CMS Professional Program Parts
Recorded Webinar | Sue Dill Calloway | From: Feb 07, 2019 - To: Mar 25, 2019
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All facilities accredited by TJC, AOA, CIHQ, and DNV Healthcare must adhere to the CMS CoPs. This 525-page manual contains interpretive guidelines, policies, procedures, and standards that must be followed for all providers treating patients in hospitals or any hospital-owned departments.
Our Certified CMS Professional Program will guide attendees through the entire CMS Hospital CoP manual and highlight major changes that impact hospitals. The program is divided into five parts with each part accompanied by an exam. After completing the program, attendees will receive a certification that they are a Certified CMS Professional (CCMSP).
There have been a record-breaking number of surveys and certification memos issued over the past year. Learn how to keep your hospital in compliance by completing the program or attending individual webinars that are applicable to your job function. You can use the on-demand recording when onboarding new hires!
Are you ready to become a Certified CMS Professional?
Part I (Feb 07th): Overview of the CMS Survey Process, Board and CEO, and Medical Records (Health Information Management) (1 PM EST)
| - Introduction to the CoPs | - CMS required education | - Survey protocols & teams |
| - Recent CMS changes | - Proposed changes | - Board & CEO requirements |
| - Contracted services | - Emergency services | - Telemedicine |
| - Credentialing & privileges | - Substance use disorder records | - Confidentiality of records |
| - Plan and budget | - Legibility requirements | - Verbal orders |
| - Discharge summaries | - What's really important? | And more! |
Part II (Feb 14th): Patient Rights (1 PM EST)
| - OCR Section 1557 | - Restraint & seclusion | - Grievances & complaints |
| - Patient representative | - Advance directives | - Informed consent |
| - Privacy & safety | - Abuse & neglect | - Low-health literacy |
| - Visitation requirements | - Designating a representative | - Patient medical records |
| - Background check | - Patient support system | - Ligature risks |
| - Access to medical records | - Plan of care | And more! |
Part III (Feb 28th): Nursing and Pharmaceutical Services (1 PM EST)
| - Nursing care plan | - Verbal orders | - Writing incident reports |
| - Measuring staff competency | - IV & blood transfusions | - Drug administration |
| - Safe injection practices | - Self-administration | - 3 medication timings |
| - Antibiotic stewardship | - Drugs & biologicals | - High-risk medications |
| - Drug interactions | - Medication storage & security | - Pharmacy requirements |
| - Staff training on policies | - Best practice recommendations | And more! |
Part IV (Mar 14th): QAPI, Radiological Services, Laboratory Services, Food and Dietary Services, Utilization Review, and Physical Environment(1 PM EST)
| - Medical staff by-laws | - Credentialing & privileging | - History & physicals |
| - QAPI worksheet | - Tracking errors & adverse events | - Radiation exposures |
| - Signing radiology reports | - Radiopharmaceutical on/off hours | - Look back program |
| - Patient nutritional needs | - Required dietary policies | - Therapeutic diets |
| - Utilization review plan | - Notice law & MOON form | - UR committee composition |
| - Buildings & equipment | - Life Safety Code | - Emergency preparedness |
| - Emergency power & lighting | - Buildings and equipment | - Compliance with PI |
| - Adverse reaction to agents | - Infection control | And more! |
Part V (Mar 28th): Infection Control, Discharge Planning, Surgery and Anesthesia, ED, Outpatient, Rehabilitation, and Respiratory Services (1 PM EST)
| - Proposed changes | - Final infection control worksheet | - Safe injection practices |
| - Organ, tissue & eye procurement | - Final discharge worksheet | - CMS OPO memo |
| - Required anesthesia policies | - PACU | - Preventing OR fires |
| - Outpatient orders | - Qualified medical director | - EMTALA |
| - Standards of care | - Rehab plan of care | - Rehab required policies |
| - Organ donation training | - CMS OPO memo | And so much more! |
After this webinar participants will be able to:
- Describe where to locate a copy of the current CMS CoP manual.
- Discuss the importance of a current history and physical for any patient undergoing an elective surgery.
- Explain why all verbal orders must be signed off with the corresponding date and time.
- Summarize the restraint standards hospitals must follow.
- Reinforce why hospitals need grievance policies and procedures.
- Explain the requirements for documentation when interpreters are involved.
- Discuss the many pharmacy policies required by government bodies.
- Explain why care plans and protocols must be maintained in the medical record.
- Verify why hospitals must have approved policies and related staff education in place.
- Discuss the patient safety requirements under the QAPI section in the Hospital CoP manual.
- Describe radiology policies, including radiology safeties staff must know.
- Explain how a hospital can credential a dietitian to order a patient's diet.
- Describe the CMS infection control policies.
- Summarize final changes to the discharge planning worksheet.
- Describe hospital requirements for an organ donation.
Target Audience:
Anyone involved with or interested in the CMS CoPs regulations and standards, including but not limited to: CMS Liaisons, Compliance Officers, CEOs, CFOs, COOs, CMOs, CNOs, Quality Improvement Staff, Nurses (all levels), Board Members, TJC Liaisons, Safety Officers, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, and Regulatory Affairs Staff.
