CMS Hospital Improvement Rule Proposed Changes: Nursing, Medical Records, Infection Control
It requires all hospitals to have an antibiotic stewardship program and dictates what the program must include. CMS is proposing to add the current requirements under OCR 1557 into the CMS hospital CoPs. This document details areas of focus that CMS has found to be problematic in hospitals that are already a required in the hospital CoPs.
CMS also clarified several existing requirements and a number of federal regulations that are already finalized, making this webinar an invaluable resource for your organization.
- Five changes to Restraint under Patient Rights
- Updates to Nursing Services and Outpatient Departments
- Requirements for the antibiotic stewardship program
- Hospital acquired conditions (HACs) and 5 changes
Program Highlights
Requirements for the Antibiotic Stewardship Program
- Qualified leader who must be appointed by the board
- Active program and evidenced-based use of antibiotics
- Document improvements and reduction of CDI
- Board responsibilities
- Responsibilities of leader of antibiotic stewardship program
Changes to Patient Rights and Medical Records
- Restraint five changes
- Physician assistants (PAs) to order and evaluate
- Right to access medical records
- OCR - 2 documents on access to medical records
- Non-discrimination under OCR 1557
Quality management, Quality Assurance (QA) and Performance Improvement (PI) Program Changes
- Quality indicator data including patient care data
- Medicare quality reporting data
- Hospital readmission data
- Hospital acquired conditions (HACs) and 5 changes
Live Question & Answer Session - Have your questions answered by the expert!
About the Speaker
Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus on medical-legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company.
- She was the past VP of legal services at a community hospital in addition to being the privacy officer and the compliance officer.
- Sue was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.
- She is a well-known lecturer and the first one in the country to be a certified professional in CMS.
Program Benefits
This need-to-know training will cover changes to patient rights and medical records, QAPI, nursing services and outpatient departments, infection control and antibiotic stewardship.
HRCI Credits
This program has been approved for 1 (HR (General)) recertification credit hour toward aPHRTM, aPHRiTM, PHR®, PHRca®, SPHR®, GPHR®, PHRiTM and SPHRiTM recertification through the HR Certification Institute. Learn more at hrci.org
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CMS Hospital Improvement Rule Proposed Changes: Nursing, Medical Records, Infection Control
$299 + applicable taxes
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