Part Three: Critical Access Hospital Conditions of Participation, Four-Part Series (W5001)-2025 CAH CoPs Part 3 Recording

Video Transcription

Video Summary

In Part 3 of the session, Laura Dixon, a specialist in risk management and patient safety, addresses key changes in hospital regulations since 2019. These changes primarily focus on infection prevention, control, and discharge planning, aligning hospital regulations with the acute care manual. Dixon notes some regulatory updates are still pending for survey procedures and interpretive guidelines. She emphasizes the importance of having comprehensive, well-documented plans and policies that follow national guidelines for infection prevention and antibiotic stewardship. Hospitals must appoint qualified infection preventionists and antibiotic program leaders, involve patient safety and quality improvement, and ensure proper training and competency across all staff levels. Regarding discharge planning, Dixon highlights the necessity of effective processes that consider the patient's goals and treatment preferences, aiming to prevent readmissions by ensuring a seamless transition of care. Discharge plans must be documented and should facilitate a patient’s selection of post-acute care providers, aided by quality and resource data. The session also covers nursing service regulations, emphasizing staffing, patient care evaluation, and medication administration safety. Dixon includes a practical discussion on missed medications, timing policies, and necessary documentation, providing resources like CDC and ISMP guidelines for improved safety practices. Additionally, hospitals must monitor patients on opioids intensively to reduce adverse outcomes. Resources and assessment tools were suggested for self-evaluation of compliance with current standards, and practical suggestions were offered for handling complex patient discharge scenarios.

Keywords

risk management

patient safety

hospital regulations

infection prevention

discharge planning

antibiotic stewardship

infection preventionists

quality improvement

nursing service regulations

medication administration

opioid monitoring

CDC guidelines

patient discharge