Product Details

 

All facilities accredited by TJC, AOA, CIHQ, and DNV Healthcare must adhere to the CMS CoPs. This 525-page manual contains interpretive guidelines, policies, procedures, and standards that must be followed for all providers treating patients in hospitals or any hospital-owned departments.

This five-part webinar series will guide attendees through the entire CMS Hospital CoP manual and highlight the 2017 proposed changes in the IMPACT Act, the Hospital Improvement Act, and discharge planning. Our expert will also discuss significant changes made to the medical staff and board, radiology and nuclear medicine, utilization management, nursing, pharmacy, and more.

There have been a record-breaking number of surveys and certification memos issued over the past year. Attend the series to educate employees on the sections of the CMS hospital manual that are applicable to their job functions. Or use the on-demand recording when you on-board new hires!

If a CMS surveyor showed up in your hospital today, would you be prepared?

Call us at 800.688.2421 or add this event to your cart above.

 

Part I (120 min): Overview of the CMS Survey Process, Memos, Medical Records, Medical Staff and Board, Telemedicine, Contracted Services, and more!

- Revised worksheets	- CMS Required education	- Order sets
- Infection control	- Proposed changes	- Standing orders
- Discharge planning	- Survey protocols	- Safe opioid use
- Outpatient service	- Board requirements	- Credentialing & privileges
- Integrated medical staff	- Appraisal of Medical staff	- Substance abuse law
- Emergency services	- TJC tracer on C&P	- Care of patients
- Contracted services	- Medical staff by-laws	- Telemedicine
- Confidentiality of records	- Informed consent	- Verbal orders
- Legibility requirements	- 2017 medical record changes	And more!

 

Part II (120 min): Patient Rights, Restraint & Seclusion, Grievances, Informed Consent, Advance Directives, Visitation, and more!

- Right to privacy	- Informed consent	- Confidentiality
- Low health literacy	- Abuse and neglect	- Interpreters
- Access to medical records	- Advance directives	- Plan of care
- Visitation requirement	- Patient representative	- Patient medical records
- Documentation	- Internal vs. external log	- Care in safe setting
- Restraint and seclusion	- Patient advocate	- Doctor notification
- Grievances and complaints	- Privacy memo	And more!

 

Part III (90 min): Nursing Services, Medication, Pharmacy Management, Antibiotic Stewardship, and more!

- Nursing care plan	- Verbal orders	- Staffing
- Preparation of drugs	- Incident reports	- Patient safety
- Medication administration	- Safe opioid use	- Medical error & ADE
- IV & blood transfusion	- Safe injection practices	- 2017 Antibiotic Stewardship
- Licensure verification	- Reporting ADEs	- First dose review
- Night pharmacy	- Drugs & biologicals	- Communication
- PI requirements	- Outdate & mislabeled medications	- Agency nurses
- 2016 BUD revision	- Staff competency	- Floor stock
- Self-administration of drugs	- High-risk medication	- Storage of drugs
- Minimizing drug errors	- Pharmacy requirements	- USP standards
- Compounding pharmacies	- ISMP & ASHP best practices	And more!

 

Part IV (90 min): QAPI, Utilization Review, Physical Environment, Radiology, Lab, Dietary, and more!

- 2017 emergency preparedness	- Discharge summary	- Utilization review committee
- Scope of reviews	- Utilization review plans	- Life safety code
- Shared medical staff	- Board consults	- CEO requirements
- Autopsy requirements	- QAPI worksheet	- Utilization review
- Revised tag numbers	- PI program requirements	- Tracking medical errors
- Emergency gas, power & water	- MOON form & Notice Law	- 2017 proposed changes
- Signing radiology reports	- Buildings and equipment	- Compliance with PI
- Radiation exposure	- Look-back program	- Safety precautions
- Qualified directors	- Infection control	- Tissues specimens
- Required dietary policies	- Nutritional assessment	- Lab services
- Radiopharmaceutical changes	- Theapeutic diet	And more!

 

Part V (90 min): Infection Control, Discharge Planning, Surgery, Anesthesia, ED, Outpatient, Respiratory & Rehab, Organ & Tissue and more!

- 2017 infection control changes	- Final infection control worksheet	- Discharge plan & self care
- IMPACT Act	- Anesthesia policies	- EMTALA
- Length of transportation time	- Qualified medical director	- Outpatient services
- PACU and recent changes	- Discharge appeal rights	- Pre & post-anesthesia req.
- Mandatory training	- Scope of reviews	- Infection preventionist
- Antimicrobial stewardship	- Safe injection practices	- Log of incidents
- Preventing OR fires	- Discharge planning worksheet	- Timely discharge
- Standards of care	- Intra-operative anesthesia record	- OR register
- Organ donation training	- CMS OPO memo	And so much more!

 

After this webinar participants will be able to:

1. Describe where to locate a copy of the current CMS CoP manual.
2. Summarize the proposed changes in the IMPACT Act.
3. Discuss the importance of a current history and physical for any patient undergoing an elective surgery.
4. Review why all verbal orders must be signed off with the corresponding date and time.
5. Summarize the restraint standards hospitals must follow.
6. Reinforce why hospitals need grievance policies and procedures.
7. Discuss the requirements for documentation when interpreters are involved.
8. Discuss the many pharmacy policies required by government bodies.
9. Summarize the proposed changes in the Hospital Improvement Act.
10. Explain why care plans and protocols must be maintained in the medical record.
11. Verify why hospitals must have approved policies and related staff education in place.
12. Discuss how to communicate policies on infection control and discharge.
13. Advise staff on the hospital organ donation policy.
14. Outline the required documentation regarding post-anesthesia assessment. 
15. Explain new and revised standards, regulations, and laws put forth by CMS, TJC and the federal government.
16. Evaluate compliance requirements and penalties.

Your order includes:  

• Recordings of the presentations.
• Access to the specially created presentation handouts.

Your Speaker: Sue Dill Calloway, RN, MSN, JD

Sue is a nurse attorney, medico-legal consultant and long-time educator for nurses, physicians, and other healthcare providers. She is a frequent speaker and is well known across the country in the areas of healthcare law, risk management, and patient safety. She has authored over 100 books and hundreds of articles. For AHC Media, she authored Cracking the Code: Understanding the CMS Hospital CoP Standards on Anesthesia.

Ms. Calloway received her Bachelor of Arts, Bachelor of Science in Nursing, Master of Science in Nursing, and Doctor of Jurisprudence from Capital University in Columbus, Ohio. Additionally, she is certified in healthcare risk management by the American Society for Healthcare Risk Management and is the first in the country to be certified in CMS regulatory compliance.

Target Audience:

Anyone involved with or interested in compliance regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Board Members, Clinic Managers, Outpatient Directors, Lab Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.