OSHA and the Patient Safety Act are two compliance issues that the DOL and ACA will be enforcing on a more vigorous level.
The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of Patient Safety Organizations (PSOs) to improve the quality and safety of U.S. health care delivery. The Patient Safety Act encourages clinicians and health care organizations to voluntarily report and share quality and patient safety information without fear of legal discovery. The Affordable Care Act strongly incentivizes PSO participation for hospitals of 50 beds or more.
By January 1, 2017, qualified health plans in insurance exchanges may not contract with a hospital of 50 beds or more unless that hospital has a patient safety evaluation system and reports data to a PSO. The deadline originally was 2015, but has been extended two years to allow hospitals time to choose a PSO and begin reporting.