Catalog Number : nad1664
Title : CMS ASC Curriculum: Patient Rights Conditions for Coverage
Speaker : Sue Dill

Webplay Recording Date : 9-23-2010
Webplay Price : $ 160 for two weeks viewing

Webinar Overview:

CMS issued new Conditions for Coverage (CfC) that every freestanding ambulatory surgery center (ASC) must meet if the ambulatory surgery center want paid for Medicare and Medicaid patients. The standards apply to all patients treated in the ASC including worker comp and patients with commercial insurance. These standards became effective on May 18, 2009 and contained 167 pages and 267 tag numbers. CMS amended these on December 30, 2009. There are 12 sections to the regulations including one on patient rights. This is a robust section with requirements on advance directives, patient privacy and security, abuse and neglect, posting of patient rights, informed consent, same day ASC referrals, grievances, and consent. Many ASCs are surprised at the requirements on how to handle complaints and grievances.

Target Audience

• Administrator
• Chief Nursing Officer
• Department Managers
• Patient Safety Officer
• Consumer Advocate
• Compliance Officer
• ASC Nurses
• Health Information Management Director and Staff
• Chief Medical Officer or Medical Director
• Registration
• Preadmission Testing Staff
• ASC Privacy Officer
• ASC Security Officer
• Anyone involved with implementing the patient rights section

Webinar Objectives:

• Recall that CMS made changes to the ASC Conditions for Coverage that affect the patient rights
• Describe how to locate a copy of the ASC Conditions for Coverage
• Discuss that requirements for meeting the privacy and security requirements for ASCs
• Discuss what must criteria must be met and what must be documented to add on a case on the same day
• Describe that the patient must be provided with a verbal and written notice of the patient rights before the date of the procedure
• Recall what a ASC must do if they receive a complaint or grievance

Webinar Agenda/Outline:

• Introduction to ASC CfC
• How to obtain a copy
• How to keep apprised of changes
• CMS ASC website
• Patient must be informed of patient rights
• Patient representative
• ASC P&P on patient rights required
• Promotion of the exercise by patients of their rights
• Verbal and written notice of patient rights in advance
• Understandable patient rights and issue of low health literacy
• Delivery of patient rights before procedure or surgery
• Timely of rights with informed consent
• Content of notice of rights
• Posting of patient rights requirement
• Requirements of the notice posted
• Disclosure of physician financial interests
• Referral of patients to the ASC on the same day
• Documentation of medical necessary
• Advance directives P&P
• Referral on same day requirements
• Grievance P&P
• Grievance process
• Investigation and submission of grievances
• Rights and respect for property and person
• Informed consent requirements
• Incompetent patients and exercise of rights
• Privacy and safety
• Right to receive care in a safe setting
• Freedom from abuse or harassment
• Policy on abuse and neglect
• Confidentiality of medical records
• Security of medical records
• HIPAA privacy procedures
• HIPAA privacy officer required
• P&P on the disclosure of protected health information

Contact Hours:

This course has been approved for 1.2 Iowa Nursing Contact Hours. 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.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.