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The CMS Hospital Infection Prevention and Control and Antibiotic Stewardship Program: CMS Compliance Requirements 2025

Presented by Laura A Dixon
Duration - 90 Minutes

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Recorded Webinar - $359 $239
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Description

A hospital must have an active infection control program throughout the facility to track, prevent, and control infectious diseases, including Associated Infections or HAIs. Additionally, the hospital must have a program for the optimization of antibiotic use through stewardship. This program will discuss the changes CMS made to the infection control standards in 2019 and the interpretive guidelines developed in July 2022.

The program will cover what a hospital must have in place to comply with the regulation, including qualifications of the infection preventionist, the existence of a hospital-wide antibiotic stewardship program, and following nationally recognized infection control standards. This webinar will also cover the CDC procedures for cleaning and disinfecting reusable medical devices, along with resources for professional and training.

Speaker

<p><strong>Laura A. Dixon</strong> 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. 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 creating presentations on risk management topics, assessing healthcare facilities, developing programs, and compiling reference materials that complement physician-oriented products.</p> <p>Before 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.</p> <p>Ms. Dixon has over twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.</p> <p>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.</p>

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

Learning Objectives

  • Recall the standard and new interpretive guidelines for infection prevention and control
  • Relate key requirements for an infection prevention and control program
  • Identify the requirements for the infection preventionist and Antibiotic Stewardship lead
  • Describe the incorporation of infection prevention and control and ASP into the QAPI program.

Outline

  • Introduction
  • Conditions of Participation Manual
  • Infection Control Deficiencies
  • CMS Conditions of Participation
  • Requirements of an infection prevention program
  • Infection preventionist identified and qualified
  • Leadership involvement
  • ASP program leader responsibilities
  • Hospital QAPI and infection prevention
  • Systems to prevent MDRO and correct antibiotic usage
  • Responsibilities of preventionist
  • Responsibilities of the ASP leader
  • Unified and integrated programs
  • CMS memos related to Infection Control
  • CDC ASP Core Elements
  • CDC Cleaning reusable devices
  • CDC Infection Control resources for professionals and for training
  • CMS Worksheets – briefly
  • Appendix and Resources

Who Should Attend

  • Infection Preventionists (IPs)
  • Antibiotic Stewardship Program Leaders
  • Hospital Administrators & Compliance Officers
  • Quality & Patient Safety Officers
  • Healthcare Risk Managers
  • Nurses & Clinical Staff
  • Regulatory & Accreditation Specialists.