The CMS Hospital Infection Control Worksheet and Proposed Changes and Antibiotic Stewardship Program

Product Id : HE132
Instructor : Sue Dill Calloway
Jun 24, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 90 Minutes

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The 49-page Hospital Infection Control Worksheet that surveyors are now using contains a lot of surprises – and one cannot rely on the Centers for Medicare & Medicaid Services’ (CMS’) infection control standards to get prepared for it. That’s because the standards don’t contain all the items in the worksheet, which surveyors are now using for all validation and certification surveys.

Moreover, there is a business case for stepping up enforcement to prevent healthcare associated infections. The Hospital-Acquired Condition (HAC) Reduction Program is in effect for 2018. As part of the Patient Protection and Affordable Care Act, hospitals that rank in the quartile of hospitals with the highest total HAC scores will have had their CMS payments reduced by 1%.

In this webinar, regulatory compliance expert Sue Dill Calloway, RN, MSN, JD will be discussing all items on the Hospital Infection Control Worksheet, as well as the proposed changes to the infection control standards, which include the requirement for hospitals to have an Antibiotic Stewardship Program and appoint an “Infection Preventionist".

The webinar will provide insights on what CMS requires for safe injection practices and sharps safety, as well as cleaning endoscopes, glucose meters, and reusable equipment. There will also be discussion about the Centers for Disease Control and Prevention’s (CDC’s) vaccine storage and handling toolkit, and the CDC procedures for cleaning and disinfecting reusable medical devices.

Session Highlights:

  • The many proposed changes in 2018, including the Antibiotic Stewardship Program, qualifying an Infection Preventionist, and much more
  • Infection control program, resources, and required policies
  • What nationally recognized standards influence the Infection Control Worksheet, such as the CDC vaccine storage and handling memo
  • ISMP IV Push guidelines that you need to know to survive a survey
  • The training program you need to have in place and how it must include identified problems
  • What systems you need to introduce to prevent multi-drug resistant organisms (MDRO) and correct antibiotic usage/stewardship
  • New tracers on hospital acquired infections (HAI), plus a process to identify present on admission (POA)
  • Reprocessing non critical items
  • Infection control in the Operating Room
  • Hydrotherapy equipment
  • Infection control tool
  • Infection control questions to ask
  • Questions for employee health nurse in worksheet three
  • Questions for director of education in worksheet one

Who Will Benefit:

  • Infection Control Nurse or Coordinator (infection control professionals, now called infection preventionists by APIC and CMS)
  • Chief Nursing Officer
  • Chief Operating Officer
  • Chief Medical Officer
  • Nurse Educator
  • Hospital Epidemiologists
  • Joint Commission Coordinator
  • Chief Medical Officers and Physicians
Speaker Profile:

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of legal services at a community hospital in addition to being the privacy officer and the compliance officer. She was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.

She is a well-known lecturer and the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.

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