Part One– Abuse, Restraints and Seclusion and other Patient Rights Issues
Hospitals, critical access hospitals and rural emergency hospitals must comply with the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation. According to CMS and accrediting organizations such as DNV and Joint Commission, Patient Rights and Responsibilities Condition is consistently in the top Condition Level Deficiencies cited. Within that condition, most non-compliances come from the regulations governing abuse, restraints and seclusion. Other patient rights that facilities need to be aware of are: grievances, advance directives and patient’s right to be involved in care.
Part Two–Provision of Care in Safe Environment—Update on Patient Rights and Suicide Prevention
According to CMS and accrediting organizations such as Det Norske Veritas, Inc. (DNV) and Joint Commission, one of the most cited deficiencies at the immediate jeopardy level is under patient’s rights regarding the rights of patient to receive care in a safe setting. According to CMS, ligature risks compromise a patient’s right to receive care in a safe setting and it is the hospital’s responsibility to provide care and safety to psychiatric patients who are risk of harm to themselves or others.
Registration Pricing
Member: $175 per webinar
Non-Member: $225 per webinar
Registration includes unlimited connections per registered facility.
Who Should Attend:
This program is intended for all hospitals and health systems including general acute hospitals, critical access hospitals (CAH), psychiatric hospitals, hospitals or CAH with psychiatric units, and anyone involved with compliance regulations and standards, including but not limited to chief executive officers, chief medical officers, chief nursing officers, nursing managers, staff nursing staff, physicians, regulatory readiness liaisons, safety officers, behavioral health and psychiatric staff, emergency department staff, and other interested staff.
Continuing Education
Continuing Medical Education
THA will be seeking credit approval for continuing nursing education and continuing medical education for this program. More information to come.
American College of Healthcare Executives
By attending the Patient Rights Webinar Series offered by Texas Hospital Association participants may earn up to 2.0 ACHE Qualified Education Hours each toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.
Part One– Abuse, Restraints and Seclusion and other Patient Rights Issues
Wednesday, June 26, 2024, Noon-2 p.m.
Learning Objectives:
- Explain CMS definitions of abuse, restraints and seclusion
- Describe the documentation requirements for restraints and seclusion
- Describe what a grievance is and the facility’s responsibility to investigate
Part Two–Provision of Care in Safe Environment—Update on Patient Rights and Suicide Prevention
Wednesday, July 10, 2024, Noon-2 p.m.
Learning Objectives:
- Explain the responsibilities of CAH under 2023 Patient Rights Condition of Participation
- Describe the CMS requirements for providing care in a safe environment for all patients, specifically those patients who are suicidal or in need of behavioral health services
- Explain what is require for a physical environmental risk assessment
- Discuss CMS and adoption of Joint Commission suicide prevention panel recommendations
- Explain examples of immediate jeopardy and CoP level deficiencies relating to patient safety
Faculty
Nancy Ruzicka, RPh, MBA, MJ, Health Care Consultant on Regulatory and General Health Care Compliance, Ruzicka Healthcare Consulting, LLC
Nancy Ruzicka, B.S., RPh, MBA, MJ, CHC is a recognized expert on state and federal rules, regulations and interpretative guidelines. She is the owner of Ruzicka Healthcare Consulting and provides consultation to individual client hospitals, nursing facilities, rural health clinics, physician offices and other Medicare certified healthcare providers through both onsite mock surveys, remote consultation and interpretation of Medicare Conditions of Participation. She also provides education on federal regulations throughout the nation to multiple state hospital associations including the Minnesota Hospital Association, Iowa Hospital Association, Missouri Hospital Association, Texas Hospital Association and South Dakota Association of Healthcare Organization. These educational sessions include: Patient Rights, Suicide and Ligature Risks, Infection Prevention, Quality Assessment and Performance Improvement, Environment of Care and Life Safety Code, EMTALA and other Medicare Conditions of Participation for hospitals, critical access hospitals and long term care facilities. She has also served as content expert and editor for regulatory client education for Lammico, a medical malpractice insurance company.
Previously Nancy worked as Director of Integrity and Compliance and Privacy Official at Mercy Medical Center-Des Moines and Director of Regulatory Compliance at UnityPoint Health, Des Moines. She also has more than 20 years of experience with the Iowa Department of Inspections and Appeals. While working for the State of Iowa, she was surveyed all types of types of organizations including hospitals, critical access hospitals, psychiatric hospitals, intermediate care facilities for developmentally disabled, nursing homes and other Medicare certified entities.. She was also responsible for updating state hospital licensing regulations which had not been updated since the early 1970’s.
Nancy holds master’s degrees in health law and business administration and a bachelor’s degree in pharmacy, all from Drake University. She is certified in health care compliance and maintains her Iowa pharmacy license.