Catalog Number : ngd1715
Title : CMS Visitation Changes
Speaker : Sue Dill

Webplay Recording Date : 2-6-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Description:

The Centers for Medicare and Medicaid (CMS) have published 34 pages of interpretive guidelines which amend the hospital conditions of participations (CoPs) on patient visitation rights and patient representatives for all hospitals including critical access. These include new policies and training that must be done. This program will also cover the Joint Commission patient centered care standard on visitation.

The bottom line is that the hospital must ensure that all visitors enjoy full and equal visitation privileges consistent with patient preference. Hospitals that fail to comply with this new regulation and interpretive guidelines are at risk for losing their Medicare and Medicaid reimbursement.

Target Audience:

• CNO, COO, Consumer Advocate or patient advocate, Ethic Committee Members, Ethicist, Compliance Officer, Risk Manager, Joint Commission Liaison, Quality Improvement Coordinator, Nurse Educator, ICU Nurse Manager, Chief Risk Officer, CMO, Medical Staff Credentialing Staff, Interpretive services, Nurses, Director of Regulatory Affairs, Nurse Educator, Ethics Committee, Regulatory Affairs Director, Physicians, Nurse Managers, Nursing Supervisors, Hospital Legal Counsel, Patient Safety Officer, Policy and Procedure Committee Member and anyone else involved in visitation rights of patients

Webinar Objectives:

• Discuss the final CMS CoP on visitation rights including the requirement to have a written policy and procedure
• Recall that there is a federal regulation on visitation that affects all hospitals receiving Medicare reimbursement including critical access hospitals
• Recall that all hospitals will be required to amend their patient rights statement and notify patients in writing of their visitation rights
• Recall that hospital staff will need to be educated on the new visitation interpretive guidelines

Webinar Agenda:

Visitation Rights for Hospital Patients and Recent Changes

• CMS manual and how to find
• CMS final law and interpretive guidelines
• Visitation rights of all patients including same sex patients
• Four types of patient representatives
• Patient advocate rights
  • Sign consent, stay with patient, give copy of patient rights etc.
• Required hospital policies and procedures (P&P)
• What needs to be in the new P&P
• Education of all staff on new P&P
• President memo on respecting the rights of patient to receive visitors and designated surrogate decision makers
• States recently passing visitation rights laws
• President's mandates to hospitals
• Who is a patient representative
• Patient advocates or support persons
• Support person signs consent form even if patient competent
• Advance directives changes
• Document notification of physician and family members
• Notification of patient if physician owned hospital
• Attestation by CEO if not physician owned
• Must document in medical record if representative not accepted
• CMS current advance directive requirements on issue
• CMS changes to the visitation and surrogate issue
• Joint Commission (TJC) patient rights current standards
• TJC 2013 Patient Provider Communication and visitation rights
• Health and Human Services press release on visitation
• Right of patient to designate whom they wish to see in hospital
• Equal access to visitors whether or not family members
• CMS new visitation regulation
• Patient notification requirement of visitation rights
• Amendment of hospital patient rights statement
• Oral and written designation of their chosen loved one
• Consumer advocate rule in new process
• Role of surrogate decision makers, durable power of attorney, proxies
• Reasonable restrictions or limitations for clinical reasons
• Examples of reasonable restrictions
• Restricting visiting hours in the ICUs
• Medical literature on restricting ICU visiting hours
• Relationship to Title VI of the Civil Rights Act of 1964
• Limited English Proficiency (LEP) issue provided in language the patient understands
• Notice postings on wall not required
• Relationship to the grievance standard

Contact Hours:

• Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339.
• All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

Completion of offering required prior to awarding certificate.

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.