1. FTCA MEDICAL MALPRACTICE BASICS AND PROGRAM UPDATES Christopher W. Gibbs, JD, MPH Shayna Wilborn, BSN, CNOR Department of Health and Human Services Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data

2. CY 2014 FTCA DEEMING

3. 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 o May be submitted at any time during the year when the EHB system is open to receive applications. o Will be acted upon by HRSA within 30 days after receipt of a completed application –ANNUAL REDEEMING APPLICATION o All currently deemed health centers must file a renewal deeming application to be deemed for CY 2014. This year’s deadline: May 3, 2013

4. 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

5. CY 2014 Requirement Updates (continued)  Board-approved Credentialing and Privileging (C&P) policies –Must be signed and dated by the Board  (C&P) Plan + Page with Board of Directors Signature  (C&P) Plan + Signed Board Minutes showing C&P 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)

6. Requirements A complete initial or redeeming application must include: 1.An Application Form completed in EHB 2.An approved Quality Improvement/Quality Assurance Plan, including governing board signature and approval date 1. 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

7. Requirements 3.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

8. Requirements (continued) 4.Explanation of any “NO” responses 5.Deeming applications for any sub-recipients (as documented on the organization’s most recent approved scope from FORM 5B - see “sub-recipient submission instructions.”)

9. Requirements (continued) 6.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: o Name & Professional Designation (e.g., MD/DO, RN, CNM, DDS) o Title/Position o Specialty o Employment Status (full-time employee, part-time employee, contractor, volunteer) o Date of Hire o Current Credentialing Date o Next Expected Credentialing Date

10. TECHNICAL ASSISTANCE AND RESOURCES

11. FTCA WEBSITE FTCA WEBSITE http://www.bphc.hrsa.gov/ftca/ http://www.bphc.hrsa.gov/ftca/

12. 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.html http://services.choruscall.com/links/hrsa130221.html http://services.choruscall.com/links/hrsa130220.html http://services.choruscall.com/links/hrsa130221.html

13. Quality Improvement Resources HRSA Quality Improvement Webinars: http://bphc.hrsa.gov/policiesregulations/quality/ http://bphc.hrsa.gov/policiesregulations/quality/ ECRI Resource Page: Quality Improvement: https://members2.ecri.org/Components/HRSA/Pages/QI.as px https://members2.ecri.org/Components/HRSA/Pages/QI.as px

14. Risk Management Resources –Tracking Tool Kit –Credentialing Tool Kit –Quality Improvement and Quality Assurance Tool Kit –Credentialing Webinar Archived

15. Risk Management Resources Risk Management Plan: https://members2.ecri.org/Components/HRSA/Pages/RMPlan.aspx https://members2.ecri.org/Components/HRSA/Pages/RMPlan.aspx Event Reporting Toolkit: https://members2.ecri.org/Components/HRSA/Pages/EventReportToolk it.aspx https://members2.ecri.org/Components/HRSA/Pages/EventReportToolk it.aspx Webinars https://members2.ecri.org/Components/HRSA/Pages/Webinar_Audioco nf_Archive.aspx: https://members2.ecri.org/Components/HRSA/Pages/Webinar_Audioco nf_Archive.aspx –Clinical Risk Management Basics Part I –Developing a Risk Management Plan

16. Risk Management Resources Sample Risk Management Policy: Physician Office Practice https://members2.ecri.org/Components/HRSA/Pages/PSRMPol3.aspx https://members2.ecri.org/Components/HRSA/Pages/PSRMPol3.aspx Patient Satisfaction Questionnaire https://members2.ecri.org/Components/HRSA/Pages/PSRMPol2.aspx https://members2.ecri.org/Components/HRSA/Pages/PSRMPol2.aspx Anecdotal Note for Patient Concerns https://members2.ecri.org/Components/HRSA/Pages/OAPol4.aspx https://members2.ecri.org/Components/HRSA/Pages/OAPol4.aspx Handling Patient Complaints https://members2.ecri.org/Components/HRSA/Pages/OAPol3.aspx https://members2.ecri.org/Components/HRSA/Pages/OAPol3.aspx Safety Attitudes Questionnaire (Ambulatory Version) https://members2.ecri.org/Components/HRSA/Pages/PSRMPol1.aspx https://members2.ecri.org/Components/HRSA/Pages/PSRMPol1.aspx

17. To request ECRI accounts for your health center staff please contact ECRI at: Clinical_rm_program@ecri.org

18. Office Contact FTCA/BPHC Help Line Phone: 1-877-974-BPHC (877-974-2742) 9:00 AM to 5:30 PM (ET) Email: BPHChelpline@hrsa.govBPHChelpline@hrsa.gov FTCA Website: http://www.bphc.hrsa.gov/ftca/http://www.bphc.hrsa.gov/ftca