Ligature Risks: How to Comply with the New Federal Requirements for Hospitals

Event Information
Product Format
Live Webinar
Sue Dill Calloway, RN, MSN, JD
Conference Date
Add to my calendar   Tue, May 19, 2020
Aired Time
1 pm ET | 12 pm CT | 11 am MT | 10 am PT
120 minutes
Product Description

How is Your Hospital Handling Ligature & Self-Harm Risks?


Preventing self-harm or strangulation in suicidal patients has become one of the hottest compliance topics among federal regulators. The Joint Commission announced that ligature risk is one of the top four areas of focus, and CMS has new requirements for hospitals to prevent ligature risk and self-harm in suicidal patients. So what does your hospital need to do to comply? What units need to be “ligature resistant?” What patient and environmental assessments must you perform? What education, policy, and procedure requirements have changed?

Learn the answers to all these questions and much more in this live webinar by hospital compliance expert Sue Dill Calloway. Review the 13-page CMS memo, the amendments to the hospital Conditions of Participation (CoPs) and F-tags 144 and 701, and the proposed 15-page guideline changes for 2020. Discover what your hospital will need to do to change your policies and procedures and to budget for these significant changes.

After attending this informative session, you’ll walk away with an in-depth understanding of the Joint Commission’s 16 requirements to ensure compliance with their standards – including psych hospitals, behavior health units, general acute care inpatient units, outpatient units, and emergency departments. You’ll also get a detailed understanding of the Zero Suicide campaign, including ligature risk, video monitoring, and the Joint Commission sentinel event alerts on suicide. Additionally, you will walk away with tools to assess patients and a variety of compliance resources.

This how-to session will cover:

• The CMS hospital ligature risks, including manual updates and proposed guidelines for 2020;

• Policy and procedure requirements that your hospital must adopt, as well as examples of ligature risks and “anchor points;”

• The Joint Commission’s 13 requirements to prevent suicide, including specific facility mandates for various settings; and

• How to access essential resources and tools, such as suicide prevention guidelines for training, design guides for facilities, patient assessments, and more.

Who Should Attend

This program is designed for all staff, nurses, physicians, and providers in various hospital settings (behavioral health units, psychiatric hospitals, emergency departments, intensive care, medical-surgical units, outpatient areas, etc.), hospital risk managers, hospital legal counsel, patient safety officers, CEOs, COOs, CNOs, nurse supervisors, chief medical officers, directors of maintenance and facility services, biomedical engineering, materials management, environmental services, security staff, quality improvement coordinators, compliance officers, directors of regulatory affairs, board members, nurse educators, clinic and outpatient managers, all department directors/nurse managers, and anyone who is responsible for compliance with the CMS hospital CoPs and Joint Commission standards.

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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 past VP of...   More Info
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