Catalog Number : ncd1267
Title : Critical Access Hospital Conditions of Participation: Part 3
Speaker : Sue Dill

Webplay Recording Date : 10-30-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

Critical Access Hospitals must comply with the Center for Medicare and Medicaid Conditions of Participation if they accept Medicare and Medicaid reimbursement. The hospital must comply with these 206 page standards for all patients and not just Medicare or Medicaid patient. CMS issues interpretive guidelines that serve as the basis for determining hospital compliance.

This seminar will help hospitals comply with specific CMS-CoP problem areas including restraints, nursing care plans, legibility requirements, verbal orders, history and physicals, needed policies and procedures, nursing medication carts, drug storage, medication administration and emergency preparedness. Attendees will learn details about the CoPs and what to do when a CMS or Department of Health surveyor arrives at your facility.

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
• Nurses
• Nurse Educators
• 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
• Anesthesia Providers
• Activities Director of swing bed patients
• Infection Control and Compliance Officers

Webinar Objectives:

• Explain the informed consent elements required by CMS
• Describe the requirements for history and physicals for CAH
• List what must be contained in the operative report
• Discuss what the CAH must do to comply with the requirements for notification of the organ procurement agency when a patient expires
• Name some of the patient rights that are afforded to patients in swing beds

Webinar Outline:

• Medical Records
  • Records System
  • Informed consent
  • History and physicals
  • Discharge summaries
  • Response to treatment
  • Confidentiality of medical records
  • Retention of medical records
  • Protection of Record Information
  • Surgical Services
  • Surgery policies
  • PACU
  • OR register
  • Operative report
  • Surveyor in the OR
  • Surgical privileges
  • Designation of Qualified Practitioners
  • Anesthesia services
  • Anesthetic Risk and Evaluation
  • Administration of Anesthesia
  • Discharge
  • Quality assurance (quality improvement)
  • Hospital associated infections’
  • State Exemption
  • Periodic Evaluation and Quality Assurance Review
  • Organ, Tissue and Eye Procurement
  • Definition of imminent death
  • Tissue and eye bank
  • Family notification
  • Organ donation
• Special Requirements for CAH Providers of Long-Term Care Services (Swingbeds)
  • Eligibility
  • Payment
  • SNF Services
  • Resident Rights
  • Exercise of Rights
  • Notice of Rights and Services
  • Free Choice
  • Privacy and Confidentiality
  • Work
  • Mail
  • Access and Visitation Rights
  • Personal Property
  • Married Couples
  • Admission, Transfer and Discharge Rights
  • Payment of care
  • Content of notice
  • Resident Behavior and Facility Practices
  • Restraints, Abuse
  • Staff Treatment of Residents
  • Hiring of employees
  • Activities
  • Social Services
  • Resident Assessment
  • Comprehensive Care Plans
  • Discharge Summary
  • Nutrition
  • Provision of Services
  • Websites for CAH
  • CAH resources

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.