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Hospital Improvement Rule – Webinar
March 11 @ 9:00 am - 11:00 am
CMS has finalized some significant changes to the hospital conditions of participation (CoPs) that every hospital should know, including critical access hospitals. It was 393 pages long and combined three laws into one. This include changes to nursing, medical records, infection control, QAPI, patient rights, H&Ps, and restraint and seclusion.
Most have an effective date of November 29, 2019 with two exceptions. The normal implementation date is 60 days but Critical Access Hospitals will have 6 months to implement an antibiotic stewardship program and 18 months to implement a QAPI program since their QAPI requirements were completely written.
It will also require all hospitals to have an antibiotic stewardship program and what the program should include. The CDC revised the core elements in November of 2019. Also a great part of this document included things that CMS has found to be problematic in hospitals that are already a requirement in the hospital CoPs. CMS also clarified a number of existing requirements and a number of federal regulations that are already final which makes this webinar an excellent resource.
- Recall that hospitals have requirements in the CMS CoPs on antimicrobial stewardship program
- Discuss that CMS change the term LIP (licensed independent practitioner) to LP (licensed practitioner) so PAs can order restraint and seclusion and do assessments if allowed by the hospital
- Describe that the hospital must have policies that describe which outpatient areas require a RN
- Recall CMS removed the section that required hospitals to conduct autopsies in cases of unusual deaths
Who Should Attend:
Pharmacist, chief nursing officer, health information management, infection preventionist, antimicrobial stewardship team members, nurses, nurse educators, chief medical officer, QAPI director and staff, patient safety officers, regulatory and compliance officers, physician assistants (PAs), patient advocate, risk management, nurse educators, hospital legal counsel, MEC chair, board members, and anyone involved in implementing the hospitals CoPs.
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