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Presented by Laura A Dixon
Duration - 120 Minutes
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CMS Hospital Improvement Rules; Nursing, Medical Records, Infection Control, Antibiotic Stewardship Program, Restraints, QAPI, and more
CMS made some significant changes to the hospital conditions of participation (CoPs) that every hospital should know, including critical access hospitals. It was over 600 pages long and combined three laws into one. This includes changes to nursing, medical records, infection control, QAPI, patient rights, H&Ps, and restraint and seclusion. The effective date was November 29, 2019. However Critical Access Hospitals have until the end of March 2021 to implement a QAPI program since their QAPI requirements were completely written.
The new rules require all hospitals to have an antibiotic stewardship program and what the program should include. The CDC revised the core elements in November of 2019. Also, a great part of this document included things that CMS has found to be problematic in hospitals that are already a requirement in the hospital CoPs. CMS also clarified a number of existing requirements and a number of federal regulations that are already final which makes this webinar an excellent resource.
Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado, providing consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director of Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020.... Read more
Learning Objectives
Outline
Introduction
Psychiatric Hospitals
Emergency Preparedness
H&P Changes
Patient Rights and Medical Records
QAPI
Nursing Services and Outpatient Departments
Look Back Program and the Lab
Autopsies
Four swing bed changes
Infection Control and Antibiotic Stewardship
Who Should Attend
Pharmacist, chief nursing officer, health information management, infection preventionist, antimicrobial stewardship team members, nurses, nurse educators, chief medical officer, QAPI director and staff, patient safety officers, regulatory and compliance officers, physician assistants (PAs), patient advocate, risk management, nurse educators, hospital legal counsel, MEC chair, board members, and anyone involved in implementing the hospitals' CoPs.