Patient Rights (CMS CoPs) 2023

The Conditions of Participations (CoPs) related to promoting and protecting patient rights are among those most frequently cited by the Centers for Medicare and Medicaid Services (CMS) and are the ones that most often result in a condition-level deficiency.

Every hospital must be committed to promoting and protecting patient rights. To do this, staff must be educated about patient rights, and patients must be informed of their rights in a manner they understand.

What Attendees Will Learn:

Any hospital that accepts Medicare reimbursement must comply with the CMS Conditions of Participation (CoPs).  The patient rights section of the CMS Conditions of Participation manual has the highest number of deficiencies for hospitals.  The highest number is in restraint and seclusion, followed by care in a safe setting, grievances, privacy, advance directives, confidentiality, admission status notification and visitation and consent.

This webinar outlines the CMS expectations for achieving compliance with these critical Conditions of Participations (CoPs), as well as the use of restraint and seclusion. These regulations cover notifying patients and their representatives of their rights, including the right to;

• Have visitors;
• Make informed decisions;
• File grievances about their care;
• Formulate Advance Directives and have these honored;
• Be treated with respect and dignity with their confidential information and privacy protected; and,
• Be free from abuse and neglect

Area Covered in this session:

• Identify that the CMS regulations regarding grievances includes the requirement to have a grievance committee.
• Recall that CMS has requirements for advance directives.
• Discuss CMS requirement for providing patients and/or their representatives information on patient rights.
• Recall the various requirements for when a patient is placed into restraints and/or seclusion.

Who Should Attend?

• Chief Executive Officer (CEO)
• Chief Operating Officer (COO)
• Chief Nursing Officer (CNO)
• Chief Medical Officer (CMO)
• Joint Commission Coordinator
• Quality Improvement Coordinator
• Risk Managers
• Nurse Educator, Staff Nurses, Nurse Managers
• Patient Safety Officer
• Emergency Department Manager
• Compliance Officer
• Consumer Advocates
• Clinic Managers
• OR Nurse Director
• Lab director
• Policy and procedure committee
• Ethicist