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Presented by Laura A Dixon
Duration - 90 Minutes
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Restraint and Seclusion is a hot spot with both CMS and the Joint Commission and an area where hospitals are frequently cited for being out of compliance. The number one area of deficiencies for a specific requirement in the CMS CoP is regarding restraints. This program will discuss the most problematic standards in the restraint section.
CMS has fifty pages of interpretive guidelines on restraint and seclusions for hospitals. Every hospital that accepts Medicare patients will have to comply with the interpretive guidelines even if the hospital is Joint Commission, HFAP, CIHQ, or DNV Healthcare accredited.
CMS made changes regarding restraints in 2019. Specifically, CMS changed the term from LIP (licensed independent practitioner to LP (licensed practitioner). The change allows PAs to write orders for restraints in states where they are considered dependent practitioners.
Any physician or provider who orders restraint must be trained in the hospital’s policy. Both CMS and Joint Commission requires hospital staff to be educated on restraint and seclusion interpretive guidelines on an annual basis. CMS also says that restraint training must be ongoing so you cannot just provide training at orientation and forget about it. CMS has ten pages of training requirements.
Finally, this program will cover The Joint Commission standards on restraint and seclusion, many of which fall closely with the CMS Conditions of Participation.
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
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