CMS HOSPITAL CONDITIONS OF PARTICIPATION 2023 – PART 3

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CMS HOSPITAL CONDITIONS OF PARTICIPATION 2023 – PART 3

Complete Hospital Manual

About the Series:

Nash Healthcare Consulting’s (NHC) live programs cover the entire CMS Hospital Conditions of Participation manual. All Hospitals that accept payment for Medicare and Medicaid patients must comply with the Centers for Medicare & Medicaid Services Conditions of Participation. The Conditions of Participation manual has interpretive guidelines that must be followed for all patients treated in the hospital or hospital-owned departments. Facilities accredited by the Joint Commission, HFAP, CIHQ, and DNV Healthcare must follow these regulations.

This program is a great way to educate your hospital employees on all the sections in the CMS hospital manual, especially ones that apply to their respective departments.  Speakers will discuss the most problematic standards as well as how the hospital can do a gap analysis to assist in compliance with the Conditions of Participation. This is a must attend for experienced employees that need a refresher, or newer employees to become familiar with compliance standards.

Who Should Attend:

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.

Learning Objectives:

  • Describe how medications must be given timely and within one of three blocks of time.
  • Recall that all protocols should be approved by the Medical Staff and an order entered into the medical record and signed off.
  • Recall that there are many pharmacy policies required by CMS.
  • Recall that a nursing care plan must be in writing, started soon after admission and maintained in the medical record.
  • Recall that the hospital must have a safe opioid policy approved by the MEC and staff must be educated on the policy.

Faculty

Nash Healthcare Consulting