SLIDE 17
- Prior to Last year, hospitals were required to credential and privilege all
telemedicine providers at the “Distant location”. (Even Tele-radiologists in Australia).
- CMS changed the rule and revised the standard in Last year; published
May 2011
- New standard effective July 2011
- Hospitals can now rely on the credentialing and privileging of “Distant
Site”
- The Joint Commission and HFAP are derived from the CMS
- Di
Distant Si t Site te: The site where the practitioner providing the telemedicine services is located.
inating Sit ing Site: The location where the patient is being treated.
Source: The Searcy Exchange June 2011
- Here are the options that hospitals and CAHs have under the new rule:
- Option
Option 1: 1: Cr Credentia tialin ling a g and P Privil ivilegin ing P g Provi
ded u d under Con Contract ct A distant-site telemedicine entity, acting as a contractor of services, furnishes its services in a manner that enables the originating-site hospital to comply with all applicable Medicare conditions of participation and standards (via contract). OR OR Option Option 2: 2: Cr Credentia tialin ling a g and P Privil ivilegin ing P g Provi
ded d with withou
t a Con Contract ct The distant-site hospital providing the telemedicine services is another Medicare-participating hospital. AND AND The individual distant-site physician or practitioner is privileged at the distant-site hospital providing telemedicine services, and that this distant-site hospital provides a current list of the physician’s or practitioner’s privileges. AND AND The individual distant-site physician or practitioner holds a license issued or recognized by the State in which the hospital whose patients are receiving the telemedicine services is located. AND AND The originating-site hospital has evidence of an internal review of the distant-site physician’s or practitioner’s performance under these telemedicine privileges and provides the distant-site hospital this information for use in its periodic appraisal of the individual distant site physician or practitioner. (Sounds like OPPE to me!!) OR OR Option Option 3: 3: Or Origin iginatin ing S g Site te Cr Credentia tials a and Privile ivileges pr practition titioners a at the the di distant s ant site Organizations can credential telemedicine practitioners the same way that they would credential and privilege any other practitioner who provides patient care services to patients at the organization
If the hosp the hospita ital contr contracts cts f for t telemed lemedicine cine to b to be u used ed in inclu cluding the r ing the radiology,
the ho hospita ital ver verifies that that the the r radiologist
is li licens censed ed and and/or m meets the ets the o
her ap applicab licable le stand standard rds that s that ar are r e requir ired ed b by St State o ate or lo local cal law laws in in both both th the e state ate wh where th ere the practit e practition
er is is located located and and the the st state w ate wher ere the p e the pati tient ent is is located located OR OR is is sub subjected ected to the to the cr cred edential entialin ing g and and p priv ivileg ileging p ng process ess thr through the m ugh the medica cal l staf staff to to b be a approved f for provid iding th ing this is servi rvice for t e for the h e hospital al. .
iteria ia that that inc includ udes a es aspects cts o
individual al char character acter, co competence, tr etence, trai aining ning, , ex experi perien ence a and j d judg dgmen ment is is estab establish lished f for the the se select lectio ion n of ind individual als w s working f ing for the the
ganizatio tion, d , directl ctly o
under co contr ntract, a ct, and/or ap appointe inted th through the ugh the f formal m al medica cal l staff a ff appoi pointmen ent pr proc
ess; a and, d, t the pers e person
l working in ing in the o the organiz ganization ar are p e proper erly ly licen licensed sed o
herwise m ise meet eet al all ap l applicab licable le F Federal, l, State State an and lo local cal law laws. .
The governing b ing body is is r resp sponsib sible f e for ser service ices f furnish ished in the in the ho hosp spital ital w whether ether
not the t they ar are f furnishe ished un under co contr ntract
. The o e organization m must eva evaluate te an and s d select lect contr contracted cted ser services ices (includ luding al all jo l joint int v ventur ntures o
shared se service ices) ( (and nd no non-co n-contr ntracte cted ser services) ices) entit entities/ es/ind ndiv ivid iduals uals based sed o
their ab abil ility to ity to sup supply p y products ucts and and/or ser services ices in in acco accord rdance ance w with th the o the organiz ganizatio tion’s ’s r requir irements
. Criter iteria f for s sele lectio ction, n, ev evalu aluatio tion, a and reevalu reevaluation tion s shal all be l be es establ tablished
The e cr criter iteria f ia for se select lectio ion w n will incl includ ude the r e the requir irem ement ent that the that the contr contracted cted entit entity or
individ vidual to al to provi provide t e the pr prod
ervices i in a a s safe fe a and d eff effect ctiv ive m e manner nner and and co comply ly w with a th all ap applicab licable le N NIAHO O st stand andards, s, and and stand standard rds s re requ quired f ed for a r all c l contra racted ed services.
