CMS Revised Hospital CoP Dietary, CAH Dietary, DNV Healthcare and TJC Standards

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

Hospital CoP Dietary Requirements – How CMS Updates will Affect the Industry


CMS recently issued a deficiency report. It previously made 3 changes to the dietary guidelines for hospitals and rewrote all the dietary guidelines for critical access hospitals that went into effect April 1, 2015. Some hospitals are still working to ensure compliance. CMS will now permit the Medical Staff and Board to credential and privilege qualified dieticians and qualified nutritional specialists to order the patient’s diet. This includes therapeutic diet, supplemental feeding and enteral nutrition. CMS has already provided additional information about the C&P process for dieticians and this session will cover this issue in detail.

This session by expert speaker Sue Dill Calloway will discuss the CMS hospital conditions of participation requirements for dietary and food and nutrition services. It is an important part of the CMS survey and this area has received increased scrutiny of their standards especially in the area of Infection control. This session will cover the common deficiencies received by hospitals from CMS in this area. It will also cover the Joint Commission provision of care chapter standards related to dietary and the TJC dietary tracer information. Sue will also discuss the DNV Healthcare dietary standards during this session.

Session Highlights

  • Final regulations on credentialing and privileging qualified dieticians and qualified nutritional specialists
  • How to obtain current copy of CoP manual
  • Proposed changes regarding dieticians ordering patient díet
  • Ways to keep up with CMS changes
  • Starts at tag number 618
  • Three tag numbers changes and one deleted (Tag 628, 929, and 630)
  • Organized dietary services
  • Director and qualified dietary staff required
  • Diet manual availability, frequency of meals served, system for díet ordering and tray delivery, accommodatíon of non-routine occurrence, acceptable hygiene practices, kitchen sanitation etc.
  • 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 díet manual approved by MS and dietician
  • CMS third revised hospital worksheet on infection control
  • TJC provision of care standards related to dietary
  • Discussion of topics throughout patient tracer activity
  • Dietary and food services day to day operation information
  • DNV healthcare standards
  • CAH dietary standards (revised April 7, 2015)

Session Agenda

  • Dietary error and CMS investigation
  • The CMS Conditions of Participation (CoPs) for dietary and nutrition services
  • What are the most problematic dietary and nutrition standards?
  • CMS fínal regulations for food and dietetic services
  • CMS hospital CoPs on food and dietetic services
  • What to include in the díet manual
  • FDA guidance and regulations documents
  • CDC environmental infection control
  • Nutritional assessment and dietary for 2015
  • CMS CoPs for critical access hospitals
  • Joint commission provision of care chapter
  • What hospitals need to know about the dietary tracer
  • DNV healthcare standards on dietetics and nutrition
  • California hospitals and compliance with the CMS hospital CoPs

Who should attend?

  • 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 Responsible for Complying with the CMS, DNV Healthcare or Joint Commission Standards that Affect Dietary and Nutrition Services

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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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