Webinar Overview:

In order to receive payment, Critical Access Hospitals (CAH) must comply with the Centers for Medicare and Medicaid (CMS) Conditions of Participation (CoP). CMS issues interpretive guidelines that serve as the basis for determining hospital compliance with the CoPs, and there have been major changes. This program will cover all sections in the 198-page regulations.This seminar will help hospitals comply with specific CMS-CoP problem areas, including: restraints, nursing care plans, legibility requirements, needed policies and procedures, nursing medication carts, drug storage, informed consent, history and physicals, verbal orders, medication administration and emergency preparedness. There are an extensive number of standards related to medication management and pharmacy. This program will discuss new regulations on distance from next hospital and proposed new regulations for 2008.

Every Tag section in the regulations and interpretive guidelines will be covered. Attendees will learn details about the CoPs and what to do when a CMS or Department of Health surveyor arrives at your facility. If there is one program that staff should attend this year, it is this program. It is essential that hospitals do a gap analysis to confirm compliance with these regulations.

Target Audience:

• CEO
• COO
• CFOs
• Nurse Executives
• Nurse Managers
• Risk Managers
• Pharmacists
• Quality Managers
• PI director
• Director of Accreditation
• Healthcare Attorneys
• Health Information Management Personnel
• Social Workers
• Dieticians
• Consumer Advocate
• Radiology Director
• Emergency Department Directors
• Outpatient Director
• Ethicist
• Eirector of Rehab (OT, PT, speech pathology, and audiology)
• OR supervisor
• Activities Director of swing bed patients
• Infection Control
• Nurse Educator
• Medication Management Team
• Compliance Officers

Webinar Objectives:

• Describe requirements for drugs and pharmacy, including inspections to ensure that outdated drugs are not available for patient use, and security and storage of medication carts and anesthesia carts
• Recognize CAH departments that have specific regulations, including Infection Control, Dietary, Rehab, Radiology and Nursing

A few of the Topics that will be covered:

• Infection control
  • Healthcare associated infections
  • Infection control policies
  • Infection control orientation to new employees
  • Infection control officer
• Dietary
  • Policies
  • Qualified dietician
  • Dietary support staff
• Direct services
• Outpatient department
• Rehab services
  • Rehab treatment plan
• PT, OT, audiology and speech pathology
• Lab services
• Radiology services
  • Radiology policies required
• Nursing Services
  • Nursing care
  • Observation of med passes/nursing care
  • Nursing care plans
  • RN supervising care
  • Verbal orders
• Pharmacy
  • Drugs and IVs
  • Drugs and Biologicals
  • Pharmacy Dispensing of drugs
  • Pharmacist responsibilities
  • Staffing in pharmacy
  • Pharmacy P&P
  • Medication monitoring
  • Pharmacy USP 797 regulations
  • Emergency medicine kits
  • Drug storage
  • Nursing med carts/anesthesia carts
  • Outdated drugs
  • Reporting ADR and medication errors
  • Near misses/good catches
  • High alert medication
  • Trigger/indicator drugs
  • Monitoring medication errors
  • Medication alerts
  • Standard of care for medications
  • Required pharmacy P&P
  • Do not use abbreviations
  • Sound alike/look alike drugs
  • Non punitive policies

Contact Hours:

This would be the duration: Upon attending this course you will receive a 2.4 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.