Every hospital that accepts payment for Medicare and Medicaid patients must comply with the Centers for Medicare & Medicaid Services Conditions of Participation. The 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 (TJC), HFAP, CIHQ, and DNV GL Healthcare with Deemed Status must follow these regulations.

This five-part webinar series will cover the entire CMS Hospital CoP manual for acute hospitals. This program will discuss the most problematic standards and how the hospital can do a gap analysis to assist in compliance with the CoPs.

Part 3: Patient Rights: Nursing and Pharmacy

At the conclusion of part three, participants should be able to:

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

Target Audience:  CEO’s, COO’s, Chief Nursing Officer, Chief Medical Officer, Quality Managers, Consumer Advocate, Nurse Educators, Department Directors, All Nurses, Risk Managers, Hospital Legal Counsel, Compliance Officers, Joint Commission Liaison, Director of Health Information, Case Managers, Chief Medical Officer, Nurse Educator, Pharmacists, Social Workers, Discharge Planners, PI Coordinator, Joint Commission Coordinator, Patient Safety Officer, Patient Safety Committee, Nurse Managers, Outpatient Director, Director of Rehab, Dieticians, Infection Control, Medication Management Team, Anesthesia and Surgery Staff, PACU Director, Policy and Procedures Committee, Respiratory Therapy Director, Director of Radiology, Infection Preventionist, Pharmacist, Pharmacy Director, and Staff Nurses

For more information on this event and to download the brochure,
click here: CMS Hospital CoPs For Acute Hospitals 2021- Part 3: Nursing and Pharmacy