WEBINAR: CMS Patient Right Standards

This webinar will cover in detail the CMS patient rights requirements and also discuss the crosswalk to The Joint Commission Standards.

Webinar Objectives:
discuss that any hospital that receives reimbursement for Medicare patients must follow the CMS Conditions of Participation on patient rights.   (This is true whether the hospital is accredited by Joint Commission, HFAP, CIHQ, DNV Healthcare or not).  
identify that the CMS regulations under grievances includes the requirement to have a grievance committee
recall that CMS has requirements for advance directives

Target Audience
Chief Executive Officer (CEO), Chief Operating Officer (COO), Chief Nursing Officer (CNO), Chief Medical Officer (CMO), Board Members, Joint Commission Coordinator, Quality Improvement Coordinator, Risk Managers, Nurse Educator, Patient Safety Officer, Emergency Department Manager, Nurse Managers/Supervisors, Compliance Officer, Consumer Advocates, Staff Nurses, Clinic Managers, Medical Department Nurse Manager, Surgery Department Nurse Manager, OR Nurse Director, ICU Nurse Director, CCU Nurse Director, Outpatient Director, Lab Director, Policy and procedure committee, Ethicist, Anyone involved in the implementation of the CMS grievance or Joint Commission complaint standards, Anyone responsible for implementing restraints, Policy and procedure committee, Ethics committee members and anyone who will be responsible for implementing visitation policy

Webinar Topics:
Background on CMS CoPs
Deficiency reports of CMS show patient rights top problematic standard
How to find current copy
How to find changes in the hospital CoPs
Standing order memo
Preprinted order sheet changes
Federal Register, interpretive guidelines, survey procedure
P&P requires to ensure patients have information on rights
Notice of patient rights
Exercise of patient rights
Low health literacy and teach back
Advance Directives
Notice of Non Coverage
Community Education of advance directives
Prompt resolution of grievances
CMS definition of grievance
TJC definition and six elements of performance on complaints
P&P with all the required elements on grievances 
Requirement to inform each patient on how to file grievances
Board’s responsibility in grievance process
Grievance committee required
P&P on grievances
Written notice to patient requirements
Time frame for responding to grievances
Privacy and safety
Confidentiality and memo issued 
Infant security
Staffing levels
Abuse and neglect
Criminal background checks
Mandated restraint training
One hour face to face
Orders, alternatives, and debriefing not required
CMS privacy and confidentiality memo

**Restraints are not discussed since there is a separate program that covers this topic

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 for each program.
9/11/2017 9:00 AM - 9/11/2017 11:00 AM
United States


Monday, 11 September 2017

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

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