May 3, 10, 17 and 24, 2017

Noon-2 p.m. Central

Join us for this yearly review of the CMS Hospital Conditions of Participation and all of the recent changes and memos issued over the past year, including proposed changes in 2017 on discharge planning and the IMPACT Act. There new quality measures, new things to add to the assessment form, new additions to the discharge instructions and more. Additionally, the 2017 proposed changes in the Hospital Improvement Act will be discussed that cover a requirement for an antibiotic stewardship program and changes to nursing, medical records, QAPI and more. This four-part webinar series will cover the entire CMS Hospital Conditions of Participation manual and is a great way to educate everyone in your hospital on the sections of the CMS hospital manual that applies to their department.  

Learning Objectives:

  • Learn the CMS survey process and how to locate a copy of the current CMS CoPs manual;
  • Review board and CEO requirements; and
  • Review proposed health information management changes in 2017.
  • Review proposed changes to patient rights in 2017;
  • Recall the CMS restraint standards that hospitals must follow; and
  • Review requirements for grievance policies and procedures.
  • Review proposed changes to Quality Assessment and Performance Improvement for 2017;
  • Review proposed changes to nursing services in 2017;
  • Review proposed antibiotic stewardship program in 2017; and
  • Recall that a nursing care plan must be in writing, started after admission and maintained in the medical record.
  • Review the CMS required policies in the area of infection control;
  • Review proposed changes to discharge planning in 2017 and the IMPACT law; and
  • Describe that all staff must be trained in the hospital's policy on organ donation.

Target Audience:

CEOs, chief operations officers, chief nursing officers, chief legal officers, nurses and medical staff, quality managers, nurse educators, risk managers, compliance officers, chief of health information, pharmacists, social workers, discharge planners, patient safety officers, outpatient director, director of rehab, infection control, directors of radiology.


Sue Dill Calloway, RN, J.D., president, Patient Safety and Healthcare Education and Consulting
Sue Dill Calloway, RN, J.D., has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and also the chief learning officer for the Emergency Medicine Patient Safety Foundation. Prior to her current role, she was the director of hospital patient safety for The Doctors' Company and OHIC Insurance Company. She has led many educational programs for nurses, physicians, and other health care providers. Dill has authored more than 100 books and numerous articles. A frequent speaker, Dill is well known across the country in the area of health care law, risk management, and patient safety.