Offered Through Partnership with Georgia Hospital Association
Acute Care Hospital CoPs Series: Part 4 QAPI, Medical Staff, Dietary, Radiology, Lab, Utilization Review, and Facility Services
The fee for each session is $200/member and $250/nonmember. If you register for all five sessions of either the Critical Access Hospital CoPs series or the Acute Care Hospital CoPs series, you will get the fifth session of the respective series free! Contact Cynthia Grinston at [email protected] for assistance in registering for the full series to ensure you receive the discounted offer.
Please note our new pricing! To support social distancing and remote work, a single registration provides unlimited lines for all employees and trustees of your hospital or system, including a link to view the recording. Please register just one person from your facility and have that person share the access information with others who wish to participate.
Not sure if you’ll be able to make the live session? Everyone who registers will receive a link to the recording of the webinar to view at your convenience at no additional charge.
Objectives:
• Recall that CMS has patient safety requirements in the QAPI section that are problematic standards
• Describe that CMS requires many radiology policies include one on radiology safety and to make sure all staff are qualified
• Discuss that a hospital can credential the dietician to order a patient’s diet if allowed by the state
Medical Staff, Board, and CEO
• Shared medical staff, board consults at least twice a year, etc.
• MS by-laws
• Changes to MS
• Appraisal of MS
• Accountability of MS for quality of care
• Credentialing and privileging
• CEO requirements
• History and physicals
• Autopsy requirements
Quality Assessment and Performance Improvement (QAPI)
• PI program requirements
• QAPI worksheet
• Tracking of medical errors and adverse events
• Identifying opportunities for improvement
• Patient safety
• QAPI new and revised tag numbers in 2020
Radiological Services
• Radiation exposure
• Standard of care
• Adverse reaction to agents
• Secure area for films
• Safety precautions
• Shielding of patients
• Supervision of staff
• Radiopharmaceuticals on off hours
Laboratory Services and Look Back Program
• Lab services
• Tissues specimens
• Blood bank
• Look back program
Food and Dietary Services
• Diets and menus
• Changes RD or nutrition specialist to write diet orders
• Patient nutritional needs
• Diet manual and therapeutic menus
• Qualified director required
• Dietary policies required
• Nutritional assessment
• Therapeutic diets and nutritional needs
Utilization Review
• Composition of UR committee
• Admission or continuous stays
• Medicare patient discharge appeal rights
• UR plan
• Scope of reviews
• Notice Law and MOON form
Physical Environment
• Buildings and equipment
• Emergency preparedness (moved to new appendix Z)
• Compliance with Performance Improvement
• Life safety code
• Trash
• Emergency power and lighting
• Emergency gas and water
• Ventilation, light, temperature
Who Should Attend?
CEO’s, COO’s, Chief Nursing Officer, Chief Medical Officer, Quality
Managers, Consumer Advocate, Nurse Educators, Department directors, All
Nurses, Risk Managers, Hospital Legal Counsel, Compliance Officers, Joint
Commission Liaison, Director of Health Information, Case Managers, Chief
Medical Officer, Nurse Educator, Pharmacists, Social Workers, Discharge
Planners, PI Coordinator, Joint Commission Coordinator, Patient Safety
Officer, Patient Safety Committee, Nurse Managers, Outpatient
Director, Director of Rehab, Dieticians, Infection Control, Medication
Management Team, Anesthesia and Surgery staff, PACU Director, Policy and
Procedures Committee, Respiratory Therapy Director, Director of Radiology,
Infection Preventionist, Pharmacist, Pharmacy Director, and Staff Nurses.
Speaker
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Laura Dixon, BS, JD, RN, CPHRM
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Laura A. Dixon 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.
As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University 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.