Ligature Risks and Preventing Inpatient Suicide: Compliance with the CMS and TJC Standards (W4025)
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No future session
Member: $0.00
Society: $0.00
Sponsor: $0.00
Staff: $0.00
Non-Member: $295.00
Credit Offered
No Credit Offered

Laura A. Dixon, BS, JD, RN, CPHRM


Course Curriculum

Suicide is the third most frequently reported sentinel event. Suicide prevention and protecting patients from harm or strangulation is a major focus of accreditation surveys.  

The Centers for Medicare & Medicaid Services (CMS) has promulgated requirements for hospitals to prevent ligature risk and self-harm from patients who exhibit suicidal behaviors. Any hospital that receives Medicare and/or Medicaid payments must implement these changes for all patients.  

CMS tag number 144 in patient rights and tag number 701 in facility services discuss what units need to be ligature resistant. These tags cover patient assessments, environmental assessments, education and policy, and procedure requirements.  

The Joint Commission (TJC) has multiple requirements to ensure compliance with their standards regarding ligatures and suicide prevention. These standards will be discussed to include psychiatric hospitals, behavioral health units, general acute care inpatient units, and emergency departments.  

The webinar will provide resources and tools that can be used to assess patients to determine if they have suicidal ideations. 

Continuing Education Credits

The Georgia Hospital Association Research & Education Foundation is an approved provider of nursing home administrator credits as a professional trade association in long term care under Ga. Comp. R. & Regs. 393-13-.02, (1) (a). Approved for 2 contact hours.

By attending Ligature Risks and Preventing Inpatient Suicide: Compliance with the CMS and TJC Standards Webinar offered by Georgia Hospital Association, participants may earn up to 2 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation. Attendees who wish to have the hours applied toward ACHE Qualifying Education credit must self-report their participation by logging into their MyACHE account and selecting ACHE Qualifying Education Credit.

If you need assistance with registration, please contact the education department at or 770-249-4529.
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