Near misses (or close calls): patient safety events that did not reach the patient. The voluntary dimension of PSQIA is key. Content last reviewed August 2022. Depending upon the specific activities and services to be performed by the PSO, medical doctors and/or other licensed or certified medical professionals with sufficient expertise to be able to perform the PSO's patient safety activities may satisfy the PSO's requirement to have appropriately qualified workforce members. 200 Independence Avenue, S.W. Access to PSWP bycomponent PSOworkforce members within the PSO is considered a use of PSWP and not a disclosure(emphasis added). Copies of selected parts of original provider records may become PSWP. The entity maintains PSWP separately from the rest of the organization, and establishes appropriate security measures to maintain the confidentiality of the PSWP, The entity does not make an unauthorized disclosure of PSWP to the rest of the organization in breach of confidentiality, The mission of the entity does not create a conflict of interest with the rest of the organization, The mission and primary activity of the entity are to conduct activities that improve patient safety and the quality of healthcare delivery, The entity has appropriately qualified staff (whether directly or through contract), including licensed or certified medical professionals, The entity, within each 24-month period that begins after the date of the initial listing as a PSO, will establish two bona fide contracts, each of a reasonable period of time, with more than one provider, for the purpose of receiving and reviewing PSWP, The entity is not, and is not a component of, a health insurance issuer, any financial, reporting, or contractual relationship between the entity and any provider that contracts with the entity; and, if applicable, the fact that the entity is not managed, controlled, and operated independently from any provider that contracts with the entity, To the extent practical and appropriate, the entity collects PSWP from providers in a standardized manner that permits valid comparisons of similar cases among similar providers, The entity uses PSWP for the purpose of providing direct feedback and assistance to providers to effectively minimize patient risk. Patient Safety Organization (PSO) Program, Resources About the Patient Safety and Quality Improvement Act of 2005, Resources for Improving Patient Safety and Healthcare Quality, Department of Health and Human Services' (HHS), Patient Safety Organizations: A Compliance Self-Assessment Guide, Patient Safety Organization Privacy Protection Center (PPC) Web site, Policies and ProceduresTopics to Address, Patient Safety Rule Section 3.102(b)(2)(i)(A), Patient Safety Rule Section 3.102(b)(2)(ii)), Patient Safety Rule Section 3.102(b)(2)(ii), PSO Privacy Protection Center (PSOPPC) website. A contractor that is not under the direct control of the PSO is not a workforce member for purposes of the appropriately qualified workforce requirement. ThePSO readmissions Web pagecontains helpful information and tools that can be used by such hospitals, and PSOs that work with those hospitals, to address the causes of unnecessary readmissions. Dr. William B. Munier discussed the development and implementation of PSOs in an AHRQ WebM&M interview. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. The amount, as updated, is published at45 CFR Part 102. The Patient Safety Rule defines a workforce member as an employee, volunteer, trainee, contractor, or other person whose conduct is under the direct control of an entity. Are any entities excluded from being listed as a PSO? A health insurance issuer may not form a component PSO, but the other excluded entities listed in 3.102(a)(2)(ii) may do so. Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. Jewish Renaissance Medical Center hiring Quality Improvement Manager in 116th Congress (2020). U.S. Department of Health & Human Services Project Manager - Performance Improvement Jobs | Scripps Health Careers multiple examples of how the model is used to address patient safety challenges. Patient Safety & Quality Improvement Act | George Washington University Organizations that are eligible to become PSOs include public or . If a PSO is revoked for cause (i.e., noncompliance with the requirements that each PSO must meet) and a healthcare provider inadvertently submits data to that entity, is the data protected? What is the difference between the "Listed PSO" logo and the "AHRQ Common Formats" logo? Patient Safety Organizations Program | Agency for Healthcare Research S.3380 - Patient Safety Improvement Act of 2020 116th - Congress Insight P olicy Research, Inc. We can make a difference on your journey to provide consistently excellent care for each and every patient. These meetings are announced on the same PSOPPC website and are open to the public. Second, a PSO is required to conduct patient safety activities, including the utilization of qualified staff, as described at 42 CFR 3.20. Evidence-based practice and decision-making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. Because services offered by PSOs to help reduce readmissions will vary, AHRQ recommends consulting a PSO's Web site to determine if that PSO is offering such assistance. At this time, any comments on the Common Formats versions that are active for reporting can be submitted through the support@psoppc.org email. AHRQ lists patient safety organizations pursuant to section 924 of PSQIA and has responsibility for common formats and network of patient safety databases pursuant to section 923. WHAT IS QUALITY ?. PSWP may only be disclosed pursuant to an applicable disclosure exception (seePatient Safety Rule Section 3.206). 5600 Fishers Lane L. 109-41, 42 U.S.C. By contrast, if the PSO also had a currently licensed geriatrician as a member of the workforce, the PSO may meet the appropriately qualified workforce requirement depending upon the knowledge, expertise, and experience of the geriatrician. In compliance with the California Pay Transparency . We've encountered a problem, please try again. Any information that is eligible to become PSWP reported to a PSO by a healthcare provider is protected. DR. N. C. DAS, At present no one player or country has the expertise let alone funding and research capabilities to tackle the full range of patient safety issues. (2) Identifiable patient safety work product PDF PATIENT SAFETY AND QUALITY IMPROVEMENT ACT OF 2005 - Congress The regulation implementing the Patient Safety and Quality Improvement Act of 2005 (PSQIA) was published on November 21, 2008, and became effective on January 19, 2009. 299b- 21b-26 (Patient Safety Act). (a) Improving provider communication regarding patient infections in medicare and medicaid. (1) I N GENERAL.The Secretary of Health and Human Services (referred to in this Act as the "Secretary") shall award competitive grants to support the development and evaluation of programs aimed at improving inter-facility communication about health care-associated infections, multidrug . Learn more about the communities and organizations we serve. the Ikechukwu Enyeribe Anyanwu is a resourceful Physician, Public Health Specialist and Change Agent, with over eight years of experience in Clinical Management, Research, Strategic and Cross-functional Leadership. PSOs create a secure environment where clinicians and healthcare organizations can collect, aggregate, and analyze data, thus identifying and reducing the risks and hazards associated with patient care and improving quality. However, the Federal privilege and confidentiality protections only apply to information developed as patient safety work product by providers and PSOs working under the Patient Safety Act. PSOs that are currently listed by Secretary are entitled to display the "Listed PSO" logo. If so, is the PSWP protected? Non Union. Frequently asked questions and definition of terms used in the Patient Safety Act or Patient Safety Rule are summarized here solely for convenience; always rely on the actual text of the Patient Safety Act or Patient Safety Rule in making any determination. Toll Free Call Center: 1-800-368-1019 Patient Safety and Quality Improvement Act of 2005 | PSO AHRQ has prepared aPSO Certification for Initial Listingform that an entity must use to certify that it meets the requirements to become listed as a PSO. The Joint Commission has been in the business of health care quality for more than 60 years. The Joint Commission web site no longer maintains a look-alike/sound-alike medication list; please refer to the ISMP web site referenced above for a current list of look-alike/sound-alike medications. TTD Number: 1-800-537-7697, Patient Safety and Quality Improvement Act of 2005 Statute and Rule, Content created by Office for Civil Rights (OCR), U.S. Department of Health & Human Services, Understanding Patient Safety Confidentiality, has sub items, about Compliance & Enforcement, has sub items, about Covered Entities & Business Associates, Other Administrative Simplification Rules. Quality improvement (QI) focuses on processes to improve efficiencies and eliminate waste (anything that does not add value) within a . Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. You can read the details below. HHS interprets the Patient Safety Rule's requirement for PSOs to have appropriately qualified workforce members to concern the qualifications possessed by a PSO's workforce to provide appropriate collection and analysis of patient safety work product. For an individual to be part of a PSO's workforce, the individual must be under the direct control of the PSO. There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: The term "safety" refers to reducing risk from harm and injury, while the term "quality" suggests striving for excellence and value. Stormi Frusetta MSIHCM, BSHI, RN (SSLP) - Lead Clinical Consultant