Why Should You Attend:
Deep sedation is considered anesthesia, so these standards can affect the care provided in places like the emergency department, radiology, GI lab, pain clinic or any other place deep sedation is provided. This includes the use of Propofol. The number of deficiencies for the anesthesia tag numbers will be discussed in this webinar.
This program will cover the CMS standards on pre-anesthesia evaluations, post-anesthesia evaluation, and anesthesia services. Hospitals are required to have many policies including one on specific clinical situations involving anesthesia or analgesia. This section also addresses what anesthesia policies are required and what must be documented by the anesthesia provider during surgery.
Come to this program and learn all about the CMS anesthesia guidelines and how your hospital can ensure compliance. The hospital must demonstrate the acceptable standard of care and this should be referenced in the policy and procedure. Do you know what four things CMS defines as anesthesia and the four things defined in the pain bucket? What do you need to do if your emergency department physicians and GI doctors want to do deep sedation to ensure compliance?
A two-page FAQ on anesthesia by CMS will also be discussed. This includes interpretive guidelines on moderate sedation and deep sedation. It impacts moderate and deep sedation done in other places like the emergency department and GI lab and patients who have ECTs.
Come hear about the CMS anesthesia standards from a speaker who wrote the book on how to comply with these standards.
CMS said that hospitals are expected to develop policies and procedures that address the clinical circumstances under which medications that fall along the analgesia-anesthesia are considered anesthesia and to specify the qualifications of the practitioners who can administer analgesia. This seminar will explain each of the past four changes and when and why the changes were made.
These also impact issues related to CRNAs and the provision of analgesia during labor and delivery. The regulations discuss who can administer anesthesia and supervision requirements of CRNAs and anesthesiology assistants. The guidance also covers what types of anesthesia services are subject to the requirements governing the administration of anesthesia including deep sedation. Hospitals will need to make sure their policies and procedures and credentialing and privileging policies reflect these requirements. A good change was made regarding the previous requirement that all outpatients who have had anesthesia must have a postanesthesia assessment before they left the hospital as long as it is done and documented within 48 hours. (except CAH)
Areas Covered in the Webinar:
Who Will Benefit:
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. She 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.
The changes affected PPS hospitals and not CAH although critical access hospitals have many similar requirements in their CoP. It may be helpful for CAH to listen even though they are governed by appendix W. The specific CAH requirements will be discussed. Tag 322 requires that a postanesthesia assessment be done before the patient leaves the hospital.
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