keyglobeiollogoPhone (319) 626-2302

Catalog Number : ncd1196
Title : CMS CoPs- Part 2
Speaker : Sue Dill

Duration : 120 minutes

Webplay Recording Date : 11-6-2017
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:

  • Recall that many sections of the manual were rewritten in 2015 including nursing, dietary, drugs and biologicals, rehab, pharmacy, and infection control
  • Explain the responsibilities of the pharmacists that include developing, supervising, and coordinating activities of the pharmacy
  • Describe the requirements for CAH to monitor and inspect to ensure that outdated drugs are not available for patient use
  • Recall the requirements for security and storage of medications, medication carts and anesthesia carts
  • Discuss the requirement to have a list of do not use abbreviations and a review of sound alike/look alike drugs

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:

  • Regulations and Interpretive Guidelines for CAHs
    • Direct Services
    • Services Provided through Agreements or Arrangements
    • Nursing Services
    • Drug and biologicals
      • Security of medication, qualifications of pharmacy director, proper environmental conditions, P&P to monitor all carts, compounding, blue box advisories, Drug Quality and Security Act, standards of care, dispensing medications, list of high alert medications, labeling, definition of medication error, adverse event, indicator or trigger drugs
  • Pharmacy
    • Inspections/staff interviews
    • Dispensing of drugs
    • Pharmacist responsibilities
    • Staffing in pharmacy
    • Pharmacy policies and procedures
    • Medication therapy monitoring
    • Pharmacy USP 797 regulations
    • Emergency medicine kits
    • Drug storage
    • Nursing med carts/anesthesia carts
    • Outdated drugs
    • Survey of pharmacy
    • Reporting ADR and medication errors
    • Near misses/good catches
    • High alert medication
    • Definition of medication error required
    • Trigger/indicator drugs
    • Monitoring medication errors
    • Medication alerts
    • Standard of care for medications
    • Websites and additional resources
    • Required pharmacy P&P
    • Do not use abbreviations
    • Sound alike/look alike drugs
    • Non-punitive policies
  • Infection control
    • Investigating and controlling infections
    • Following national recognized standards and guidelines
    • Healthcare associated infections
    • Four challenges in infection control; MDRO, ambulatory care, communicable diseases and bioterrorism
    • Infection control websites
    • Infection control orientation new employees
    • Surveillance, sanitary environment, and mitigation of risks
    • Role of leaders in infection control
    • Infection control officer
  • Safe Medication
    • Preparation and administration
    • 10 CDC Safe Injection Practices
    • CMS IC worksheet and safe injections
    • Single and multi-dose vials
    • Fingerstick devices, scopes, glucometers, insulin pens
  • Dietary and Nutrition Services
    • Dietary policies
    • C&P to order diet
    • Meeting patient needs, diet order, follow recognized dietary practices
    • Dietary compliance
    • Qualified dietician
    • Dietary support staff
    • Assessment of patients and order
  • Outpatient Services
    • Outpatient department
    • Outpatient director
    • Many changes in 2014 and 2015
    • Board and MS action
  • Rehab section added 2015 Lab
    • Lab services
  • Radiology
    • Many changes
    • Radiology services
    • Radiology staff
    • Scope of radiology services
    • Radiology policies required
  • Contracted Services Emergency procedures
    • Nursing
    • Nursing care
    • Observation of med passes/nursing care
    • Changes in observation guidelines
    • Nursing care plans
    • RN for each patient
    • RN supervising care
    • Drugs and IVs
    • Timing of medications
    • High alert drugs
    • Safe opioid use
    • Sedation scales
    • Blood and blood products
    • Verbal orders
    • Verbal order policy
    • Culture of questioning
    • Medication passes
    • Nursing care plan

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.