This program will cover the CMS hospital CoP standards for surgery, anesthesia, and PACU. Every hospital that accepts Medicare and Medicaid must follow these standards and they must be followed for all patients.
Some of the important CMS memos that impact the provision of care in the OR arena and discuss safe injection practices and infection control breaches with IV medications will be discussed. Guidance from ISMP and CDC will also be provided.
Another topic to be covered is the changes to H&P that went into effect in November 2019. Some of the changes include the options for hospitals to elect to assess healthy outpatients undergoing surgery or a procedure instead of an H&P.
This program will go over the number of reported CMS deficiencies and types received by hospitals. This has many important issues such as informed consent, H&Ps, and safe injection practices.
The many standards required by the surgery department and anesthesia will be addressed, including required policies, the current CMS guidelines, interpretive guidelines regarding pre-anesthesia evaluations, post-anesthesia evaluation, and anesthesia services.
Hospitals are required to have many policies including one on specific clinical situations involving anesthesia or analgesia. This includes interpretive guidelines on moderate sedation and deep sedation, including moderate and deep sedation done in other places like the emergency department and GI lab and patients who have ECTs.
The history and physical and informed consent form must be on the chart before surgery except in an emergency. An exception is made for young healthy outpatients if hospitals implement policies and follow the requirements.
Other areas to be covered include required surgical equipment, post-anesthesia assessment, and Joint Commission standards related to surgery and anesthesia.
Surgery and PACU
Appendix and Resources
Who Should Attend