Critical Access Hospital Conditions of Participation 2017: Ensuring Compliance Series

386
SDAHO

DL 2017 02 (Webinar Series)
Critical Access Hospital Conditions of Participation 2017:
Ensuring Compliance Series
Tuesday, February 7, 2017
Tuesday, February 14, 2017
Tuesday, February 21, 2017
9:00 – 11:00 am (CST)

February 7 – Part 1

Overview: CAHs hospitals must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation (CoP) for Critical Access Hospitals. The CMS regulations and interpretive guidelines serve as the basis for determining compliance. In this three‐part webinar, the October 9, 2015 final CMS manual and the many changes incurred will be discussed in detail. You will learn details about the CoPs and what to do when a surveyor arrives at your facility. Additionally, every section in the CAH hospital manual will be discussed, including updates and changes for 2017.
This session will help CAHs comply with specific CoP problem areas, including nursing care plans, legibility requirements, necessary policies and procedures, nursing medication carts, drug storage, informed consent, history and physicals, verbal orders, medication administration, security of medications, protocols, standing orders and emergency preparedness. This program will also cover the many pharmacy standards and medication‐related sections, in detail.

Objectives:
• Describe the CMS requirement that the board must enter into a written agreement if the hospital wants to enter into a telemedicine services.
• Discuss the CMS list of emergency drugs and emergency equipment which every CAH must have.
• Explain how the length of stay in the CAH should not exceed 96 hours on an annual average basis.
• Discuss recommendations to do a gap analysis to ensure compliance with all hospital CoPs.

February 14 – Part 2

Overview: CAHs hospitals must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation (CoP) for Critical Access Hospitals. The CMS regulations and interpretive guidelines serve as the basis for determining compliance. In the second part of a three‐part webinar, the October 9, 2015 final CMS manual and the many changes incurred will be discussed in detail. You will learn details about the CoPs and what to do when a surveyor arrives at your facility. Additionally, every section in the CAH hospital manual will be discussed.

Objectives:
• List the sections of the final 2015 manual including nursing, dietary, drugs and biologicals, pharmacy and infection control.
• Discuss the responsibilities of pharmacists including development, supervision and coordination of pharmacy activities.
• Describe CAH monitoring and inspection requirements that will ensure outdated drugs are not available for patient use.
• List requirements for security and storage of medications, medication carts and anesthesia carts.
• Discuss the requirements that describe the list of do-not-use abbreviations and review of sound alike/look alike drugs.

February 21 – Part 3

Overview: CAHs hospitals must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation (CoP) for Critical Access Hospitals. The CMS regulations and interpretive guidelines serve as the basis for determining compliance. In the third part of a three‐part webinar, the October 9, 2015 final CMS manual and the many changes incurred will be discussed in detail. You will learn details about the CoPs and what to do when a surveyor arrives at your facility. Additionally, every section in the CAH hospital manual will be discussed.

Objectives:
• Explain the informed consent elements required by CMS.
• Describe the requirements for history and physicals for CAHs.
• List what must be contained in the operative report.
• Discuss what the CAH must do to comply with the requirements for notification of the organ procurement (OPO) agency when a patient expires.
• Discuss the CMS patient rights that are afforded to patients in swing beds.

Faculty:
Sue Dill Calloway
President,
Patient Safety and Health Care Education and Consulting

Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation. She has conducted many educational programs for nurses, physicians, and other health care providers. Sue has authored over 100 books and numerous articles. She is a frequent speaker and is well known across the country in the area of health care law, risk management, and patient safety. Sue has no real or perceived conflicts of interest that relate to this presentation.

Target Audience: Anyone involved with compliance regulations and standards, including, but not limited to, CEOs, CFOs, CMOs, CNOs, physicians, nurses, quality improvement staff, risk managers, pharmacy staff, dieticians, compliance officers and legal counsel, ethics committee members, consumer advocates, TJC liaisons, safety officers, behavioral health and psychiatric staff, and case managers.

Registration: There is a site fee of $150.00 per session (SDAHO Institutional Member) per connection for each facility to participate in this program. Advance registration is required to ensure delivery of instructional materials. Cancellation must be made 3 business days prior to this event to receive a refund of registration fees paid. Please contact Rhonda Christensen at 605/361-2281 or rhonda.christensen@sdaho.org for registration and/or further information by February 5, 2017. Electronic registration for this and other upcoming educational opportunities is also available at the SDAHO website, www.sdaho.org. 

Educate Your Entire Staff Quickly and Economically!
Register for this webinar to educate your entire staff in a short period of time without incurring multiple registration fees or travel expenses. The registration fee includes one telephone and internet connection for the presentation. You can gather numerous staff members in one room to “attend” for one economical price. Prior to the event, you will receive the presentation materials, which you can distribute to all participants. Cancellation must be made 3 business days prior to this event to receive a refund of registration fees paid. Please note that the registration fee is for one connection per facility. If participants at your site require more than one telephone connection, additional registration fees will be charged.

  • Part 1
    February 7, 2017
    9:00 am - 11:00 am
  • Part 2
    February 14, 2017
    9:00 am - 11:00 am
  • Part 3
    February 21, 2017
    9:00 am - 11:00 am