Meeting the CMS Hospital CoPs, Access and Interoperability Requirements

05may12:00 pm2:00 pmMeeting the CMS Hospital CoPs, Access and Interoperability RequirementsSDAHO Webinar

Event Details


This program will cover in detail the CMS regulations and interpretive guidelines for medical records for Acute and Critical Access hospitals There will also be a brief discussion of the new Interoperability and Patient Access Rules and the pandemic 1135 waivers as some of the waivers affect medical records.

In April 2021, the 21st Century Cures Act on Interoperability, Information Blocking and ONC Health IT Certification Program, also known as the Open Records Act, went into effect.  The new law affects healthcare providers and effectively grants patient immediate access to health information in their electronic medical record – without charge. Certain records are excluded, and the rule establishes eight exceptions to “information blocking’.  This new rule and the implications for healthcare providers will be discussed.

This program will also cover some information on HIPAA from the Office of Civil Rights including the difference between patient access verses when an authorization is needed.

There will also be a discussion on Joint Commission, which recently changed many of their standards to comply with the CMS CoP requirements.

Other topics to be discussed include CMS memo on texting, security of health information, history and physicals 2019 updates, and OIG and CMS position on copy/paste.

  • Recall that CMS has specific informed consent requirements.
  • Describe when a history and physical must be done and what is required by CMS and the Joint Commission.
  • Explain that both CMS and TJS have standards on verbal orders.
  • Recall that CMS has standards for preprinted orders, standing orders, and protocols.
  • Describe when and circumstances by which healthcare providers can “block” patient/others access to health information.



Darlene Evans, Nash Consulting

Darlene Evans is a healthcare quality leader with more than 25 years of experience, specializing in clinical and regulatory operations management, accreditation readiness and response, staff training, and business development. With her expertise in Centers for Medicare and Medicaid Services, Joint Commission, and Healthcare Facilities Accreditation Program standards and her commitment to education and collaboration, Darlene has a proven track record of helping clients identify opportunities for improvement and achieve sustainable, longterm results. She has also helped lead organizations through projects in areas such as operational effectiveness, infrastructure, staffing and productivity, fiscal stewardship, leadership development, and care delivery.


Free for SDAHO Members: Sign in to the Member Portal and go to the Education Portal to register.

$49 for Non-Members: Click here to register.


(Thursday) 12:00 pm - 2:00 pm CST(GMT-05:00)