Dietary, Food and Nutrition Services; Meeting the CMS Hospital and CAH CoPs, DNV Healthcare and TJC Requirements


Instructor: Sue Dill Calloway
Product ID: 706040
Training Level: Intermediate

  • Duration: 120 Min
Learn about the latest CMS hospital CoPs on dietary, food, and nutrition services in this webinar. The program will also discuss the common deficiencies received by hospitals from CMS. Supplementary information about the C&P process for dieticians provided by CMS will be discussed in detail. DNV Healthcare dietary standards will also be detailed.
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Why Should You Attend:

3 changes were made to the CMS dietary guidelines for hospitals and all dietary guidelines for critical access hospitals were rewritten and were effective April 1, 2015. Some hospitals are still in the process to ensure compliance. Attend this webinar to learn about the CMS hospital CoPs on dietary, food, and nutrition services and to ensure compliance.

The CMS hospital conditions of participation requirement for dietary and food and nutrition services will be discussed in this program. As a crucial part of the CMS survey, this area has drawn increased scrutiny of standards, particularly with infection control.

CMS has published a deficiency report. The common deficiencies received by hospitals from CMS will be discussed in this program. Are you aware of what the top problematic standards are?

The Medical Staff and Board to credential and privilege qualified dieticians and qualified nutritional specialists are now allowed by CMS to order the patient’s diet including therapeutic diet, supplemental feeding, and enteral nutrition. Additional information about the C&P process for dieticians provided by CMS will be extensively discussed.

The Joint Commission provision of care chapter standards related to dietary and the TJC dietary tracer information will also be covered in the program. The tracer is used to evaluate and determine the level of compliance with the standards and elements of performance connected to nutrition care. The tracer that is employed through dietetic and food services covers comprises some of the same problems considered during the CMS survey.

DNV Healthcare dietary standards will also be discussed.

Areas Covered in the Webinar:

  • Final regulations on credentialing and privileging qualified dieticians and qualified nutritional specialist
    • C&P to order patient diets
    • Can be with or without appointment to the MS
    • State law and hospital policy
    • State scope of practice
    • Must be C&P by MS and board
  • How to obtain current copy of CoP manual
  • Proposed changes rea dieticians ordering patient diet
  • Ways to keep up with CMS changes
  • Starts at tag number 618
  • 3 tag numbers changes and one deleted (Tag 628, 929, and 630)
  • Organized dietary services
  • Director and qualified dietary staff required
  • Must meet nutritional needs of patients
  • Policies required
    • Diet manual availability, frequency of meals served, system for diet ordering and tray delivery, accommodation of non-routine occurrence, acceptable hygiene practices, kitchen sanitation etc.
  • Same standards whether or not by contracted services
  • Director who is full time and qualified
    • List of responsibilities to include in job description
    • Approve patient menus and nutritional supplements, patient dietary counseling, collaborating with other staff, maintaining patient data to recommend,
    • prescribe, or modify therapeutic diets etc.
  • Policies and procedures include
    • Safety practices for food handling, emergency food supplies, orientation, work assignments, menu planning, purchasing of foods and supplies etc.
  • Survey procedure questions
  • Diets and menus to meet the needs of patients
  • Therapeutic dies and guidelines
  • Nutritional needs in accordance with recognized dietary practices
  • Current therapeutic diet manual approved by MS and dietician
  • CMS third revised hospital worksheet on infection control
  • Infection control important in dietary

Who Will Benefit:

  • Dieticians
  • Director of dietary
  • Dietary staff
  • Joint Commission liaison or accreditation director DNV Healthcare
  • CMS or regulatory staff
  • Compliance officer
  • Chief Operating Officer
  • Chief Nursing Officer
  • Nurses and nurse managers
  • Nurse educator
  • Chief Medical Officer
  • Medical staff and MS department staff
  • Anyone else responsible for complying with the CMS, DNV Healthcare or Joint Commission standards that affect dietary and nutrition services
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. 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.

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