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Speaker |
Laura A Dixon |
Industry |
Nursing |
Speciality |
Nursing |
Available |
All Days |
Duration |
120 Minutes |
Description
CMS Hospital Conditions of Participation 2022 five-part webinar series will cover the CMS interpretive guidelines and the entire CMS Hospital CoP manual – Appendix A. It is a great way to educate everyone in your hospital on all the sections in the CMS hospital manual especially ones that apply to their department. This program will discuss the most problematic standards and how the hospital can do a gap analysis to assist in compliance with the CoPs.
CMS Hospital Conditions of Participation 2022 webinar series will include the 2022 changes and where the gaps continue – the absence of cms interpretive guidelines for hospitals and survey procedures. This includes:
Every hospital that accepts payment for Medicare and Medicaid patients must comply with the Centers for Medicare & Medicaid Services Conditions of Participation. The manual has interpretive guidelines that must be followed for all patients treated in the hospital or hospital-owned departments. Facilities with deemed status accredited by the Joint Commission (TJC), HFAP, CIHQ, and DNV Healthcare must follow these regulations.
There are sections on medical record services, dietary, utilization review, emergency department, surgical services, anesthesia, PACU, medical staff, nursing services, lab, outpatient department, rehabilitation, radiology, respiratory, physical environment, pharmacy, infection control, organ and tissue, patient rights and discharge planning.
The cms conditions of participation interpretive guidelines serve as the basis for determining hospital compliance and though many of the changes from 2021 continue to have interpretive guidelines pending, along with survey procedures, hospitals are still expected to comply with the regulations. There have been significant changes and many important survey memos issued also.
CMS has worksheets for assessing compliance with the QAPI, discharge planning standards, and infection control. Though no longer utilized by State and Federal surveyors, the worksheets are available as excellent self-assessment tools for hospitals. These 3 worksheets will be covered.
Most recent changes and requirements in the requirements of the medical record, specifical access to medical records, and blocking of information will be addressed. Other changes to the majority of the manual have occurred in the recent past. All changes that includes CMS restraint guidelines 2022 will also be discussed along with others.
Agenda
Part One of CMS Hospital Conditions of Participation 2022
Introduction, CMS Survey Memos, surveyor training material, hospital deficiency reports, CMS 3 worksheets, CDC vaccine information, OCR 1557, required education, Board and Medical Staff, budget, contracts, emergency services, medical records, standing orders, H&Ps
Objectives:-
Agenda:-
Overview of the CMS Survey Process and Introduction
Board and CEO
Emergency Services
Medical Records (Health Information Management)
Part Two of CMS Hospital Conditions of Participation 2022
Patient Rights: Advance Directives, Consent, Interpreters, Grievances, Exercise of Patient Rights, Disclosures, Privacy, Safety, Ligature Risks, Abuse, and Neglect, Confidentiality, CMS restraint guidelines 2022, and Visitation
Objectives:-
Agenda:-
Patient Rights
Part Three of CMS Hospital Conditions of Participation 2022
Nursing and Pharmacy
Objectives:-
Agenda:-
Nursing Services
Pharmaceutical Services
Part Four of CMS Hospital Conditions of Participation 2022
QAPI, Medical Staff, Dietary, Radiology, Lab, UR, and Facility Services
Objectives:-
Agenda:-
Quality Assessment and Performance Improvement
Medical Staff, Board, and CEO
Radiological Services
Laboratory Services and Look Back Program
Food and Dietary Services
Utilization Review
Physical Environment
Part Five of CMS Hospital Conditions of Participation 2022
Infection Prevention, Discharge Planning, Organ Procurement, Surgery, PACU, Anesthesia, Emergency Services, Outpatient, Rehab, and Respiratory
Objectives:-
Agenda:-
Infection Prevention and Control
Discharge Planning
Organ, Tissue, and Eye Procurement
Surgical, PACU & Anesthesia Services
Outpatient Services and final changes
Emergency Services
Rehabilitation and Respiratory Services
Who Should Attend
CMS conditions of participation interpretive guidelines
(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.