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Infection Control, Discharge Planning, Organ, Tissue & Eye Procurement, Surgery & Anesthesia, Outpatient, Emergency, Rehabilitation & Respiratory
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CMS Hospital CoPs Part V:
Infection Control, Discharge Planning,
Organ, Tissue & Eye Procurement, Surgery & Anesthesia,
Outpatient, Emergency, Rehabilitation & Respiratory
Infection Control, Discharge Planning,
Organ, Tissue & Eye Procurement, Surgery & Anesthesia,
Outpatient, Emergency, Rehabilitation & Respiratory
Speaker: Sue Dill Calloway, RN, MSN, JD Code: T1803142
Format: On-Demand Duration: 120 min.
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 V of the series will cover the Infection Control, Discharge Planning, Organ, Tissue & Eye Procurement, Surgery & Anesthesia, Outpatient, Emergency, Rehabilitation & Respiratory sections in the interpretive guidelines.
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Agenda Topics:
Infection Control & 2018 Proposed Changes
| - Final Infection Control Worksheet | - Required policies & procedures | - Medical equipment & supplies |
| - Infection preventionist | - IP responsibilities | - Logging incidents |
| - IC revised worksheet | - Safe injection practices | - Mandatory training |
Discharge Planning
| - 2017 & 2018 proposed changes | - Final discharge planning worksheet | - Discharge planning & evaluation |
| - Timely discharge evaluation | - Identifying patient needs | - Providing a written copy |
| - Patient identification | - Referrals & transfers | - Self-care evaluation |
Organ, Tissue & Eye Procurement
| - Policy requirements | - Organ donation training | - Family notification |
| - CMS OPO memo | - OPO One-Call Notification | - Board |
Surgical & Anesthesia Services
| - Following standards of care | - Pre & Post-anesthesia requirements | - Anesthesia & analgesia standards |
| - Preventing OR fires | - Intra-operative anesthesia record | - Documentation & operative report |
| - Anesthesia policies | - OR register | - Supervision requirement |
| - Policies & procedures | - PACU | - Required equipment |
Outpatient Services & 2018 Proposed Changes
| - Outpatient orders | - Meeting patient needs | - Policies & procedures |
Emergency Services
| - EMTALA | - Standards of practice | - Qualified medical director |
| - Integrating into hospital PI | - Length of time for transportation | - Required policies |
Rehabilitation & Respiratory Services
| - Integrated into QAPI | - Qualified director | - Scope of services |
| - Standards of care | - Required policies & orders | - Plan of care |
After this webinar participants will be able to:
- Advise staff on the hospital's organ donation policy.
- Describe CMS infection control policies.
- Recall the final discharge planning worksheet.
- List what must be documented in a medical record for post-anesthesia assessment.
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.