About the Webinar

If a CMS surveyor showed up in your hospital tomorrow, would you be prepared? This five-part webinar series will cover the entire CMS Hospital CoP manual. It is a great way to educate everyone in your hospital on all the sections in the CMS hospital manual, especially ones that apply to their department.  Hospitals have seen a significant increase in survey activity by CMS. This program will discuss the most problematic standards. The program will cover how the hospital can do a gap analysis to assist in compliance with the CoPs.

This program will also include the 600 pages of final changes in 2020, including the final discharge planning standards and the Hospital Improvement Rule. This includes changes to history and physicals, system wide QAPI and infection control, autopsy, discharge planning, infection control, antibiotic stewardship, medical records, nursing, outpatient, the role of non-physicians in psychiatric hospitals and more. The ligature risk and prevention of suicide will be covered which is a hot area of compliance.

Learner Objectives
Part 3

• Describe that medications must be given timely and within one of three blocks of time
• Recall that all protocols should be approved by the Medical Staff and an order entered into the medical record and signed off
• Recall that there are many pharmacy policies required by CMS
• Recall that a nursing care plan must be in writing, started soon after admission and maintained in the medical record
• Recall that the hospital must have a safe opioid policy approved by the MEC and staff must be educated on the policy

CEOs, chief operations officers, chief nursing officers, chief legal officers, nurses and medical staff, quality managers, nurse educators, risk managers, compliance officers, chief of health information, pharmacists, social workers, discharge planners, patient safety officers, outpatient director, director of rehab, infection control, directors of radiology.

About the Speaker

Sue Dill Calloway, RN, J.D., has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and the chief learning officer for the Emergency Medicine Patient Safety Foundation. Prior to her current role, she was the director of hospital patient safety for The Doctors' Company and OHIC Insurance Company. She has led many educational programs for nurses, physicians, and other health care providers. Ms. Dill has authored more than 100 books and numerous articles, is a frequent speaker, and well known across the country in the area of health care law, risk management, and patient safety.