Nursing 2019 Update: CMS CoP Standards for Hospitals and Proposed Changes

Did you know there have been many changes nursing chapter in the past years including three proposed changes in 2019? The proposed changes are in the Hospital Improvement Rule. It will discuss plans of care, staffing, policy changes, when a RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program requirement and more.

Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don’t be caught off guard and put your hospital’s reimbursement at risk. If a surveyor showed up at your door tomorrow, would you be prepared?

CMS has issued the final worksheets on QAPI, discharge planning and infection control which should be on the radar screen of all department managers. There are also proposed changes to the infection control worksheet which will be discussed. Get the inside scoop on the 2019 CMS nursing CoPs for hospitals in this comprehensive 2 hour webinar by CMS expert Sue Dill Calloway. This program will cover the nursing services section in the hospital CoP manual. Facilities accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV Healthcare must also follow these regulations.

Session Agenda

  • Introduction into the CMS hospital CoPs

  • CMS deficiency reports and problematic standards

  • Changes to medication management, IV, blood, and opioid safe use, Self administered medications

  • Proposed changes under the Hospital Improvement Rule

  • ISMP IV push guidelines

  • Changes related to safe injection practices, compounding, medication preparation, immediate use, and labeling

  • Revised CMS Hospital work sheets and importance

  • Recent CMS memos of interest, Most current CMS Manual

  • Discharge planning standards, CMS complaint manual

  • Federal regulation changes

  • Final interpretive guidelines and changes

  • Changes to 9 tag numbers

  • Starts at Tag 385 and goes to tag 413

  • Insulin pen and safe injection practices

  • Third revised worksheet

  • Integrated with hospital wide PI program

  • Organizational chart and nursing

  • Chief Nursing Officer (CNO) responsibilities

  • CNO requirements, and CNO approval of nursing policies

  • Staffing and delivery of care, 24 hour nursing services and supervision

  • Valid license for nurses and verification

  • RN on duty, RN to evaluate to care of all patients

  • Nursing care plans, and changes to the plan of care

  • Agency nurse requirements, and orientation of agency nurses

  • Medication administration and Order required for all medications

  • Standards of care and practice to prevent HAI

  • BUD, compounding sterile preparations (CSP)

  • Three medications timing changes

  • Protocols, standing orders, order sets: Tag 457 standards

  • Requirements for complete drug order

  • Verbal orders, and Verbal orders changes


Session Objectives / Key benefits

  • Describe that all medications must be administered within three different time frames

  • Discuss that nursing care plans are a frequently cited area by CMS and recall a recent change

  • Recall that there is a focus on safe injection practices by CMS


Who Should Attend?

  • Chief Nursing Officer, all nurses, Nurse Managers, Nurse Supervisors, Nurse Educator

  • HIM staff, Director of health information management

  • Chief of medical staff, Medical staff coordinator

  • Risk manager, Patient safety officer, Compliance officer,

  • Senior leadership, COO, CMO, Joint Commission coordinator

  • Documentation compliance specialist, Audit staff

  • Hospital legal counsel, PI regulatory officers, Legal counsel

  • Physicians, Board members

  • Education department staff, Staff with hospital regulations


Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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Webinar Information

Date / Time : June 17, 2019 @ 01:00 PM EST

Duration : 120 Mins


Number Of Attendees


Avail Discount At Checkout

For Group Registration
Contact 866-217-0586 or
Email us at [email protected]

Speaker Detail

Sue Dill Calloway RN, Esq. CPRHM CCMSCP AD, BSN, MSN, JD

Alt Text Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a board member. She was a director for risk management and patient safety for readmore...

 

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