CMS just issued the final infection control worksheet for hospitals. Since this is new, many hospitals have not heard about it and are not aware of what they need to do to prepare should a surveyor coming knocking at their door. It is very comprehensive and in fact the first time CMS has ever done tracers such as the foley catheter tracer, central line tracer, hand hygiene etc. It is 49 pages long and has some new areas and questions to ask that have never been surveyed before. Also CMS is hitting the infection control standards harder because of a recent study that shows the high number of healthcare associated infections and the cost to Medicare. CMS received a 50 million dollar grant so many of the surveyors just went through infection control training. HHS is using up to one billion dollars to help reduce infections and adverse events in hospitals. There were some recent changes to the infection control standards also.
The surveyor worksheet for the assessment of compliance with the infection control Conditions of Participation (CoPs) has been finalized by the CMS. These worksheets are used by state and federal surveyors on all survey activates when assessing compliance with the infection control standards. Infection control is the focal point during a validation survey and every hospital should have a full working familiarity with this important document. With the new changes, hospitals should now also develop tracer tools to match this worksheet. Hospitals may also face similar questions from accreditation organizations to get deemed status from CMS.
Attend this webinar by expert speaker Sue Dill Calloway, RN, MSN, JD, and stay prepared for any visit by a surveyor, who might show up at your door any time for a validation survey. Sue will help you get a better understanding of the CMS hospital infection control worksheet. There is a business case for stepping up enforcement to prevent healthcare associated infections since hospitals with the highest total HAC scores will have their CMS payments reduced by 1% according to the Hospital-Acquired Condition (HAC) Reduction Program that went into effect for fiscal year 2015 and 2016.
This session will also discuss the infection control deficiencies published by the CMS along with actual information on why hospitals were found to be out of compliance. Although the worksheet is not being used per se at Critical Access Hospitals (CAH), it is highly recommended that all CAH should listen to this webinar since the standards are the same and this is an excellent self-assessment tool.
Who should attend?
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...
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