Catalog Number : nad1669
Title : CMS Ambulatory Surge Centers: Survey Protocols, Exit Conference & Post-Survey Activities
Speaker : Sue Dill

Webplay Recording Date : 1-26-2011
Webplay Price : $ 160 for two weeks viewing

Webinar Overview:

The Center for Medicare and Medicaid Services (CMS) has 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 made changes s December 30, 2009 and December 2010. CMS states the ASC must have a safe and sanitary environment, properly constructed, equipped, and maintained to protect the safety and health of the patient. This section is very important and includes type of emergency equipment, life safety code issues, and training and competence of staff. It also contains many infection control standards. CMS got a $10 million grant to enforce infection control standards which are some of the most common areas where ASCs are out of compliance. Do you know the nine pieces of emergency equipment that must be present in your operating room? What in your required medical staff policy on emergency equipment in the OR? Are your personnel trained in the use of emergency equipment and CPR whenever there is a patient in the facility?

Target Audience

Anyone who is involved in ensuring that the patient has a safe and sanitary environment should attend this program. This includes:

• all maintenance staff
• biomedical engineering
• life safety code director
• department directors
• performance improvement coordinator
• accreditation staff
• chief nursing officer
• OR director and staff
• PACU nurses
• nurse educator
• nursing management
• physicians
• risk managers
• infection preventionist
• legal department
• compliance officers
• patient safety officers

Webinar Objectives:

• Recall the CMS have standards in the ASC Conditions for Coverage that affect the environment of care
• Describe how to locate a copy of the ASC Conditions for Coverage
• Discuss the requirements for alcohol based hand rub
• Recall what emergency equipment must be present in the ASC
• Discuss the requirements for humidity and temperature control in the OR

Webinar Agenda/Outline:

• Introduction to ASC CfC
• How to obtain a copy
• How to keep apprised of changes
• CMS ASC website
• Safe and sanitary environment
• Proper construction
• Proper equipment
• Design of the OR and AIA standards
• OR temperature and humidity controls
• OR equipment for type of surgery performed
• Inspection of OR equipment
• Separate waiting room and PACU
• PACU requirements
• When can individual accompany patient to PACU
• Program to identify and prevent infections
• Program to follow up each discharged patient
• How to track infections
• Safety from fire
• Alcohol based hand rub dispensers
• Emergency power
• Emergency equipment required (trach set, suction, etc.)
• Emergency medical equipment
• Crash carts
• Staff trained in CPR
• Documentation of training
• Questions and answers

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.