keyglobeiollogoPhone (319) 626-2302

Catalog Number : ncd1195
Title : CMS CoPs- Part 1
Speaker : Sue Dill

Duration : 120 minutes

Webplay Recording Date : 11-3-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

CAHs hospitals must comply with the Centers for Medicare & Medicaid Services' CoP for Critical Access Hospitals. The CMS regulations and interpretive guidelines serve as the basis for determining compliance and this manual will be discussed in detail as well as the many new changes. Attendees will learn details about the CoPs and what to do when a surveyor arrives at your facility. Every section on the CAH hospital manual will be covered in this three part webinar.

Did you know that about a third of the CMS critical access manual has been rewritten? CMS issued an advanced 93 page memo on January 30, 2015 which discussed these changes. CMS issued a final manual on April 7, 2015 implementing all of these significant and numerous changes. This three part program will include information on the entire 270 page manual.

Webinar Objectives:

  • Describe that CMS requires the board to enter into a written agreement for telemedicine services
  • Discuss that CMS has a list of emergency drugs and emergency equipment that every CAH must have
  • Recall that the length of stay in the CAH should not exceed 96 hours on an annual average basis
  • Discuss recommendations to do a gap analysis to ensure compliance with all the hospital CoPs
  • Recall that hospitals must have a visitation policy and patients must be informed

Target Audience:

CEOs, COOs, CFOs, nurse executives, accreditation and regulation director, nurse managers, pharmacists, quality managers, risk managers, healthcare attorneys, health information management personnel, social workers, dieticians, health information management, nurses, nurse educators, nursing supervisors, patient safety officer, infection preventionist, radiology director, emergency department directors, outpatient director, medication team, ethicist, director of Rehab (OT, PT, speech pathology, and audiology), OR supervisor, OR staff, CRNA, anesthesia providers, dietician, radiology staff, director of health information management, infection preventionist, dietician, activities director of swing bed patients, infection control committee members, pharmacists, and compliance officers

Webinar Overview:

  • Introduction
    • History
    • Changes for 2015
    • January 16, 2015 93 page memo of changes and April 7, 2015 manual
    • Most changes since inception of CAH program
    • CMS memos
    • CAH problematic standards
    • CAH Resources
    • Conditions of participation
    • How to find manual, survey memos, and changes
    • CMS websites
    • Copies of documents by surveyor
    • How to locate changes
    • Rehab or Psych distinct unit standards
    • CMS Survey and Certification website
    • Visitation
    • Telemedicine standards
  • Survey Protocol
    • Introduction
    • Tasks in the Survey Protocol
    • Survey Team
  • Regulations and Interpretive Guidelines for CAHs
    • Swing bed module
    • Compliance with Federal, State and Local Laws and Regulations
    • Licensure of CAH
    • Licensure, Certification or Registration of Personnel
    • Status and Location
    • Location Relative to Other Facilities or Necessary Provider Certification
    • Compliance with CAH Requirements at the Time of Application Agreements
    • Agreements with Network Hospitals
    • Agreements for Credentialing and Quality Assurance
    • Emergency Services, respiratory policies
    • ED staffing
    • EMTALA
    • Equipment, Supplies, and Medication
    • Blood and Blood Products
    • Staffing/Personnel
    • Coordination with Emergency Response Systems
    • Number of Beds and Length of Stay
    • Observation, two midnight rule
    • Number of Beds
    • Length of Stay
    • Physical Plant and Environment
    • Disposal of trash
    • Storage of drugs
    • Physical environment
    • Construction and equipment
    • Maintenance
    • Emergency Procedures
    • Life Safety from Fire
    • Emergency fuel and water
    • Emergency preparedness plan
    • LSC waivers
    • Fire inspections
    • Board section
    • Staffing
    • Physician responsibilities
    • Physician supervision
    • Transfer of patient
    • Patient admissions
    • Patient care policies
    • Medical management

Contact Hours:

  • Nursing participants: Instruct-online has approved this program for 2.4 contact hours, Iowa Board of Nursing Approved Provider Number 339.Completion of offering required prior to awarding certificate.
  • All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 2 Hour Attendance Certificate for each program.

Refund Policy:

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.