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Jun 30, 2025 , 11 : 30 AM EST |  22 Days Left

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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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 professionals and training.

Speaker

Speaker Image

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 the 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 a 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.