Department of Health and Human Services Health Resources and Services Administration

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

CY 2014 FTCA Deeming

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 year’s deadline: May 3, 2013

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

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)

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

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

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

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

TECHNICAL ASSISTANCE AND RESOURCES

FTCA WEBSITEhttp://www.bphc.hrsa.gov/ftca/

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.htmlhttp://services.choruscall.com/links/hrsa130221.html

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

Risk Management Resources • Tracking Tool Kit • Credentialing Tool Kit • Quality Improvement and Quality Assurance Tool Kit • Credentialing Webinar Archived

Risk Management Resources • Risk Management Plan: https://members2.ecri.org/Components/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

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/PSRMPol2.aspx • Anecdotal Note for Patient Concerns https://members2.ecri.org/Components/HRSA/Pages/OAPol4.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

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

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.gov FTCA Website:http://www.bphc.hrsa.gov/ftca/

Department of Health and Human Services Health Resources and Services Administration