The trusted source for
healthcare information and
Every hospital needs to attend this webinar. It is now a hot area and there is a lot of survey activity around prevention of suicidal patients from harm or strangulation. The Joint Commission announced that this is one of the four top areas of focus and their data shows that hospitals are receiving many RFIs in this area. The Centers for Medicare and Medicaid Services (CMS) has promulgated requirements for hospitals to prevent ligature risk and self harm from patients that are suicidal. A 13 page memo was issued and the hospital manual was amended on December 29, 2017 to implement these changes. Any hospital that received Medicare, which is most hospitals in America, must implement these changes for all patients.
CMS amends tag numbers 144 in patient rights and tag 701 in facility services. This discusses what units need to be ligature resistant. It covers what patient assessments must be done and what should be in the environmental assessments. It discusses education and policy and procedure requirements. If you have a highly suicidal patient and the room is not ligature resistant do you have a 1:1 sitter? Hospitals that do not will need to change their policy and process and budget for this.
Joint Commission has 16 requirements to ensure compliance with their standards. These will discussed in detail and include psych hospital, behavior health units, general acute care inpatient units, outpatient units and emergency departments. The zero suicide campaign will be discussed. The TJC sentinel event alerts on suicide, NPSG 15 and final changes July 1, 2019, and Frequently Asked Question (FAQ) on ligature risk will be covered. Again, the Joint Commission announced that this is one of four area of focus so hospitals need to have this issue on their radar screen and be prepared.
Resources will be provided. Tools to assess patients to determine if they have suicidal ideations will be included.
|- 13 page memo and manual updated||- The Medical Staff composition|
|- Anchor points and examples||- VA/DoD Clinical practice guidelines|
|- Design guide for creating safe rooms||- ED-SAFE screeners|
|- Ligature resistant requirements||- ED Suicide Behaviors Questionnaire SBQ-R|
|- SAFER matrix and when at risk for getting RFI||- C-SSRS Columbia Suicide Severity Rating Scale|
|- EC.02.06.01 EP 1 requirements||- SAFE-T Assessment|
|- Zero suicide campaign||- NY patient safety standards guidelines|
|- NPSG 15 and changes July 1, 2019||And more!|
Anyone who is responsible to ensure compliance with the CMS hospital conditions of participation and the Joint Commission standards, all staff, nurses, physicians and providers on the hospital behavioral health unit, at psychiatric hospitals, in hospital emergency departments, and where suicidal patients are taken care of such as ICU, medical-surgical units, OB and post-partum, and outpatient areas, department directors/nurse managers such as ED, ICU, CCU, Med-surg managers, outpatient, etc., hospital risk managers, hospital legal counsel, patient safety officer, chief medical officers
Your order includes: