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Learn MoreThe following blog post is taken from remarks by Alan Beer, Corporate Compliance, Carolinas HealthCare System during a recent Webinar featuring Bill Sacks, Vice President, COI Management, HCCS – a HealthStream Company and Alan Beer.
Annually, every summer, CMS releases its open payments database where companies from pharma to medical device manufacturers are required to report any payments or gifts given to physicians and mid-level providers. Monitoring the database for payments made to your affiliated physicians can be daunting, especially for large organizations. The task can be cumbersome, time-consuming, and labor-intensive. Carolinas HealthCare System, headquartered in Charlotte, NC, has over 60,000 employees, including 2,500 physicians.
Smaller facilities can assign someone to type in their affiliated physicians, one at a time, to see whether they appear in the database. Given the scope of our operation, however, we recognized we could not reasonably manage disclosures this way.
Streamlining Database Management
Our solution was to create a client management system using Microsoft SQL Server and Microsoft Access. For some organizations, Access alone may be sufficient. The open payments database is extremely large, so it was important to narrow the data to the states we serve. Because we are a regional referral center, we elected to download all payment disclosures from North and South Carolina.
I’m now able to run a couple of very quick queries using SQL and can know in about five minutes whether any of our affiliated physicians appear in the open payments data. If they haven’t already disclosed payments to us, we let physicians know something is sitting out there in the open payments database and send them a link to review it.
Processing disclosure data is only a part of what your organization needs to do to manage disclosures properly. Institutional policies must also be developed.
Processes, Policies, and Procedures
We created a conflict of interest oversight council, made up of stakeholders from throughout the system—legal, clinical, and materials resource management. The council established guidelines for reviewing potential conflicts, including limits on the amount of compensation received and an acceptable amount of time physicians may commit to outside companies. We also implemented an internal survey sent to physicians and key employees, asking them to disclose any payments they received and the time they devoted as a result.
Along with another individual, I conduct our initial review of findings. Any conflicts exceeding our internal guidelines are escalated to the oversight council, and they make the decision whether to create a master plan with administrative follow-up. When a master plan is created to address the conflict, all parties can sign off electronically using DocuSign.
By using technology to streamline our analysis and an interdisciplinary council to establish guidelines, we can efficiently and effectively manage our conflict of interest review.
HealthStream’s learning management system and healthcare training solutions support medical training initiatives and allow for the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceBe confident in your staff’s ability to reduce risk by providing compliance training that changes behavior.
View All ProductsDevelop next-level people for next-level care by prioritizing quality and safety improvements.
View All ProductsEstablish a culture of belonging with education supporting DEI, wellness, engagement, and leadership development.
View All ProductsUtilize patient access solutions and advanced reimbursement solutions to manage clinical denials and improve your organization’s reimbursement strategy.
View All ReimbursementExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentLearn about our advanced resuscitation training solutions. Our solutions are designed to help improve patient outcomes.
View All ProductsOur competency development solutions personalize learning for clinicians to bridge the gap between theory and practice for your nurse residents.
View All ProductsEnhance maternal & child nursing care with solutions focused on improving the quality of care for mothers, infants, and children.
View All ProductsAddress staffing orientation challenges to easily achieve and maintain certification with our emergency and acute care training solutions.
View All ProductsAs a premier provider of healthcare education, we are committed to promoting safer, more successful surgical and sedation outcomes for each and every patient.
View All ProductsOur solutions are designed to cater to the needs of patients, healthcare professionals, and organizations dealing with illnesses or chronic conditions.
View All ProductsMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All SchedulingHealthcare workforce management is essential. We provide advanced scheduling solutions for organizations to solve issues such as nurse retention
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View All CredentialingOur affordable CVO credentialing services establish patient safety by enabling primary source verification for your healthcare organization.
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