Catalog Number : ngd1767
Title : CMS & JC Medication Storage & Security Standards
Speaker : Sue Dill

Webplay Recording Date : 5-14-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:
If CMS (The Center for Medicare and Medicare Services) came in for a validation survey at your hospital today would you be in compliance? Would you know what they will review?

Medication security and storage has always been one of the most common problematic standards for hospitals from both the Joint Commission and the Center for Medicare and Medicaid reimbursement. Would your crash carts pass muster and would the surveyor find any out of date medications? Is your hospital in compliance with the self-administration by a patient of medications which was finalized July 16, 2012? This webinar will cover both the Joint Commission and CMS Hospital Conditions of Participation standards for hospitals.

Target Audience:

• Pharmacists, Pharmacy Directors, Pharmacy Techs, OR Director, Nurses, Anesthesiologist, Nurse Education, Chief Nursing Officer, Chief Operating Officer, Compliance Officer, Medication Safety Team, Patient Safety Officer, Nurse Managers, Joint Commission liaison, Nursing Educators, Regulatory Compliance Officer, Physicians and anyone else involved in the security of the medication process.

A few of the topics to be discussed:

• Introduction
  • Letter of concern from ASA, etc. to the Joint Commission from anesthesia providers
  • Response letter from the Joint Commission
• Joint Commission Standards
  • MM.03.01.01 Safe storage of medications
  • Manufacturer’s instructions
  • Schedule drug security to prevent diversion
  • Written policy required
  • Unauthorized individuals prevented from obtaining medications
  • Removal of expired, damaged or contaminated meds
  • Medications in the most ready to administer form
  • Inspection of medication storage areas
  • Director of pharmacy must supervise storage areas
  • Storage issues
  • TJC FAQ on anesthesia carts
  • ASHP guidelines on safe use of automated medication storage
  • Emergency medications
  • Medications brought in by patients
  • Restocking of crash carts and security issues
  • NPSG.03.04.01
  • What about pre-labeled syringes?
  • ASA letter to TJC
• CMS Hospital CoP standards
  • Tag 501 on safe preparation of medications
  • Quantity of medications dispensed o Inspection of drug storage areas
  • Tag 501 Drugs must be kept in secure area
  • When drugs must be locked
  • What does secure area mean?
  • Locking of controlled substances
  • Storage on non-controlled drugs
  • Operating room security of medications
  • P&P on security of medications required
  • Self-administration standard and security issues
  • Mobile nursing medication carts, anesthesia carts, epidural carts
  • Automated dispensing units and security issues
  • Schedule II-IV drugs locked in a secure area
  • Only authorized person may have access to locked areas
  • Housekeeping, maintenance, security staff
  • Removal of drugs from pharmacy or storage area when pharmacist is not available (Tag 506)
  • Night cabinets and access issues
  • CDC Safe Injection Practices

Webinar Objectives:

• Recall that the Joint Commission has a contract standard in the leadership chapter
• Discuss that CMS has a section in the Hospital Conditions of Participation that sets requirements for contracted services
• Describe that the same level of care is required whether the hospital provides the services directly or through contracted services
• Recall that CMS requires the Board to make sure that contract services are reviewed as part of the QAPI process

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.