The CMS Hospital Infection Prevention and Control and Antibiotic Stewardship Program: CMS Compliance Requirements 2023

19oct12:00 pm1:30 pmThe CMS Hospital Infection Prevention and Control and Antibiotic Stewardship Program: CMS Compliance Requirements 2023SDAHO Webinar

Event Details

October 19 at 12pm CST/11am MST (90-minute session)

A hospital must have an active infection control program throughout the facility to track, prevent and control infectious diseases, including Healthcare Associated Infections, or HAIs.  Additionally, the hospital must have a program for the optimization of antibiotic use through stewardship.  This program will discuss the changes CMS made to the infection control standards in 2019, and the interpretive guidelines developed in July 2022.

The program will cover what a hospital must have in place to comply with the regulation, including qualifications of the infection preventionist, the existence of a hospital-wide antibiotic stewardship program and following nationally recognized infection control standards.

Though no longer utilized by CMS during a survey, the Infection Control Worksheet will be mentioned.  It is an excellent tool to prepare a facility for a survey because CMS incorporated the areas covered in the worksheet into the standards.

This webinar will cover the CDC vaccine storage, handling toolkit and the procedures for cleaning and disinfecting reusable medical devices.  The Joint Commission standards on Antibiotic Stewardship Program (ASP) will be discussed.

  • Recall the standard and new interpretive guidelines for infection prevention and control
  • Relate key requirements for an infection prevention and control program
  • Identify the requirements for the infection preventionist and Antibiotic Stewardship lead
  • Describe what CMS requires for safe injection practices and sharps safety
  • Discuss that CMS has a final infection control worksheet


Presenter: Laura A. Dixon, BS, JD, RN, CPHRM

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.


Registration is free for SDAHO Members and $49 for Non-Members.

Click here to register.


October 19, 2023 12:00 pm - 1:30 pm(GMT-05:00)