Dietary, Food and Nutrition Services 2021

Webinar Details

Speaker

Laura A Dixon

Industry

Healthcare

Speciality

Nursing

Available

All Days

Duration

120 Minutes


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Description

Dietary, Food and Nutrition Services; Meeting the CMS Hospital and CAH CoPs, DNV Healthcare and TJC Requirements

Come learn about the CMS hospital CoPs on dietary, food, and nutrition services.  CMS previously made 3 changes to the dietary guidelines for hospitals and rewrote all the dietary guidelines for critical access hospitals that went into effect April 1, 2015, with an amendment on November 29, 2019. Some hospitals are still working to ensure compliance.

This program will discuss the CMS hospital conditions of participation requirements for dietary and food and nutrition services. It is an important part of the CMS survey and this area has received increased scrutiny of their standards, especially in the area of Infection control.

CMS has issued a deficiency report. This program will cover the common deficiencies received by hospitals from CMS in this area. Do you know which ones are the top problematic standards?

CMS will now permit the Medical Staff and Board to credential and privilege qualified dieticians and qualified nutritional specialists to order the patient’s diet. This includes a therapeutic diet, supplemental feeding, and enteral nutrition. This is also allowed for CAHs including swing beds. CMS has provided additional information about the C&P process for dieticians and this issue will be discussed in detail.

This program will also cover the Joint Commission provision of care chapter standards related to dietary and the TJC dietary tracer information. The tracer is used to assess and determine the degree of compliance with standards and elements of performance related to nutrition care. The tracer used through dietetic and food services covers some of the same issues discussed during the CMS survey.

This webinar will discuss the DNV Healthcare dietary standards.

Learning Objectives

  • Discuss that the  Joint Commission  has a tracer for food and dietetic services
  • Describe  that CMS has a section on food and nutrition services in the hospital condition of participation standards
  • Recall that the Joint Commission provision of care chapter has several standards on dietetic services.

Outline

CMS Food and Dietetic Services CoP Topics

  • Final regulations on credentialing and privileging qualified dieticians and qualified nutritional specialist
    • C&P to order patient diets
    • Can be with or without an appointment to the MS
    • State law and hospital policy
    • State scope of practice
    • Must be C&P by MS and board
  • How to obtain a current copy of the CoP manual
  • Proposed  changes rea dieticians ordering patient diet
  • Ways to keep up with CMS changes
  • Starts at tag number 618
  • 3 tag numbers changed and one was deleted (Tag 628, 929, and 630)
  • Organized dietary services
  • Director and qualified dietary staff required
  • Must meet the nutritional needs of patients
  • Policies required
    • Diet manual availability, frequency of meals served, a system for diet ordering and tray delivery, accommodation of non-routine occurrence, acceptable hygiene practices, kitchen sanitation, etc.
  • Same standards whether or not by contracted services
  • A director who is full time and qualified
    • List of responsibilities to include in the job description
    • Approve patient menus and nutritional supplements, patient dietary counseling, collaborating with other staff, maintaining patient data to recommend, prescribe, or modify therapeutic diets, etc.
  • Policies and procedures include
    • Safety practices for food handling, emergency food supplies, orientation, work assignments, menu planning, purchasing of foods and supplies, etc.
  • Survey procedure questions
  • Diets and menus to meet the needs of patients
  • Therapeutic dies and guidelines
  • Nutritional needs by recognized dietary practices
  • Current therapeutic diet manual approved by MS and dietician
  • CMS third revised hospital worksheet on infection control
  • Infection control is important in dietary

TJC Provision of Care Standards related to Dietary

  • Nutritional Screen
  • The time frame for screens
  • Food and nutrition
  • The person responsible for food and nutrition services
  • Proper sanitation, temperature, etc of food and nutrition
  • What to do if the patient refuses food
  • Accommodation of special diets
  • Accommodation of ethnic food and nutrition preferences
  • Storage of food and nutrition
  • Therapeutic diet manual
  • Patient education on nutritional interventions, diets, supplements

Topics Discussed Throughout the Patient Tracer Activity

  • Assessment, care planning
  • Instructions by qualified staff
  • Identification and nutrition risk
  • Nutrition screening criteria
  • Time frames for nutrition assessment and re-evaluation
  • Measuring food consumption
  • The special population needs such as NPO, on vents, in isolation, getting hyperalimentation
  • Procedure to follow if the patient refuses meals
  • Discharge education and referrals
  • Communications between dieticians and food services

Dietary and food services day to day operation information

  • Director of dietary qualifications
  • Responsibilities of dietary and food services leaders
  • Emergency/disaster plans
  • Hospital diets and menus
  • Food preparation and storage
  • Safe food handling and health of food service staff
  • Contracts for services, food, nutrition support supplies, and formulas
  • Sanitation and infection control (pest control, chemicals)
  • Quality improvement activities etc.

DNV Healthcare Standards

CAH Dietary Standards

Who Should Attend

  • Dieticians
  • Director of dietary
  • Dietary staff
  • Joint Commission liaison or accreditation director DNV Healthcare
  • CMS or regulatory staff
  • Compliance officer
  • Chief Operating Officer
  • Chief Nursing Officer
  • Nurses and nurse managers
  • Nurse educator
  • Chief Medical Officer
  • Medical staff  and MS department staff
  • Anyone else responsible for complying with the CMS, DNV Healthcare, or Joint Commission standards that affect dietary and nutrition services
Laura A Dixon
Laura A Dixon

(BS, JD, RN, CPHRM)

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. 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

Error Conference Exists In Wish-list.

Congrats Conference Added In Wish-list.


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 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. 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.