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CONTINUING EDUCATION.
The trusted source for
healthcare information and
CONTINUING EDUCATION.
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 IV of the series will cover the Medical Staff, Board, QAPI, Radiological Services, Laboratory Services, Food and Dietary Services, Utilization Review, and Physical Environment sections in the interpretive guidelines.
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.
Agenda Topics:
Medical Staff, Board & CEO
- Shared medical staff | - MS by-laws | - Changes & appraisal of MS |
- Credentialing & privileging | - Accountability of MS for quality of care | - CEO requirements |
- History & physicals | - Autopsy requirements | - Board consults |
QAPI
- 2018 changes & revised tag numbers | - Tracking medical errors & adverse events | - Identifying opportunities for improvement |
- PI program requirements | - QAPI worksheet | - Patient safety |
Radiological Services
- Radiation exposure | - Adverse reaction to agents | - Safety precautions |
- Staff supervision | - Shielding patients | - Secure area for films |
- Signing radiology reports | - Required orders | - Recent revision |
Laboratory Services & Look Back Program
- Lab services | - Tissue specimens | - Blood bank |
- Look back program | - Fully funded plan | And more! |
Food & Dietary Services
- Mandatory orders | - Nutritional assessment | - Therapeutic diets & nutritional needs |
- Diet manual | - Required dietary policies | - Infection control |
- Qualified directors | - Patient nutritional needs | - Therapeutic menus |
Utilization Review
- UR committee composition | - Admission or continuous stays | - Patient discharge appeal rights |
- Notice Law & MOON form | - Scope of reviews | - UR plans |
Physical Environment
- Buildings & equipment | - Emergency preparedness changes | - Life safety code |
- Emergency power & lighting | - Emergency gas & water | - Ventilation, light & temperature |
- Compliance with PI | - Trash | And more! |
After this webinar participants will be able to:
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.