CMS Nursing CoPs Standards for Hospitals: 2015 Update

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
90 minutes
Product Description

Get an In-depth Understanding of CMS Nursing CoPs Standards for Hospitals Per 2015 Updates.

Did you know that:

  • There were eleven recent memos of importance to nursing in the recent past?
  • There have been many changes in nursing chapter in the past year?
  • CMS issued its deficiency reports that included which are the most problematic standards for hospitals?

CMS issued a 32 page memo which went into effect June 6, 2014, and it made significant changes to IV medication administration, blood transfusion, and implemented safe opioid standards. The many changes in the past to these sections include timing of medications, standing orders, soft wrist restraints and restraint reporting, plan of care, verbal orders, blood transfusions, 3rd revised worksheet, IV medication, and drug orders. There were many changes to the final interpretive guidelines that went into effect June 7, 2013 and July 11, 2014.

There were two new tag numbers added to the nursing standards section in 2014 and changes to seven existing sections including tags 405-409 and 410 through 413. These address self administration of medication, standing orders, care plans, and more. Every hospital that accepts Medicare and Medicaid reimbursements must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participations (CoPs) and it must be followed for all patients.

This live webinar with expert speaker Sue Dill Calloway will discuss about the nursing services section in the hospital CoPs manual. This session is also going to reference other important sections found outside the nursing services section such as medication standards, history and physicals, verbal orders, restraint, seclusion and grievances, discharge planning standards, visitation, and privacy and confidentiality. It will also cover CMS’ privacy and confidentiality memo, safe injection practices memo, humidity memo, and insulin pen memo.

Also, staffing, medications, three time frames for administering medications, and educational requirements will be discussed along with changes in standing orders and protocols. Additionally, the webinar will cover Deficiency Reports issued by CMS to help hospitals identify problematic tag numbers.

Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Facilities accredited by Joint Commission, CIHQ, DNV Healthcare, and American Osteopathic Association must also follow these regulations. You should be cautious of not being caught off-guard and put the reimbursement of your hospital at risk.

Apart from loads of information on CMS’ Nursing CoPs Standards for Hospitals, this live webinar will help you understand:

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

Session Highlights:

  • Introduction: CMS hospital CoPs
  • Where to locate a copy
  • What are CMS deficiency reports and what are the problematic standards
  • How to get apprised of changes
  • Changes to medication management, blood, IV medication administration and opioid safe use
  • The importance of  Revised CMS Hospital work sheets
  • Recent 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 effective from  June 7, 2013
  • Most current CMS Manual  
  • Many recent changes to 9 tag numbers
  • Starts at Tag 385 and goes to tag 413
  • 24 hours services and Nursing Services
  • What are the safe injection practices and what is Insulin Pen?
  • Third revised worksheet
  • RN on duty
  • Hospital wide PI program integrated
  • Organizational chart and nursing
  • Chief Nursing Officer (CNO) responsibilities
  • CNO requirements
  • CNO approval of nursing policies
  • Staffing and delivery of care
  • Nursing services and supervision for 24 hours
  • Verification and Valid license for nurses
  • How does RN evaluate the 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
  • 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
  • Verbal orders changes
  • What are the changes to happen in IV medications  and Blood transfusions
  • Self administered medications

Other important sections nurses should be aware of:

  • Restraint and seclusion changes
  • Grievances
  • Medications policies
  • Visitation
  • History and physicals

Who should attend?

Chief nursing officer, all nurses, nurse managers, nurse supervisors, nurse educator, HIM staff, compliance officer, chief of medical staff, Medical staff coordinator, risk manager, patient safety officer, senior leadership, documentation specialist, hospital legal counsel, PI director, Joint Commission coordinator, regulatory officers, legal counsel, chief operating officer, chief medical officer, physicians, education department staff, board members, director of health information management,  audit staff, and others responsible for compliance with hospital regulations including documentation compliance.



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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the...   More Info
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