The majority [at least 51%] of the health center board members must be patients4 served by the health center.
If a hospital opens a clinic just after a cost reporting period ends, the next report may not be filed to reflect the new clinic's costs and charges for another 17 months (after the 12-month cost reporting period and the five months to file). The Prime Vendor negotiates pricing discounts with participating manufacturers, provides education and resources such as 340B University and 340B University OnDemand™, and offers technical assistance through Apexus Answers. While the language of the FAQ suggests HRSA is interpreting the “patient” definition to extend 340B eligibility from a covered entity hospital to an outpatient location that has not yet been reported on a cost report or registered on OPAIS, HRSA’s key interpretive shift appears to be regarding the definition of a hospital for purposes of qualifying as a 340B covered entity eligibility. (1) outpatient services, including specialized outpatient services for children, the elderly, individuals who are chronically mentally ill, and residents of its mental health service area who have been discharged from inpatient treatment at a mental health facility; At least 80 percent of the hours each week must be spent providing clinical services, or direct patient care, to patients. Such audit enforcement has suggested that HRSA reads these two guidance documents together, requiring individuals to be treated in a location listed on a reimbursable line of the hospital's cost report for the individual to be a 340B-eligible patient of the hospital.For a clinic to be listed as reimbursable on the cost report, the location must meet Medicare's provider-based rules, showing that the clinic is a fully integrated hospital outpatient department. Patient and Budget Calculator. Existing HRSA guidance addresses who is a 340B-eligible patient. However, HRSA appears to be acknowledging that individuals treated in a new clinic location while the hospital waits for the next cost report filing may still be able to meet the 340B patient definition test and receive 340B drugs.The new FAQs suggest that HRSA does not require a new clinic to meet the Outpatient Facility Guidelines for individuals treated in the clinic to meet the 340B patient definition test.
The FAQs indicate that, "for hospitals who are unable to register their outpatient facilities because they are not yet on the most recently filed Medicare Cost Report, the patients of the new site may still be 340B eligible to the extent that they are patients of the covered entity." The degree to which a practice is transformed depends on the practice's capacity to provide high quality health care at lower cost in a coordinated manner.It includes the assessments of quality improvement methodologies currently employed by the practice, as well as assessments of patient population, clinical results, effective use of health information and related technology for clinical and operational improvement, team-based care delivery models (including roles and services provided by all team members), current business models and related financial and administrative practices and community resources.The preceptor is responsible for the daily teaching and assignment of individuals to be cared for, supervision, and participation in the evaluation of the nurse practitioner or nurse-midwifery student.The preceptor provides the student with an environment that permits observation, active participation, and management of primary health care.The preceptorship provides the student with practice experiences conducive to meeting the defined goals and objectives of the particular clinical course. Before and during this preceptorship, the program faculty visit and assess the clinical learning sites and prepare the clinical faculty/preceptors for teaching their students.Included in this definition: hospital-based outpatient clinics and hospitals contracted with the U.S. Department of Veterans Affairs.Included in this definition: hospital-based outpatient clinics.By allowing the application of several tests over time, the RCQI model can identify the most successful ideas: those that have the largest impact on the overall program outcomes. For purposes of reporting, this includes hands-on field training with patient encounters (not didactic or observations).
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