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Introduction to the CMS Survey Process
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CMS Hospital CoPs Part I:
Introduction to the CMS Survey Process
Introduction to the CMS Survey Process
Speaker: Sue Dill Calloway, RN, MSN, JD Code: T1801172
Duration: 120 min. Format: On-Demand
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 hospitals or any hospital-owned departments.
Part I of the series will provide an overview the CMS survey and interpretive guidelines.
Be prepared for the 2018 survey!
Call us at 800.688.2421 or add this event to your cart above.
Agenda Topics:
CMS Survey Process
| - Introduction | - 2018 proposed changes | - Revised worksheets |
| - Memo changes | - Survey protocols | - Survey team |
| - Required education | - Recent changes | - 2015 & 2016 revisions |
| - Complying with the law | - Order sets, protocols & standing orders | - Deficiency memos |
Board & CEO
| - Board requirements | - MS by-laws | - MS appointment |
| - Credentialing & privileges | - TJC tracer on C&P | - Medical staff |
| - Single vs. unified MS | - Recent changes | - Telemedicine |
| - CEO requirements | - Patient care | - Planning & budgeting |
| - Contracted services | - Emergency services | - Privileging staff |
Medical Records (Health Information Management)
| - Confidentiality of Substance Use Disorder Patient Records Rule | - Confidentiality of records | - Mandatory informed consent |
| - 2018 proposed changes | - Content of records | - Signature stamps |
| - Organization & staffing | - Verbal orders | - Authentication |
| - Discharge summary | - H & P | - Optional elements |
After this webinar participants will be able to:
- Describe where to locate a copy of the current CMS CoP manual.
- Discuss the importance of an updated history and physical for any patient undergoing an elective surgery.
- Review why all verbal orders must be signed off with the corresponding date and time.
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.