|
Speaker |
Laura A Dixon |
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Industry |
Nursing |
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Speciality |
Nursing |
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Available |
All Days |
|
Duration |
120 Minutes |
Description
CMS Hospital Infection Control Worksheet 2021: If you read the infection control standards you would be surprised that many things in the surveyor’s worksheet are not addressed in the standards. The reason is that CMS requires hospitals to follow all standards of care and standards of practice which include evidence-based practice. Therefore, the hospital needs to comply with what is in the 49-page worksheet and to be aware of the proposed changes to the worksheet.
This program will discuss the many changes to the infection control standards that went into effect on November 29, 2019. CAHs have 25 new tag numbers in infection control. This includes a requirement to have an antibiotic stewardship program.
Other requirements of the recent changes include the infection preventionist needs to be appointed by the board after approval by nursing leadership and Medical Executive Committee. It sets out the responsibilities of the infection preventionist which should be added to the job description. Hospitals must have a hospital-wide antibiotic stewardship program. The requirements will be discussed if a hospital system elects system-wide infection control. Hospitals must follow nationally recognized infection control standards. There are some new policies required. Many additional changes will be discussed.
This webinar will discuss important memos on infection control issues from CMS. It will discuss the ISMP IV guidelines and safe injection practices issues. It will cover the CDC vaccine storage and handling toolkit and the CDC procedures for cleaning and disinfecting reusable medical devices. CMS is hitting hard cleaning endoscopes, glucose meters, disinfection and sterilization, and reusable equipment.
This program will cover in detail the CMS infection control worksheet used to assess compliance with the infection control hospital CoPs. The worksheets are used by State and Federal surveyors when assessing compliance with the infection control standards. Infection control is hit hard during the survey and every hospital should have a working familiarity with this important document. This is the first time CMS has ever had tracers. Hospitals should develop tracer tools to match this worksheet. Accreditation organizations may also ask similar questions since all four must apply for deemed status from CMS.
There is also a business case for stepping up enforcement to prevent healthcare-associated infections. The Hospital-Acquired Condition (HAC) Reduction Program is in effect for 2020. As part of the Patient Protection and Affordable Care Act, hospitals that rank in the quartile of hospitals with the highest total HAC scores will have had their CMS payments reduced by 1%.
Citation instructions are provided on the infection control worksheet. Surveyors will follow standard procedures when non-compliance is identified. CMS is now publishing the infection control deficiencies, and this will be discussed along with actual information on why hospitals were found to be out of compliance. Although the worksheet is not being used per seat Critical Access Hospitals (CAH), it is highly recommended that all CAH should listen to this webinar since the standards are similar and this is an excellent self-assessment tool.
Finally, infection control issues related to COVID-19 will be discussed. This includes several memos from CMS including the targeted infection control surveys and self-assessment. The CDC also has many resources and recommendations on COVID-19 that will be covered.
Learning Objectives
Outline
Infection Control Final Worksheet for Hospitals
Who Should Attend
(BS, JD, RN, CPHRM)
Laura Dixon | Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided 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. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included the creation of presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.
Prior to joining COPIC, she served as the Director, of the Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff in the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing.
Ms. Laura Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.
As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.