ComplianceOnline

Nursing: CMS CoP Standards for Hospitals and Proposed Changes: 2017 Update

Instructor: Sue Dill Calloway
Product ID: 705239
  • 7
  • December 2017
    Thursday
  • 10:00 AM PST | 01:00 PM EST
    Duration: 120 Min

Live Online Training
December 07, Thursday 10:00 AM PST | 01:00 PM EST | Duration: 120 Min

$199.00
One Dial-in One Attendee
$529.00
Group-Max. 10 Attendees/Location
(For Multiple Locations Contact Customer Care)
Super Deal - Get CD free!

recorded version

$249.00
1x Person - Unlimited viewing for 6 Months
(For multiple locations contact Customer Care)
Recorded Link and Ref. material will be available in My CO Section 48 hrs after completion of Live training

Training CD / USB Drive

$349.00
One CD/USB is for usage in one location only.
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CD/USB and Ref. material will be shipped within 15 business days after completion of Live training

Combo Offers

Live + Recorded Version

$349.00

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$449.00

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Read Frequently Asked Questions

This training program will cover requirements in the CMS hospital CoP manual on nursing section. It will discuss proposed changes in the Hospital Improvement Act including plans of care, staffing, policy changes, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program and much more.

Why Should You Attend:

Did you know there were fifteen recent memos of importance to nursing in the recent past? Did you know there have been many changes in nursing chapter in the past two years including 2016 changes and proposed changes in 2017? The proposed changes are in the Hospital Improvement Act. It will discuss plans of care, staffing, policy changes, when a RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program and more.

Did you know that CMS has issued deficiency reports which includes the most problematic standards for hospitals? This is a must attend program for any clinical nurse or nurse leader or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing.

This program will also refer other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, discharge planning standards and privacy and confidentiality.

Learning Objectives:

  • Recall that CMS has a section on nursing services that every hospital must follow even if accredited
  • Describe that all medications must be administered within three different time frames
  • Discuss that nursing care plans are frequently cited area by CMS and recall a recent change
  • Recall that all verbal orders must be signed off and need to include both a date and time

Areas Covered in the Webinar:

  • Introduction into the CMS hospital CoPs
  • Where to locate a copy
  • CMS deficiency reports and problematic standards
  • How to get apprised of changes
  • Changes to medication management, IV, blood, and opioid safe use
  • Proposed changes under the Hospital Improvement Act
  • ISMP IV push guidelines
  • Safe injection practices
  • Changes related to safe injection practices, compounding, medication preparation, immediate use, and labeling
  • Revised CMS Hospital work sheets and importance
  • CMS memos of interest
    • Rewrote all the discharge planning standards
    • Hospital deficiencies
    • Reporting to the PI system
    • Insulin pens and safe injection practices
    • New interpretive guidelines
    • Luer misconnections
    • Organ Procurement Organization Contracts
    • Discharge planning standards
    • CMS complaint manual
    • Humidity in the OR
  • Federal regulation changes
  • Final interpretive guidelines and changes
  • Most current CMS Manual
  • Many recent changes to 9 tag numbers
  • Starts at Tag 385 and goes to tag 413
  • Nursing Services and 24 hours services
  • Third revised worksheet
  • RN on duty
  • Integrated with hospital wide PI program
  • Organizational chart and nursing
  • Chief Nursing Officer (CNO) responsibilities
  • CNO requirements
  • CNO approval of nursing policies
  • Staffing and delivery of care
  • 24 hour nursing services and supervision
  • Valid license for nurses and verification
  • RN to evaluate to care of all patients
  • Nursing care plans
  • Changes to the plan of care
  • Agency nurse requirements
  • Orientation of agency nurses
  • Medication administration
  • Order required for all medications
  • Standards of care and practice to prevent HAI
  • BUD, compounding sterile preparations (CSP)
    • Immediate use CSP
    • Administration one hour rule
  • Safe injection practices
  • Standing orders and protocols
  • Three medications timing changes
  • Protocols, standing orders, order sets
    • Tag 405 standards moved to 457
  • Requirements for complete drug order
  • Verbal orders and verbal orders changes
  • Blood transfusions and IV medications changes
  • Self-administered medications

Who Will Benefit:

  • Chief Nursing Officer
  • Nurse Managers
  • Nurse Supervisors
  • Nurse Educator
  • HIM staff
  • Compliance Officer
  • Chief of Medical Staff
  • Medical Staff Coordinator
  • Risk Manager
  • Patient Safety Officer
  • Documentation Specialist
  • Hospital Legal Counsel
  • PI Director
  • Joint Commission Coordinator
  • Regulatory Officers
  • Chief Operating Officer
  • Chief Medical Officer
  • Physicians
  • Education Department Staff
  • Board Members
  • Director of Health Information Management
  • Audit Staff
  • Others responsible for compliance with hospital regulations including documentation compliance
Instructor Profile:
Sue Dill Calloway

Sue Dill Calloway
chief learning officer, Emergency Medicine Patient Safety Foundation

Sue Dill Calloway is a nurse attorney, a medical legal consultant and the past chief learning officer for the Emergency Medicine Patient Safety Foundation. She is the immediate past director of Hospital Patient Safety and Risk Management for The Doctors Company. She is currently president of Patient Safety and Health Care Education and Consulting. She was a medical malpractice defense attorney for many years and a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer.

Ms. Calloway has done many educational programs for nurses, physicians, and other health care providers. She has authored over 102 books and numerous articles. She is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. She has taught many educational programs and written many articles on compliance with the CMS and Joint Commission restraint standards.

Topic Background:

CMS made significant changes to IV medication administration, blood transfusion, safe injection practices, compounding, beyond use date (BUD) and implemented safe opioid standards. Hospitals are still struggling how to comply with these complicated standards.

There are many changes in the past to this section include timing of medications, standing orders, soft wrist restraints and restraint reporting, plan of care, verbal orders, blood transfusions, IV medication, compounding, BUD, safe injection practices, self-administration of medications and drug orders. There were many changes to the final interpretive guidelines that went into effect the past two years. CMS has issued the final worksheets on QAPI, in nursing.

Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don’t be caught off guard and put your hospital’s reimbursement at risk.

Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV Healthcare must also follow these regulations.

Note: CMS has a separate CoP for critical access hospitals (CAHs). Although there are now many similar standards in the nursing services section it is important to note that CMS has a separate manual for CAHs and differences do exist. Major differences are discussed throughout the program.

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Refund Policy

Registrants may cancel up to two working days prior to the course start date and will receive a letter of credit to be used towards a future course up to one year from date of issuance. ComplianceOnline would process/provide refund if the Live Webinar has been cancelled. The attendee could choose between the recorded version of the webinar or refund for any cancelled webinar. Refunds will not be given to participants who do not show up for the webinar. On-Demand Recordings can be requested in exchange.

Webinar may be cancelled due to lack of enrolment or unavoidable factors. Registrants will be notified 24hours in advance if a cancellation occurs. Substitutions can happen any time.

If you have any concern about the content of the webinar and not satisfied please contact us at below email or by call mentioning your feedback for resolution of the matter.

We respect feedback/opinions of our customers which enables us to improve our products and services. To contact us please email customercare@complianceonline.com call +1-888-717-2436 (Toll Free).

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