CMS Interpretive Guidelines for Complaint/Grievances

Pregunta 1 de 10

10

The hospital must establish a process for prompt resolution of patient grievances and must inform each patient whom to contact to file a grievance.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 2 de 10

10

Change in bedding, housekeeping of a room, and serving preferred food and beverages requires a written response.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 3 de 10

10

CoP stands for Conditions of Patients

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 4 de 10

10

If a verbal patient care complaint cannot be resolved at the time of the complaint by staff present, is postponed for later resolution, is referred to other staff for later resolution, requires investigation, and/or requires further actions for resolution, then the complaint is a grievance.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 5 de 10

10

The hospital’s governing body must review and resolve grievances, unless it delegates this responsibility in writing to a grievance committee.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 6 de 10

10

Quality Improvement Organizations (QIO) are hospital employees charged with reviewing the appropriateness and quality of care rendered to Medicare beneficiaries in the hospital setting.

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 7 de 10

10

Grievances about situations that endanger the patient, such as neglect or abuse, should be reviewed immediately, given the seriousness of the allegations and the potential for harm to the patient(s).

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 8 de 10

10

Select ALL of the CMS interpretive guidelines for complaint/grievances:

Selecciona una o más de las siguientes respuestas posibles:

The grievance process does not require specification of time frames for review of the
grievance and the provision of a response.
The hospital must establish a clearly explained procedure for the
submission of a patient's written or verbal grievance to the hospital.
The grievance process must include a mechanism for timely referral of patient concerns
regarding quality of care or premature discharge to the appropriate Utilization and
Quality Control, Quality Improvement Organization.
The hospital's governing body must approve and be responsible for the effective operation
of the grievance process, and must review and resolve grievances, unless it delegates the
responsibility in writing to a grievance committee.
The hospital must establish a process for prompt resolution of patient
grievances and must inform each patient whom to contact to file a grievance.
The hospital can choose to establish a process for prompt resolution of patient grievances.

Explicación

Pregunta 9 de 10

10

	Creado por Lydia Elliott, Ed.D hace alrededor de 8 años

Test your knowledge based on workbook recommended reading https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_a_hospitals.pdf

CMS Interpretive Guidelines for Complaint/Grievances

CMS Interpretive Guidelines for Complaint/Grievances

Pregunta 1 de 10

The hospital must establish a process for prompt resolution of patient grievances and must inform each patient whom to contact to file a grievance.

Selecciona uno de los siguientes:

Explicación

Pregunta 2 de 10

Change in bedding, housekeeping of a room, and serving preferred food and beverages requires a written response.

Selecciona uno de los siguientes:

Explicación

Pregunta 3 de 10

CoP stands for Conditions of Patients

Selecciona uno de los siguientes:

Explicación

Pregunta 4 de 10

If a verbal patient care complaint cannot be resolved at the time of the complaint by staff present, is postponed for later resolution, is referred to other staff for later resolution, requires investigation, and/or requires further actions for resolution, then the complaint is a grievance.

Selecciona uno de los siguientes:

Explicación

Pregunta 5 de 10

The hospital’s governing body must review and resolve grievances, unless it delegates this responsibility in writing to a grievance committee.

Selecciona uno de los siguientes:

Explicación

Pregunta 6 de 10

Quality Improvement Organizations (QIO) are hospital employees charged with reviewing the appropriateness and quality of care rendered to Medicare beneficiaries in the hospital setting.

Selecciona uno de los siguientes:

Explicación

Pregunta 7 de 10

Grievances about situations that endanger the patient, such as neglect or abuse, should be reviewed immediately, given the seriousness of the allegations and the potential for harm to the patient(s).

Selecciona uno de los siguientes:

Explicación

Pregunta 8 de 10

Select ALL of the CMS interpretive guidelines for complaint/grievances:

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 10

A grievance is considered resolved when the hospital is satisfied with the actions taken on the patient's behalf.

Selecciona uno de los siguientes:

Explicación

Pregunta 10 de 10

Medicare patients have the right to appeal a premature discharge

Selecciona uno de los siguientes:

Explicación