CMS Hospital Improvement FINAL Rules: Nursing, Medical Records, Infection Control, Antibiotic Stewardship Program, Restraints, QAPI, and more

Product Id : HE276
Instructor : Sue Dill Calloway
Jul 21, 2020 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 120 Minutes

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Description

CMS has finalized some significant changes to the hospital conditions of participation (CoPs) that every hospital should know, including critical access hospitals. It was 393 pages long and combined three laws into one. This include changes to nursing, medical records, infection control, QAPI, patient rights, H&Ps, and restraint and seclusion.

Most have an effective date of November 29, 2019 with two exceptions. The normal implementation date is 60 days but Critical Access Hospitals will have 6 months to implement an antibiotic stewardship program and 18 months to implement a QAPI program since their QAPI requirements were completely written.

It will also require all hospitals to have an antibiotic stewardship program and what the program should include. Also a great part of this document included things that CMS has found to be problematic in hospitals that are already a requirement in the hospital CoPs. CMS also clarified a number of existing requirements and a number of federal regulations that are already final which makes this webinar an excellent resource.

Session Highlights:

Recall that hospitals have requirements in the CMS CoPs on antimicrobial stewardship program
Discuss that CMS change the term LIP (licensed independent practitioner) to LP (licensed practitioner) so PAs can order restraint and seclusion and do assessments if allowed by the hospital
Describe that the hospital must have policies that describe which outpatient areas require a RN
Recall CMS removed the section that required hospitals to conduct autopsies in cases of unusual deaths

Who Should Attend?

Pharmacist
Chief Nursing Officer and Nurses
health information management
Infection Preventionist
Antimicrobial Stewardship Team Members
Chief medical officer
QAPI Director and Staff
Patient Safety Officers
Regulatory and Compliance Officers
Physician Assistants (PAs)
Hospital Legal Counsel

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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