WEBINAR: CMS 2017 Pharmacy and Medication

CMS rewrote 10 of the 18 tag hospital pharmacy sections November 20, 2015. As a result, there has been increased scrutiny of the standards and an increase in the number of deficiencies. This should be on the radar screen of all hospitals.

 Information will be provided on the top problematic pharmacy standards by CMS. There have been many recent changes in the nursing section that address medication usage which will be discussed as well.

Webinar Objectives:
recall that all hospitals that receive Medicare/Medicaid reimbursement must follow the medication guidelines for all patients
discuss that CMS has requirements  on BUD and compounding
recall that CMS has a number of required pharmacy policies and procedures
describe that CMS requires a policy for high risk drugs such as double checks or dose limits

Target Audience
This program is for anyone involved in the medication process especially pharmacists, chief pharmacy officer, physicians, all nurses, patient safety officer, nursing supervisors, nurse managers and others. Risk managers, hospital attorneys, compliance officers, Joint Commission coordinators and quality and performance improvement staff, chief nursing officer, chief medical officer, chief operation officer, policy and procedure committee members, case managers, nurse educators, nurse managers, compliance officer, director of regulations, Joint Commission director and others who participate in the medication process should attend.

Webinar Topics:
Pharmaceutical Services requirements
o Qualified pharmacy director
How to locate the CMS manual
OIG Report on Oversight of Compounded Pharmaceuticals Used in Hospitals
o 55 areas surveyors should look at
o ASHP and ISMP on compounding
CMS final infection control worksheet: safe injection practices, microbial stewardship, and MDRO
Ten final tag number changes in 2016
Proposed changes: antibiotic stewardship program requirements for 2017
ISMP IV Push Guidelines
CMS and TJC Antimicrobial standards and issues
CDC vaccine storage document
Common problematic pharmacy standards
Standards of care
Recent CMS Memos: safe injection practices, infection control breaches, luer misconnections, insulin pens
CMS 45 page memo regarding pharmacy and medication changes and changes final now
Nursing tag 405 and additional resource
o Compounded medications and BUD
o Safe injection practices
o Compounded sterile preparations(CSP)
o Immediate-use CSP and one hour rule
Meeting the needs of patients
o What is included in pharmaceutical services?
o Medications must be available timely
Condition or standard level deficiencies
Medications timing changes
MS role in developing P&P including to minimize drug errors
Functions of pharmacist
Required P&P
Flag new types of medication errors
High alert medication
Limiting number of medication related devices
Pharmacist on call if not open 24 hours
Standardization of prescribing and communication practices
Weight based dosing
Availability of patient specific information
Abbreviations, look alike-sound alike drugs
Pre-printed order sheets
Voluntary non-punitive reporting system
Weight based dosing for pediatric population
Incorporation external alerts
P&P required by hospitals
Policy to minimize drug errors
Storage of drugs
Pharmacy director role in P&P
Drug storage of medications and biologicals
Dispensing and administration of medications
Pharmacist job description
Pharmacy personnel requirements
First review of new medications by pharmacy
Policy to address medications brought in
Monitoring effects of medications
Investigation drug policy
Recalled or discontinued drugs
Compounding of drugs
o The Drug Quality and Security Act (DQSA)
o Outsourcing facilities
o Use of compounding pharmacies
o Medications compounded by hospital pharmacy
o Compounding practices and quality control
o BUD, packaging, and labeling of medications
Locked storage areas
OR anesthesia carts and ASA guideline
Medication and crash carts
Patient self-administration of drugs regulation
Outdated or mislabeled drugs
When pharmacist not on duty
Night cabinet standard
Automated stop orders and policy
Medication error and near misses
Proactively identify medication errors
Indicator or trigger drug review
Drug interaction information

Sue Dill Calloway, RN, Esq. CPRHM, AD, BA, BSN, MSN, JD, Attorney at Law
President of Patient Safety, Healthcare Consulting and Education Company

Sue Dill Calloway, R.N., M.S.N, J.D., is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.

Ms. Calloway has given many presentations locally and nationally to nurses, physicians and attorneys on medical and legal issues. She has authored numerous articles and over 1000 articles and 100 books, including the 2009 Joint Commission Leadership Standard (HCPro), Nursing and the Law (PESI, 1986 and 1987), Ohio Nursing Law (West Publishing), Nursing Ethics and the Law (PESI, 1986), Legal Issues in Supervising Nurses (PESI, 1988), Medicine Made Easy (PESI, 1992) and The Law for Nurses Who Supervise/Manage Others (PESI, 1993), Legal Issues in Obstetrics (PESI, 1997) and JC Leadership Standards (HCPro, 2004), and the Compliance Guide to the CMS and the Joint Commission Patient Rights Standards (HCPro, 2005), and the 2009 book on the Joint Commission Leadership Standards (HCPro). She often writes articles called the “CMS Corner” in Briefings on the Joint Commission. Ms Calloway is a 1996 recipient of PESI's Excellence in Education Award.

Nursing CEU Credits: 
Nursing participants: This program has been approved for 2.4 contact hours by the  Iowa Board of Nursing Approved Provider Number 339. Completion of offering required prior to awarding certificate.
All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 2 Hour Attendance Certificate.
6/19/2017 9:00 AM - 6/19/2017 11:00 AM
United States


Monday, 19 June 2017

6/19/2017 9:00 AM
9:00 AM - 11:00 AM
6/19/2017 9:00 AM
9:00 AM - 11:00 AM
6/19/2017 9:00 AM
9:00 AM - 11:00 AM
6/19/2017 9:00 AM

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