CMS Radiology and Nuclear Medicine Hospital Conditions of Participation

Webinar Details

Speaker

Laura A Dixon

Industry

Nursing

Speciality

Nursing

Available

All Days

Duration

120 Minutes


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Description

This program will cover all of the hospital radiology and nuclear medicine standards require by hospitals from CMS. Even though CMS rewrote all of the hospital conditions of participation in radiology and nuclear medicine on July 10, 2015, there are some hospitals that are still struggling to comply. If a surveyor showed up at your door tomorrow would you be able to demonstrate compliance with the 41 pages of changes? Every hospital that accepts Medicare or Medicaid must be in compliance with these regulations and interpretive guidelines.

These address the issue that ionizing radiation can cause cancer and that radiology services are not without risk. Patient exposure to radiation has doubled in twenty years. The amount of ionizing radiation from a CT scan is significantly greater and patients may receive several over their lifetime. In fact, there are 80 million studies done every year. The FDA has taken initiative to reduce unnecessary radiation exposure. The FDA wants to make sure it is justified to use it and dose optimized so the lowest dose is used. This is referred to as low as reasonably achievable. CMS discusses safety precautions a hospital should do to decrease radiation exposure.

This program will cover the MRI requirements. There are many policies and protocols that are now required. This program will help hospitals understand all the radiology and nuclear medicine conditions of participation to help prevent receiving a deficiency.

Learning Objectives

  • Recall that CMS rewrote has radiology and nuclear medicine provisions in the hospital CoP manual
  • Discuss that there are a number of policies and procedures required for radiology by CMS
  • Describe that the hospital must have diagnostic radiology services that meet standards of care and standards of practice
  • Recall that an order is needed for any radiology or nuclear medicine test.

Agenda

  • How to locate a copy of the current CMS CoP manual?
  • The risk of ionizing radiation
  • Increased patient exposure and the risk of cancer
  • Safety precautions to decrease radiation exposure
    • Trained staff, identify high-risk patients, appropriate shielding, inspect and calibrate the equipment
  • FDA initiative to reduce unnecessary radiation exposure
  • Diagnostic radiology and standards
  • Therapeutic radiology and standards
  • Required policies and procedures
  • CT scans, radiation therapy, ultrasound, MRI. DEXA scan etc.
  • Radiology services to meet the needs of patients
  • Direct service or through contractual agreements
  • Teleradiology
  • Order needed
  • Badge tests or exposure meters for radiation
  • Must be provided in accordance with the standard of care
  • Monitoring for quality and safety in radiology services
  • Blue boxes
  • Need qualified director of radiology
  • Reports signed by the practitioner who interpreted them
  • Record retention period
  • Nuclear Medicine guidelines

Who Should Attend

Radiology department director, radiology medical director, radiology staff, patient safety officer, risk manager, compliance officer, regulatory affairs officers, chief operating officer, risk management, chief medical officer (CMO), emergency department physicians, clinic physicians, physicist, education department staff, chief nursing officer, hospital legal counsel, or any person in charge to ensure compliance with CMS guidelines on radiology and nuclear medicine.

Laura A Dixon
Laura A Dixon

(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.

Registration Options

Choose Your Options

Save $20 - [ HEALTHCPTI ]

Error Conference Exists In Wish-list.

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Need Corporate Discount ?


  • * For more than 6 attendee call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * For Check and ACH payment call us at +1-800-803-7592 or mail us at cs@conferencepanel.com
  • * Click to download the Order Form
Laura A Dixon
Laura A Dixon

(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.