Catalog Number : ngd1778
Title : CMS Changes in Review
Speaker : Sue Dill

Webplay Recording Date : 1-30-2013
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

Having a hard time keeping up with all of the recent CMS Hospital Conditions of Participation changes? This program is for you! This program will cover all of the recent changes to the CMS Hospital Conditions of Participation (CoPs) including visitation, privacy and confidentiality, rehab orders, consent, advance directives, timing of medication, pharmacy, IV medications, blood, transfusion reactions, anesthesia and more.

Target Audience

• Anyone involved in ensuring compliance with the CMS Hospital Conditions of Participation including the CEO
• Chief Operating Officer
• Chief Nursing Officer
• Chief Risk Officer
• Risk Management
• Senior Leadership
• Board Members
• PI staff
• Compliance Officer
• Regulatory Officer
• Joint Commission liaison
• Pharmacy Director
• Pharmacist
• Rehab and Respiratory Director and staff
• Patient Safety Officer
• Infection Preventionist
• OR Manager
• Anesthesia Director
• Anesthesiologist
• Staff Nurses
• Nurse Managers
• Nurse Supervisors
• Policy and Procedure Committee Members
• Nurse Educator

Webinar Objectives:

• Discuss that CMS has many changes to the Hospital Conditions of Participation manual
• Describe how the CMS changes to the verbal order requirements will be affected by a state specific law
• Recall the changes to the restraint and seclusion standards
• Recall the anesthesia changes including what must be documented in the pre-anesthesia and post-anesthesia evaluations
• Discuss that CMS issued 34 pages of changes on visitation which also amended informed consent, plan of care, and advance directive requirements
• Recall that CMS issued a 11 page memo on confidentiality and privacy

Webinar Agenda/Outline:

• Introduction
  • What are the CoPs
  • How to locate a copy of the CoP
  • Survey and Certification website for changes
  • 3 revised CMS worksheets on infection control, PI, and discharge planning
• Visitation
  • Federal law requirements
  • Interpretive requirements
  • Advance directive changes
  • Patient right changes
  • Support person or personal representative
  • Requirement to notify family member and documentation
  • Notification of physician and documentation
  • Plan of care
  • Consent changes
• IV Medication and Blood and Blood Products
  • Changes to the requirements for training
  • Hospital policies and procedures
  • CDC 2011 intravascular guidelines
• Pharmacy Changes Tag 508
  • Medication errors
  • Adverse drug reactions
  • Drug incompatibility
  • Reported to physician
  • Definitions of all three required
  • PI program and tracking near misses
  • Requirements for policies and procedure
  • Non-punitive environment
  • Staff education required
  • Proactive identification of errors, ADE, and drug incompatibilities
  • Trigger tools
• Anesthesia Changes
  • Supervision of CRNA
  • Policies required
  • Documentation during surgery
  • Preanesthesia requirements
  • Postanesthesia requirements
  • FAQs Respiratory and Rehab
  • Physician can order along with PA, NP
  • State scope of practice and C&P
  • Document order in the chart
  • Plan of care requirements
  • Do not need to be C&P to order outpatient rehab now
  • Feb 17, 2012 physician does not need to be C&P to order outpatient rehab
• Privacy and Confidentiality
  • HIPAA issues
  • Names on outside of rooms and on binder of medical record
  • Signage such as diabetic diet or falls risk
  • Minimum necessary
  • Protection of medical records
• July 16, 2012 Federal Register Changes to the CoPs
  • Introduction
  • JULY 16, 2012 FR changes to hospital CoPs
  • June 18, 2012 CMS memo on Safe Injection Practices
  • Important document on three worksheets for hospitals
  • Verbal orders and 48 hours
  • Restraint and seclusion and reports of death
  • Outpatient under a single director
  • One board requirement eliminated in hospital systems
  • Physician on board and now on hold
  • Medical staff section changes
  • Drugs and biologicals
  • Self administration of drugs
  • Preprinted orders, standing orders and protocols
  • Mandatory education for nurses on IV medication and blood
  • Nursing plan of care
  • Infection control log

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.