Dustin n. Jackson, MHa, cpcs, cpmsm

With concerns about the next upcoming survey or the general meeting around the corner, the False Claims Act is low on the priority list. However, the False Claims Act is one of the areas of highest exposure for any hospital. Everything from meeting the regulatory requirements, Conditions of Participation and medical necessity for procedures are all areas that the MSP is the first to encounter. This session reviews the origin of the False Claims Act and how hospitals have been found liable for the acts of medical staff members and will include cases of liability. We will specifically discuss red flags that can be identified by the MSP and the role of the compliance officer and how to avoid the multi-million dollar payback by your organization. 

Objectives:

• Participants will be able to state the origin of the False Claims Act
• Participants will be able to identify one way the MSP can avoid being the source of False Claims Act liability
• Participants will be able to state the role of Conditions of Participation in the False Claims Act

Healthcare is rapidly changing with an environment of doing less with more, and the Medical Staff Services profession is no exception. LEAN process improvement methodology gives users the tools to rapidly identify and remove wastes within day-to-day processes. Creating a systematic process to garner, implement and track new ideas for process improvement is key to creating the LEAN culture that will be taught within this session.

Objectives:

• Participants will be able to recite the basic principles of lean process improvement
• Participants will be able to create process and role standard work
• Identify wastes within their current processes and the methodology used to remove wastes