Nursing: CMS CoP Standards for Hospitals
Nursing: CMS CoP Standards for Hospitals
$299.00
Webinar Information
Duration : 60
Date: | Available all day
Speaker: Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she 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. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP 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.
NursingHospitals
Overview
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities with Deemed Status accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV Healthcare must also follow these regulations.
There were some changes to the hospital nursing chapter of the conditions of participation (CoPs) in 2020. However, many of those changes are still awaiting interpretive guidelines and survey procedures.
This program will discuss the often-cited areas of the CoP manual involving nursing care: plans of care, staffing, policy changes, when a RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, and more. Nursing services has been cited over 7,200 times according to the most recent report.
Other changes in the past to the Nursing section include timing of medications, standing orders, plan of care, verbal orders, blood transfusions, IV medication, self-administration of medications and drug orders.
This program will also reference other important sections that all nurses should be aware that are outside the nursing services section. Such sections include the revised discharge planning standards, revised history and physicals, visitation, restraint and seclusion and grievances, and Section 1557 and non-discrimination.
Objectives
Recall that CMS has a section on nursing services that every hospital must follow even if accredited
Describe the three different timeframes for which all medications must be administered
Discuss that nursing care plans are a frequently cited area by CMS
Recall the requirements for verbal orders
Detailed Agenda
Introduction into the CMS hospital CoPs manual
CMS deficiency reports
2020 changes to Nursing section
CMS memos of interest that impact nursing
Insulin pens
Infection control breaches
Texting of orders
Ligature risks
Safe injection practices
Humidity in the OR
Conditions of Participation – Nursing
Nursing Services and 24 hours services
RN on duty – recent update
Organizational chart and nursing
Chief Nursing Officer (CNO) responsibilities & requirements
Staffing and delivery of care
24-hour nursing services and supervision
RN to evaluate to care of all patients
Nursing care plans
Changes to the plan of care
Agency nurse requirements
Medication administration
Order required for all medications
Protocols, standing orders, order sets
Requirements for complete drug order
Three medications timing changes
Safe Opioid use
Standing orders and protocols
Verbal orders
Blood transfusions and IV medications changes
Reporting blood administration and medication errors
Self-administered medications
CAH Nursing requirements
Other Manual sections of importance to nursing
Restraint and seclusion
Medication policies
Visitation
Discharge planning revised standards
Additional Information that Impacts Nursing
CDC resources on preventing healthcare acquired infections (HAI)
ISMP safe injection practices
Non-Discrimination, Interpreters, and section 1557
Appendix and Resources
Who Should Attend?
Chief nursing officer
All nurses
Nurse managers/supervisors
Nurse educators
Compliance officer
Chief of medical staff
Risk manager
Patient safety officer
Senior leadership
Joint Commission coordinator
Regulatory officers
Physicians
Audit staff
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities with Deemed Status accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV Healthcare must also follow these regulations.
There were some changes to the hospital nursing chapter of the conditions of participation (CoPs) in 2020. However, many of those changes are still awaiting interpretive guidelines and survey procedures.
This program will discuss the often-cited areas of the CoP manual involving nursing care: plans of care, staffing, policy changes, when a RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, and more. Nursing services has been cited over 7,200 times according to the most recent report.
Other changes in the past to the Nursing section include timing of medications, standing orders, plan of care, verbal orders, blood transfusions, IV medication, self-administration of medications and drug orders.
This program will also reference other important sections that all nurses should be aware that are outside the nursing services section. Such sections include the revised discharge planning standards, revised history and physicals, visitation, restraint and seclusion and grievances, and Section 1557 and non-discrimination.
Objectives
Recall that CMS has a section on nursing services that every hospital must follow even if accredited
Describe the three different timeframes for which all medications must be administered
Discuss that nursing care plans are a frequently cited area by CMS
Recall the requirements for verbal orders
Detailed Agenda
Introduction into the CMS hospital CoPs manual
CMS deficiency reports
2020 changes to Nursing section
CMS memos of interest that impact nursing
Insulin pens
Infection control breaches
Texting of orders
Ligature risks
Safe injection practices
Humidity in the OR
Conditions of Participation – Nursing
Nursing Services and 24 hours services
RN on duty – recent update
Organizational chart and nursing
Chief Nursing Officer (CNO) responsibilities & requirements
Staffing and delivery of care
24-hour nursing services and supervision
RN to evaluate to care of all patients
Nursing care plans
Changes to the plan of care
Agency nurse requirements
Medication administration
Order required for all medications
Protocols, standing orders, order sets
Requirements for complete drug order
Three medications timing changes
Safe Opioid use
Standing orders and protocols
Verbal orders
Blood transfusions and IV medications changes
Reporting blood administration and medication errors
Self-administered medications
CAH Nursing requirements
Other Manual sections of importance to nursing
Restraint and seclusion
Medication policies
Visitation
Discharge planning revised standards
Additional Information that Impacts Nursing
CDC resources on preventing healthcare acquired infections (HAI)
ISMP safe injection practices
Non-Discrimination, Interpreters, and section 1557
Appendix and Resources
Who Should Attend?
Chief nursing officer
All nurses
Nurse managers/supervisors
Nurse educators
Compliance officer
Chief of medical staff
Risk manager
Patient safety officer
Senior leadership
Joint Commission coordinator
Regulatory officers
Physicians
Audit staff
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