• Announcement or News
  • May 19, 2016

Participate in Patient Safety Initiatives to Qualify for Contracts with Exchange Plans

Children’s hospitals with more than 50 beds that participate in the Child Health Patient Safety Organization or Children’s Hospitals’ Solutions for Patient Safety (SPS) will meet new hospital patient safety requirements outlined in recent Centers for Medicare & Medicaid Services regulations

According to the regulations, as of Jan. 1, 2017, Qualified Health Plans sold through the Affordable Care Act’s health insurance Exchanges can contract only with hospitals that participate in patient safety initiatives that reduce all cause-preventable harm. 

To comply with the new regulations, hospitals must either use a Patient Safety Evaluation System, designed with PSO participation, or implement an evidence-based initiative that reduces harm, prevents readmission, and improves care coordination by partnering with a local, regional or national Hospital Engagement Network or Quality Improvement Organization.

In addition, hospitals must implement a discharge planning program to improve care coordination. Hospitals will be required to submit documentation to the health plan to demonstrate their compliance with these standards. For more information, contact Kate Conrad at (913) 981-4118 with Child Health PSO or contact SPS. For more information about the Exchange guidance, contact Jan Kaplan at (202) 753-5384.