New CMS CoPs Virtual Boot Camp 2017
New CMS CoPs Virtual Boot Camp
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Achieving Compliance in the Face of New CoP Guidelines and Standards for Hospitals
Overview:
CMS issued deficiency reports in the recent past have revealed that CMS CoP has been a problematic standard for many hospitals. Not less than 15 memos of importance have been issued and many changes have occurred in the past two years in the nursing section—including 2016 changes and proposed changes for 2017 in the Hospital Improvement Act. Do you know that CMS has issued deficiency reports which includes which are the most problematic standards for hospitals?

It is mandatory for every hospital to have a copy of CMS's up-to-date Conditions of Participation (CoPs) along with Interpretive Guidelines (IG). Keeping the manual handy is necessary as they are used by surveyors to guide inspections and follow laid down guidelines for ensuring full reimbursement. This manual includes details for CMS Survey Protocol Guidelines, comprising a set of questions that surveyors ask during an on-site visit.

Hospitals, including critical access hospitals (CAHs), must be informed and updated about these four critical areas of CMS CoP standards for hospitals:
Session Details
Session 1: 2017 CMS Nursing CoP Standards for Hospitals and Proposed Changes

Length: 90 Minutes

Significant changes were made by CMS to blood transfusion, compounding, safe injection practices, IV medication administration, beyond use date (BUD) and implemented safe opioid standards. Many changes to the final interpretive guidelines went into effect in the past two years. The final worksheets on QAPI, discharge planning and infection control, which should be on the radar screen of every department managers, has been issued by the CMS.
Session 2: The CMS Final Infection Control Worksheet for Hospitals

Length: 90 Minutes

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 processes when assessing compliance with the infection control standards. 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.
Session 3: New CMS CoP Regulations for Managing Grievances and Complaints

Length: 90 Minutes

CMS has issued that their first memo summarizing non-compliance and grievances were a top problematic standard. A report issued by CMS on January 28, 2016 found as many as 773 hospitals out of compliance. Join Sue Dill Calloway, RN, MSN, JD, in this informative session to learn what you need to do to ensure compliance. This program will cover the CMS requirements in detail for hospitals to help prevent them from being found out of compliance in regards to the grievance regulations.
Session 4: CMS Revised Hospital CoP Dietary, CAH Dietary, DNV Healthcare and TJC Standards

Length: 90 Minutes

The final changes from CMS about the hospital CoPs are somewhat complex and confusing. In the final rule, CMS has made 3 changes to the existing dietary guidelines for hospitals and has rewritten all the critical access hospitals dietary guidelines. As per the new rule, the CMS will now allow the Medical Staff and Board to credential and privilege qualified dieticians and qualified nutritional specialist to order the patient’s diet. This will include therapeutic diet, supplemental feeding and enteral nutrition.
Who Should Attend?
  • Nurses
  • Compliance officer
  • Physicians
  • Risk Manger
  • Hospital Legal Council Members
  • Chief Nursing Officer
  • Chief Medical Officer
  • Chief Operating Officer
  • Medical Staff leader
  • Dietician
  • Patient safety officer
About Our Speaker
Sue Dill Calloway 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 a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer. Read More...
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