Catalog Number : ncd1386
Title : CMS Changes to H&P, Verbal Orders, Security of Meds and Post Anesthesia
Speaker : Sue Dill

Webplay Recording Date : 4-12-2012
Webplay Price : $ 200 for two weeks viewing

Webinar Purpose:

There are four hot standards in the hospital conditions of participation (CoPs) that hospitals must be in compliance if they accept Medicare and Medicaid payment. These include verbal orders, history and physicals, security of medications, and post-anesthesia orders. Hospitals continue to strive to meet compliance with these challenging standards. The relationship to the Joint Commission standards will also be discussed. The top ten problematic standards will also be discussed and how to meet compliance.

This program will also provide updates to the CMS CoP manual since it was published. New changes include visitation, respiratory and rehab orders, and anesthesia. Proposed changes include telemedicine and notification of the QIO and state agency.

The post-anesthesia and pre-anesthesia evaluation standard was changed again for the fourth time on February 14, 2011. Verbal orders are a top problematic standard with both the Joint Commission and CMS. This program will also cover the corresponding changes to the critical access hospitals when it differs from PPS hospitals.

Target Audience:

• Compliance Officer
• Chief of Medical Staff
• Chief Operating Officer
• Medical Staff Coordinator
• Risk Manager
• Compliance Officer
• Director of Regulatory Affairs
• Nurse Educator
• Patient Safety Officer
• Chief Nursing Officer
• Senior Leadership
• Hospital Legal Counsel
• PI Director
• Joint Commission Coordinator
• Nurse Managers
• Director of Health Information Management
• Director of Anesthesia
• Anesthesiologists
• OR Nurse Director
• others responsible for compliance with hospital regulations

Webinar Objectives:

• Describe that the H&P must be done within 24 hours of admission and completed no more than 30 days prior with an update the day of surgery
• Recall CMS regulations for hospitals that include that all verbal orders must be dated, TIMED, and authenticated promptly by the ordering practitioner
• Discuss when a post-anesthesia evaluation must be done by an anesthesia provider on an outpatient surgery patients

Webinar Outline:

The four areas that will be covered in detail include the following:

• History and physical
• Authentication of verbal orders
• Securing medication, flu and Pneumovax orders and
• Completion of the post-anesthesia evaluation
• New changes in CMS
  • Visitation
  • Anesthesia
  • Rehab and respiratory orders
• Proposed changes in CMS
  • Telemedicine and teleradiology
  • Notification of QIO and State agency
• Top CMS problematic standards
  • Physician entries dated, timed, and signed
  • Verbal orders
  • Nursing care plan
  • Healthcare services in accordance with P&P
  • Identifying, reporting, investigating and controlling infections
  • Meeting the nutritional needs of the patients
  • Handling, dispensation, and administration of medications
  • Nursing services to meet the needs of patients
  • Restraint and seclusion
  • Informed consent
  • Medication storage areas

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.