Ohio Administrative Code › Title 3364 - University of Toledo › Chapter 3364-10 - Reporting and processing job injuries; legal counsel › Section 3364-10-06 - Practice location approval

Current through all regulations passed and filed through July 1, 2024
(A)
								Policy
			 statement
The university of Toledo ("UT")
				professional liability insurance program provides coverage to physicians and
				certain clinical associates ("insured(s)") of the university of Toledo
				physicians, limited liability corporation ("UTP") who practice at practice
				locations that have been approved by the executive vice president for clinical
				affairs and UT dean, college of medicine and life sciences ("executive VP").
				Practice locations owned or controlled by UT or UTP (see appendix A to this
				rule) have been pre-approved, however, practice location fact sheets and
				procedure checklists do need to be submitted to risk management for entry into
				the practice location database.
(B)
								Purpose of
			 policy
To provide a procedure for approving
				the practice locations of insureds for coverage under the UT professional
				liability insurance program.
(C)
								Procedure
(1)
									Professional
			 liability insurance underwriting
An individual's underwriting approval
				for professional liability insurance coverage in the UT professional liability
				insurance program will not be delayed pending the practice location review
				process, however, all attempts will be made to identify and approve the
				locations as soon as practical so the insurance program will be able to keep an
				accurate, up to date record of the insurance coverage dates and
				locations.
(2)
									Practice location approval process at the time of
			 initial hiring or staff appointment
(a)
										The administrator for risk management will review the
			 fact sheets and procedure checklists that are part of the application for
			 appointment. If any additional information is needed, the administrator for
			 risk management will obtain it directly from the insured.
(b)
										When the fact
			 sheets and procedure checklists are deemed complete, the administrator for risk
			 management will attach an approval form to the set of forms for each practice
			 location requiring approval (i.e. those locations not listed in appendix A to
			 this rule). This makes up the approval packet for each practice
			 location.
(c)
										The approval packets will be sent to the following
			 individuals, in the order listed on the approval form. Each individual will
			 indicate either approval or non-approval and forward the forms on to the next
			 individual.
(i)
											Insured's department chairperson; then to
(ii)
											Executive VP;
			 then to
(iii)
											UTP chief physician executive or UTP chief operating
			 officer; and then return to
(iv)
											Administrator
			 for risk management.
(d)
										Approval with
			 conditions may also be granted. The condition or restriction applying to a
			 particular practice location will be noted in the comments of the approval
			 section of the approval form by the individual setting the
			 condition.
(e)
										The completed approval packet (whether approved or
			 denied) will be returned to the administrator for risk management, who will
			 then forward a copy to the insured, department chairperson, UTP human resources
			 and the central verification office (for provider enrollment).
(f)
										Risk management
			 will update its practice location database.
(3)
									New practice
			 location approval process after initial appointment
(a)
										An insured
			 wishing to have a new practice location added to his/her current approved
			 locations will fill out a fact sheet and procedure checklist for that new
			 location.
(b)
										If the location is not listed on appendix A to this
			 rule as pre-approved, the Insured will complete the upper part of the approval
			 form and attach it to the fact sheet and procedure checklist specific to the
			 location. This makes up the approval packet for that practice
			 location.
(c)
										Paragraphs (C)(2)(c) to (C)(2)(f) of this rule are
			 completed.
(d)
										If the location is listed on appendix A of this rule
			 and does not require further approval, then the fact sheet and procedure
			 checklist are sent directly to risk management.
(4)
									Annual practice
			 location audit
(a)
										Each insured will be surveyed on an annual basis with
			 respect to their practice locations.
(i)
											On even numbered
			 years, the administrator for risk management will provide each insured with a
			 listing of their locations that are in the risk management practice location
			 database and the insured will update the list as appropriate.
(ii)
											On odd numbered
			 years, the administrator for risk management will provide each insured with a
			 copy of the fact sheet and procedure checklist for each location that is in the
			 risk management practice location database and the insured will update the
			 information as appropriate.
(b)
										During the annual
			 audit, insureds will be instructed to complete a new fact sheet and procedure
			 checklist for any location where they practice but forms are
			 lacking.
(c)
										Any returned forms that contain significant changes or
			 any form for a new location requiring approval will have an approval form
			 attached by the administrator for risk management and will be forwarded for
			 approval as outlined in paragraph (C) of this rule.
(5)
									Appeal process
			 for non-approval or conditional approval
The insured or department chairperson
				may appeal the non-approval or conditional approval of any location to the
				individual who disapproved or placed a conditional approval on the location.
				The administrator for risk management will be advised of any change in approval
				status following the appeal.
(6)
									Forms
The following three forms will make up
				a practice location approval packet ("approval packet") and will be completed
				by insureds for each location where they are seeking to practice.
(a)
										Practice location
			 approval form: This form is used for any location that requires approval and is
			 not listed on appendix A to this rule. It serves as the cover page that is
			 attached to each practice location fact sheet and procedure checklist and
			 documents the approval process for a particular practice location. This form
			 will be signed off by the insured's department chairperson, executive VP and
			 UTP's chief physician executive or chief operating officer.
(b)
										Practice location
			 fact sheet: This form must be completed for every location where an insured
			 intends to practice. It is used to evaluate that particular location's role in
			 supporting the teaching mission, research mission and strategic mission of UT.
			 This form is completed for all practice locations, even those pre-approved
			 locations listed in appendix A to this rule.
(c)
										Practice location
			 procedure checklist: This form must be completed for every location where an
			 insured intends to practice. It is used to evaluate the type of practice and
			 procedures that will be done at that particular location and helps establish
			 the insurance risk rating for that location. The checklist has nothing to do
			 with credentialing or privileging at that location. This form is completed for
			 all practice locations, even those pre-approved locations listed in appendix A
			 to this rule.
(7)
									Quarterly practice location reports
The administrator for risk management
				will provide the executive VP, UTP chief financial officer and director of the
				central verification office a quarterly report of all UTP insureds and their
				practice locations.
Replaces: 3364-10-06
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