This five-part webinar series will cover the Centers for Medicare & Medicaid Services (CMS) Hospital Conditions of Participation (CoPs) manual, Appendix A. This series will discuss the most challenging standards in the CMS CoPs manual and will show how hospitals can do a gap analysis to assist in compliance.
Every hospital that accepts payment for Medicare and Medicaid patients must comply with the CMS CoPs. The manual also has interpretive guidelines that must be followed for all patients treated in the hospital or hospital-owned departments. Although some changes from 2020 have pending interpretive guidelines and survey procedures, hospitals are still expected to comply with the regulations. This series will include a review of the 2020 changes and the 2023 updates.
Facilities with deemed status accredited by the Joint Commission (TJC), HFAP, CIHQ, and DNV Healthcare must also follow the CMS CoPs regulations.
Laura A. Dixon served as the director of risk management and patient safety for the Colorado Region of Kaiser Permanente. 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, she provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states.
Dixon has more than 20 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 in Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States
As a registered nurse and attorney, Dixon 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.
This speaker has no real or perceived conflicts of interest that relate to this presentation.
At the conclusion of this series, participants should be able to:
Describe which medications must be given timely and within one of three blocks of time.
Recall that the medical staff should enter all orders into the medical record, sign it off, and approve all orders/protocols.
Explain that a nursing care plan must be in writing, started soon after admission and maintained in the medical record.
Discuss patient safety issues with compounding pharmacies.
Recall that the hospital must have a safe opioid policy approved by the MEC, and staff must be educated on the policy.
10 hours of continuing education credits will be available. Additional details will be provided.