP must identify:
The root cause that led to the nonconformity;
Actions taken to correct the nonconformity in the affected areas and/or processes;
Other areas and/or processes (if applicable) that have the potential to be affected by the same nonconformity;
Process or system changes that will be made to ensure that the nonconformity does not recur;
Timeframe for the implementation of the corrective action measure(s);
Name of the person responsible for implementing the corrective action measure(s)
Performance measure(s) and/or other supporting evidence that will be monitored to ensure the effectiveness of the corrective action(s) taken.
17 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
DNV GL VAD Facility Credentialing Program
Corrective Action Plan VAD Program is expected to implement corrective action measure(s) within sixty
(60) days.
Possible exceptions but rare that the extended timeframe for implementation of corrective action measure(s) would exceed six months.
If CAP is approved, final written report(s) will be provided to the Applicant Organization within thirty (30) business days of the survey.
Based on successful survey findings and/or Action Plan follow-up, report will be submitted to DNV GL for its decision regarding the certification status of the Applicant Organization. If approved, the Applicant Organization will receive a three year DNV GL facility certification for VAD.
In order to maintain VAD facility certification, the organization will be subject to annual surveys for assessment of continual compliance with the VAD Facility Certification requirements and compliance with corrective action plan(s) from the prior survey.
18 Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
DNV GL © 2015
SAFER, SMARTER, GREENER
www.dnvglhealthcare.com
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Maureen Washburn, Chief Clinical [email protected]
(513) 388-4888
Maureen Washburn, Chief Clinical Officer, DNV GL presented on 10.2.15
