In The News

Research Opportunity: Are You Working Night Shift

September 17, 2020

 

 

Research Opportunity: Domestic Violence Education for Nurses

September 21, 2020

I am a graduate student under the direction of Dr. Michelle Morgan, DNP, RN, ANP-BC in the Edson College of Nursing and Health Innovation at Arizona State University. I am inviting you to participate in a project regarding Domestic Violence Education for Nurses. The project has IRB approval and participation is anonymous.  Please watch the 38-minute educational video and complete the survey at the end of the presentation.  The survey can be found at https://www.surveymonkey.com/r/2B3SXTR and takes just a few minutes to complete.  Information collected in the survey will be used to better understand how to support healthcare professionals when caring for victims of domestic violence.  

Sincerely,

Kayla Day, BSN, RN, Graduate Student 

 

CHCPF Substance Use Disorder (SUD) Monthly Newsletter: September 2020

September 28, 2020

Information for Providers
New SUD licensure rules
The State Board of Human Services adopted new licensure rules for SUD treatment providers, which will align Office of Behavioral Health licensing standards more closely with the American Society of Addiction Medicine (ASAM) Criteria. Visit the Colorado Department of Human Services webpage and expand the “Laws & Rules Updates” menu for additional information regarding the new SUD licensure rules. Providers seeking Medicaid reimbursement for SUD services must be licensed according to the newly adopted rules.
Residential SUD Provider Training - Oct. 22 and 29 (Please Register)
The Department will host two training sessions focusing on the upcoming residential and inpatient SUD service benefit. Two sessions, both covering the same content, will be offered on Thursday, Oct. 22 from 1 p.m. - 5 p.m. and Thursday, Oct. 29 from 9 a.m. - 1 p.m. The training will cover topics including an overview of the SUD benefit expansion, enrollment with Health First Colorado as a residential/inpatient SUD treatment provider, billing procedures for the new services, ASAM Criteria documentation of medical necessity, utilization management, provider licensure requirements and content provided by RAEs and MSOs for treatment providers. Those interested must register for the training and can visit the Department’s SUD webpage, Ensuring a Full Continuum of SUD Benefits, for additional information. 
Reminder for providers: contact your RAEs and MSOs
The Department strongly encourages treatment providers to contact their Regional Accountable Entities (RAEs) and Managed Services Organizations (MSOs) to ensure contracting and credentialing processes are in place before the SUD residential/ inpatient benefit is in place on Jan. 1, 2021. Providers must be contracted with RAEs to receive Medicaid reimbursement for residential and inpatient SUD services and with MSOs, which oversee the reimbursement process for SUD room and board charges.
 

NSO: Nurses Malpractice Claim Report Key Learnings

September 28, 2020

  1. NSO and CNA provide malpractice insurance to more than 500,000 nursing professionals. In 2020 they released their fourth nurses’ malpractice claim report.  The report includes a 5-year analysis of malpractice claims and license defense matters. Nurses can use the report’s findings and risk education recommendations to reduce potential liability.  Get your free copy of the Nurse Professional Liability Claim Report.
  2. According to the 2020 Nurse Claim Report produced by NSO and CNA, the average cost of a malpractice claim against a nurse is $210,513.  This is an increase from $201,670 in the 2015 report.  Get your free copy of the NSO Nurse Claim Report: 4th Edition.
  3. While less than 1% of medical malpractice claims are against student nurses, when they are sued the results can be severe, with an average claim cost of $309,835.  Registered Nurses (86.8% of all closed malpractice claims with paid indemnity ≥$10,000) and LPNs (12.8%) experience more frequent malpractice claims, but their average costs are less, $208,636 and $219,871 respectively.  To learn more, download your free copy of the latest NSO Nurse Claim Report.
  4. Since NSO released their first claim report in 2007, improper care or treatment has been the most common category of malpractice allegations made against nurses, accounting for more than half of all claims.  The allegation category that has seen the greatest increase over time is unprofessional conduct, increasing from 7% to 14.3% of all claims.  Learn how to reduce your risks with the new NSO Nurse Claim Report.
  5. Over the years, patient care has shifted from the hospital to the patient’s home.  In 2011, 20.2% of nurses’ malpractice claims occurred in hospital inpatient medical services.  Today, 6.6% occur there.  Conversely, 8.9% of claims occurred in the patient’s home in 2011, while today 21.8% of claims occur at the patient’s residence.  Find out how to reduce your liability with the NSO Nurse Claim Report.
  6. With more care being delivered in patient’s homes, malpractice claims against home care nurses have increased from 8.9% of all claims in 2011 to 20.7% in 2020.  Over this same period the frequency of claims against med/surg nurses dropped from 40.1% in 2011 to 18.5% in 2020.  Find out more in the NSO Nurse Claim Report: 4th Edition.
  7. Infants injured during delivery can require lifelong care, making the malpractice claims against obstetrics nurses the most severe ($558,007 average).  The three next most severe nurses’ malpractice claims occur in post-anesthesia care ($384,912), behavioral health ($228,518), and correctional health ($219,924).  Learn how you can reduce your risks with the NSO Nurse Claim Report.
  8. Since 2007, when NSO and CNA began analyzing malpractice claims against nurses, the most common injury that results in litigation is patient death.  The latest analysis found that patient death accounts for 40.9% of all malpractice lawsuits against nurses.  In 47.3% of these cases, the underlying cause of the fatality is cardiopulmonary arrest.  To learn how to reduce malpractice risks read the NSO Nurse Claim Report.
  9. Licensing board complaints may be filed against nurses for a variety of reasons.  A patient injury is not required.  One third (32.5%) of licensing complaints are due to unprofessional conduct.  Another 25% of complaints are related to nursing practice.  Documentation errors and improper treatment make up another 19%.  Find out more in the NSO Nurse Claim Report.
  10. 55 percent of licensing board complaints filed against nurses result in some action being taken by the State Board of Nursing.  Types of actions include probation, fines, surrender of their nursing license, license suspension, and license revocation.  Learn more in the NSO Nurse Claim Report.
  11. The average cost for a lawyer to defend a nurse in a State Board of Nursing matter is $5,330.  That’s a 33.7% increase since 2015 ($3,988) and a 58.9% increase since 2011 ($3,353).  To learn more, download the NSO Nurse Claim Report.

 

 

COLORADO's NEW FLUOROSCOPY RULES FOR APRNs

September 8, 2020

If you are using fluoroscopy in Colorado you must apply to the Colorado Department of Public Health (CDPHE) - Radiation Control for certification. This is required starting in 2021, whether you're pushing the button or supervising a radiation technologist. 

For those who obtained a waiver from the state you must complete the R50 only( form below) and put in bold letters that you already have a waiver from the state. 
If you do not have a state waiver you must: 

Meet the training requirements- 
1. Has completed a course that includes at least forty (40) hours of education on topics that include, but are not limited to, radiation physics, radiation biology, radiation safety and radiation management applicable to fluoroscopy;
and,
2. Has completed forty (40) hours of clinical experience in the use of fluoroscopy for guidance in diagnostic and therapeutic procedures
Apply using form R50 and form R51, submit the fees and supply documentation of training, CDPHE will notify AART you are eligible to test. 
After you have met the training requirements and applied to CDPHE,  you can sit for the fluoroscopy ARRT test 
Once this test is completed you will be authorized to operate and supervise fluoroscopy in Colorado. 
References:
If you have any questions please contact Lisa Pearson at:
719-371-0100
or 

 

 
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