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Re: MD Orders

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In a message dated 11/27/98 7:05:38 AM Eastern Standard Time,

mhurley@... writes:

<< As long as you have a signed referral you can see the

patient. Your treatment plans are sent to the referring physician >>

If the issue is credentialing however, my understanding is that there may need

to be some process in place to verify the credentials of the referring

physician. If a physician is on staff, you know they are appropriately

credentialed, but if they are not, is there a mechanism to verify credentials?

This was part of the JCAHO preparation process in a hospital-based home care

agency (it may be different in other settings). As a manager I was

responsible to orient my staff to agency policy if a JCAHO reviewer asked " How

do you know if your orders are coming from a licensed physician? " . I'm

assuming someone somewhere must have been asked that question.....

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Mark, as part of a 560 bed tertiary care, trauma hosp, with a 400 bed

LTC facility, 120 bed behav. health facil., and an OPD, we HAVE NOT run

into the same problem. Was credentialing the problem for them? The

problems we have had have been more related to IS and billing, not

regulatory agencies.

Sue Lauer

Westchester Med Center

Valhalla, NY

> MD Orders

>

> Hope everyone had a great Thanksgiving!!

>  

> We have a small rehab dept (2 PT, 1 OT) as part of a rural acute

> hospital and attached nursing home.  We see primarily outpatients that

> may be referred from a fairly wide area, many returning to get local

> follow-up after a " downtown " hospitalization. 

>  

> During our last JCAHO survey, mention was made (not a citation,

> however) that we accept MD orders/referrals from non-staff docs. 

> Apparently this is fine with JCAHO for free-standing clinics but not

> when rehab is hospital-based.  Understandably, our staff docs are

> reluctant to blindly co-sign outside orders without having ever seen

> the patient.  And having some sort of credentialling process for every

> referral source is simply not practical.

>  

> I would again like to pose the question to the group ... how do you

> handle non-staff out-patient referrals? 

>  

> Thanks in advance,

> Mark

>

> -----------------------------------

> Mark R Eliason, PT

> Apple Valley, MN, USA

> meliason@...

>  

>  

>

>

>

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Mark,

I don't know where JCAHO is coming from. I am sure that your state

Practice Act does not limit who you can recieve referrals from (relative to

on staff or not). As long as you have a signed referral you can see the

patient. Your treatment plans are sent to the referring physician anyways

so I really don't understand their issue.

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Mark,

I have no earthly idea what your surveyor is talking about! I have never heard of such a point from JCAHO. Sounds to me like you may need some serious clarification however, since you weren't cited it is probably a moot point. Don't get me started on JCAHO!

Ken Mailly, PT

Re: MD Orders

Mark,

I don't know where JCAHO is coming from. I am sure that your state

Practice Act does not limit who you can recieve referrals from (relative to

on staff or not). As long as you have a signed referral you can see the

patient. Your treatment plans are sent to the referring physician anyways

so I really don't understand their issue.

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We are a 250 bed rural acute inpatient hospital setting.

We have no problems with outside referral sources [or which we have

many] and do indeed have a basic credentialing procedure in place that

is not that difficult. We have had no difficulty in our most recent

and anticipate nodifficulty in our upcoming survey.

I think that particular reviewer had a unique interpretation and certainly

his stance is open for additional questioning re: his intent.

You are right, having your own medical staff sign off on outside referrals

is a challenge.

Marcia Hall, PT

Director

Pottsville Hospital

Mark R Eliason wrote:

Hope everyone

had a great Thanksgiving!! We have a small

rehab dept (2 PT, 1 OT) as part of a rural acute hospital and attached

nursing home. We see primarily outpatients that may be referred from

a fairly wide area, many returning to get local follow-up after a "downtown"

hospitalization. During our last JCAHO survey,

mention was made (not a citation, however) that we accept MD orders/referrals

from non-staff docs. Apparently this is fine with JCAHO for free-standing

clinics but not when rehab is hospital-based. Understandably, our

staff docs are reluctant to blindly co-sign outside orders without having

ever seen the patient. And having some sort of credentialling process

for every referral source is simply not practical. I

would again like to pose the question to the group ... how do you handle

non-staff out-patient referrals? Thanks

in advance,Mark

-----------------------------------

Mark R Eliason, PT

Apple Valley, MN, USA

meliason@...

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If we get an order from a non-va physician, the patient needs to have

the order countersigned by a VA physician..

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Sounds reasonable to me. If the physician didn't want a particular

discipline to do the eval/treatment, they could specify that or cross out

the statement. Sara

At 11:04 AM 12/3/98 -0600, you wrote:

>I have a question somewhat related to MD referrals, seeking guidance. Is

there any reason why our referral forms could not include a statement that

said, " All upper extremity diagnosis may be seen by PT or OT unless

specified. " This is so we can utilize OT better without having to call the

MD office, and request another referral. In other words if the MD signs an

order for therapy which includes that statement, and the patient is seen by

an OT vs. PT are we covered? any input would be appreciated.

>JIM BOR RPT

>St. 's Hospital.

>

>>>> " Mark R Eliason " 12/01 6:34 AM >>>

>Thanks to all for the informative replies and opinions!

>

>It is highly unlikely (and not very useful) that existing medical staff will

>agree to " rubber stamp " a co-signature on outside referrals never seen by

>them.

>

>The suggestion to formally verify and document licensure is a practical and

>useful avenue. This can easily be done through our State Board of Medical

>Practice.

>

>We will probably look into the feasibility of granting some sort of

> " Temporary Outpatient Prescriptive Privileges " based on license verification

>(etc) that would also cover OP lab and radiology procedures.

>

>I have also become aware of a second caveat related to a physician's

>Medicare eligibility. A referring physician who is on HCFA's " Black List "

>would presumably not be eligible to sign a valid Plan of Treatment for

>Medicare reimbursement. Of course we would know the Medicare status of any

>of our Staff docs but outsiders would be more of a potential problem. Any

>thoughts on THIS tangent??

>

>BTW, the specific notation we received (at " Significant Compliance " ) related

>to MS.5.14:

>

> " The organization establishes mechanisms for hospital-specific appointment

>and reapppointment of medical staff members and for granting and renewing or

>revising hospital-specific clinical privileges. All individuals who are

>permitted by law and the by the hospital to provide patient care services

>independently in the hospital have delineated clinical privileges, whether

>or not they are medical staff members. "

>

> " It was noted that physical rehabilitation treats an occasional patient on

>orders from a physician who is not privileged through the medical staff

>privileging process. "

>

>I believe Dick is absolutely correct that this is an issue of assuring that

>the Medical Staff maintains control and oversight of all hospital

>activities.

>

>-----------------------------------

>Mark R Eliason, PT

>Apple Valley, MN, USA

>meliason@...

>

>

>------------------------------------------------------------------------

>

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In a message dated 12/3/98 11:21:49 AM Central Standard Time, jbor@...

writes:

<< In other words if the MD signs an order for therapy which includes that

statement, and the patient is seen by an OT vs. PT are we covered? any input

would be appreciated. >>

we have done something similar and had no problem fro the MD's, however...you

may find that the patients insurance will not covering the same treatment

provided by an OT in place of a PT

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