CMS Standing Orders, Protocols, Order Sets and Preprinted Orders

Event Information
7 Days
Left To Register
Product Format
Live Webinar
Sue Dill Calloway, RN, MSN, JD
Conference Date
Add to my calendar   Wed, May 31, 2017
Aired Time
1 pm ET | 12 pm CT | 11 am MT | 10 am PT
90 minutes
Product Description

CMS and Joint Commission Standards and Guidelines on Standing Orders, Protocols, Order Sets and Preprinted Orders

Standing orders and Medicare conditions of participation that relate to them are some of the most confusing compliance requirements that hospitals face. Both CMS and the Joint Commission address this tricky area, and four separate sections of the hospital CoP manual regulate the issue of standing order requirements. After CMS moved most of the standing order requirements from Tag 405 to Tag 457, your hospital’s staff likely suffered more confusion.

This live webinar by expert speaker Sue Dill Calloway, RN, MSN, JD, will discuss the interpretive guidelines and regulations that are required by the CMS and the Joint Commission regarding protocols, order sets, preprinted orders and standing orders. Sue will provide the history of each of the four sections and what each section requires hospitals to do. Sue will also help clarify confusing areas and make the requirements easy to understand for hospitals.

Session Highlights

  • Hospital compliance with the CMS CoP requirements if they accept federal reimbursement
  • The four separate sections of CMS requirements for standing orders and protocols
  • Approval of all protocols by the medical staff, even if the protocols are department specific
  • The signing off of the standing order along with a date and time
  • Locating a CoP copy
  • Survey and certification website for changes
  • Joint Commission standards on standing orders
  • CMS-required radiology protocols
  • Tag 450 changes
  • New Tag 457
  • Final interpretive guidelines
  • Scope of practice issue for Tags 405 and 406
  • CMS memo on standing orders in hospitals: State law and scope of practice requirements

Who Should Attend

Anyone involved in ensuring compliance with the CMS hospital conditions of participation related to standing orders, protocols, order sets including the:

  • CEO
  • Chief operating officer
  • Chief nursing officer
  • Chief risk officer
  • Chief medical officer
  • Risk management professional
  • Hospital legal counsel
  • Senior leadership
  • Radiology director
  • PI staff
  • Compliance officer
  • Regulatory officer
  • Joint Commission liaison
  • Pharmacy director
  • Nurse educator
  • Pharmacist
  • Rehab and respiratory director and staff
  • Patient safety officer
  • MEC committee members
  • Infection preventionist or manager
  • Anesthesia director
  • Anesthesiologist
  • Staff nurses, nurse managers and nurse supervisors
  • IS department staff
  • Policy and procedure committee members
  • Anyone involved in standing orders, protocols, order sets and preprinted orders
  • Anyone who serves on a committee that reviews standing orders, order sets, and protocols

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert


Sue Dill Calloway, RN, MSN, JD, 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. Sue was a medical malpractice defense attorney for many years and...   More Info
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