Catalog Number : ncd1670
Title : CMS Hospital Anesthesia Standards
Speaker : Sue Dill

Webplay Recording Date : 9-25-2017
Webplay Price : $ 150 for two weeks viewing

Webinar Overview:

Are you confused as to what the final anesthesia standards are after four revisions? CMS made four revisions over a two year period and no further changes are anticipated in 2014. CMS recently issued a memo summarizing deficiencies in the hospital conditions of participation and many were in this area.

This webinar will cover the CMS standards on pre-anesthesia evaluations, post-anesthesia evaluation and anesthesia services. This section also addresses what anesthesia policies are required by the hospital and what is required to be documented during anesthesia.

Webinar Objectives:

• Recall that CMS requires a number of policies and procedures related to anesthesia services
• Describe that CMS has a list of things that must be documented in the intra-operative record by the anesthesia provider
• Discuss that CMS has specific requirements that must be documented in the post-anesthesia evaluation
• Recall that CRNAs can be supervised by an anesthesiologists and/or operating surgeon unless a state exemption is obtained
• Discuss that there are requirements for the pre-anesthetic assessment and that it must be done within 48 hours of the time the first drug is given to induce anesthesia
• Understand that the post anesthesia assessment must be done within 48 hours of the time the patient is sent to recovery (CAH must be done before the patient leaves the hospital)

Target Audience

Chief of Anesthesia, Anesthesiologist, CRNAs, Anesthesia Assistants, Director of OR, OR Nurses, PACU Nurse Manager, Medical Credentialing Staff, Patient Safety Officer, Risk Manager, CNO, CMO, COO, CEO, OB Nurses, OB Nurse Director, ED Directors, ED Physicians, Nurse Educator, PI Director, Compliance Director, GI Department Directors and GI Physicians, Board Members, Medical Staff, Legal Counsel and anyone involved in assisting the cases of anesthesia and moderate sedation

Webinar Agenda/Outline:

• Must comply if hospital does any type of anesthesia
• Anesthesia verses analgesia
• Anesthesia as a continuum
• Anesthesia services subject to requirements
• General, regional, MAC, deep sedation, topical, minimal sedation, local, moderate sedation definitions
• Rescue capacity
• Following nationally recognized guidelines
• Determining if sedation provided in the ED involves anesthesia or analgesia
• Supervision of those who administer anesthesia for each category
• Medical staff bylaws regarding granting privileges
• Assignment of nursing personnel
• Training on IV administration
• Policies and procedures must be periodically reviewed
• Review of adverse events and medication errors
• OR, Radiology, OC, ED, Clinics, Psychiatry and other sites where anesthesia is provided
• QAPI
• Director of Anesthesia responsibilities
• Who can administer anesthesia
• Scope of practice for CRNA and Anesthesia Assistants
• CRNA state exemption
• Anesthesia Policies required
• Criteria for privileges
• Board of Directors responsibilities
• Preanesthesia assessment and 48 hour requirement continues
  • Some elements may be collected within 30 days
• Post-anesthesia evaluations
• Consent, infection control, documentation, safety policies required
• Documentation requirements
• Intraoperative anesthesia record requirements
• 48 hour postanesthesia assessment for inpatients
  • CAH must be done prior to discharge-tag 323
• New outpatient assessment guideline
• FAQs for revisions to anesthesia services

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.