Sep. 4, 11, 18 & 25

Noon-2 p.m. Central

This educational activity is jointly provided by AXIS Medical Education and The Texas Hospital Association.

The annual favorite is back in a four-part format to review recent changes in each section of the Critical Access Hospital CMS Conditions of Participation manual. The CMS regulations and interpretive guidelines serve as the basis for determining compliance. This seminar will help critical access hospitals meet compliance standards with specific Conditions of Participation problem areas and provide updates on all of the recent changes. In addition, updates on recently proposed rules involving discrimination, reducing hospital acquired conditions, and antibiotic stewardship will be provided.  

Learning Objectives:

  • Describe the CMS requirements the board must enter into a written agreement if the hospital wants to provide telemedicine services;
  • Discuss the CMS list of emergency drugs and equipment that every critical access hospital must have; and
  • Discuss recommendations to do a gap analysis to ensure compliance with all of the hospital CoPs.
  • Explain the responsibilities of the pharmacist that include developing, supervising and coordinating activities of the pharmacy;
  • Recall the requirements for security and storage of medications, medication carts and anesthesia carts; and
  • Describe the requirements for critical access hospitals to monitor and inspect drug inventory to ensure that outdated drugs are not available for patient use.
  • Review the rewritten portions of the manual that include nursing, drugs and biologicals, pharmacy and infection control;
  • Review the CMS infection control worksheet;
  • Discuss the CMS-required plan of care; and
  • Describe orders needed to allow the patient to self-administer medications.
  • Explain the informed consent elements required by CMS;
  • Describe the requirements for history and physicals for CAHs;
  • Discuss CAH compliance with requirement for notification of the organ procurement agency when a patient expires;
  • Recall that CMS has many patient rights that are afforded to patients in swing beds..

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.