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Webinar | Emergency Services: Complying with the CMS Hospital CoPs

August 3 @ 9:00 am - 10:30 am

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This webinar covers the Centers for Medicare & Medicaid Services (CMS) hospital Conditions of Participation (CoPs) that affect the emergency department. These interpretive guidelines are located in two separate sections of the CMS hospital CoPs manual.

Any hospital that accepts Medicare must follow the CMS CoPs for all patients. This session discusses staffing requirements, provision of services both on and off-campus, EMTALA, required policies and procedures, training requirements, medical director requirement, and compliance with standards of care. The webinar will also discuss the requirements for restraint and seclusion, grievances, and protocols.

This program will help educate what hospital emergency departments need to do to prevent being out of compliance with the CMS hospital CoPs requirements.



  • Recall that CMS has a section in the hospital CoP manual on emergency services
  • Discuss that CMS requires the emergency department to have specified policies and procedures
  • Describe that there are restraint and seclusion standards that staff must follow
  • Explain what is required if the patient files a grievance



Chief Executive Officer, Chief Operating Officer, Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Director, Joint Commission Coordinator, Quality Improvement personnel, Risk Manager, Legal Counsel.



By attending the webinar Emergency Services: Complying with the CMS Hospital CoPs offered by Georgia Hospital Association, participants may earn up to 1.5 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.



Laura Dixon, BS, JD, RN, CPHRM
Healthcare Risk Education and Consulting, LLC