HospitalInspections.org

Based on document review and interview, the hospital failed to ensure that the grievance process included a mechanism for timely referral of Medicare beneficiaries's concerns regarding quality of care to the appropriate Utilization and Quality Control Quality Improvement Organization. Findings include:

The 4-21-2010 review of the hospital's Plan of Correction monitoring data revealed that in 7 of 8 reviewed grievance resolution letters sent since 3-01-2010 to Medicare beneficiaries or their representative, the hospital's letter did not reference the Medicare beneficiaries' or representative's right to request that the hospital refer the beneficiary's or representative's grievance regarding quality of care issue(s) to the local Quality Improvement Organization.