2013 CMS Jul 25 Enduring

Self Study Course Description

Infection Control Standards

Course Faculty
Sue Dill Calloway, RN, MSN, JD, CPHRM, CCMSCP
President, Patient Safety Education and Consulting
Dublin, Ohio

Type of Activity: Enduring Event/Web-Based Training
Release Date: July 26, 2013
Expiration Date: May 30, 2014
Estimated Time to Complete Course: 2.0 hours

There is no fee associated with this educational activity.

Target Audience: Physicians, Nurses, Administrators, QM Staff, Risk Managers, and other interested Health Care Providers

Course Overview
Infection control is a really hot issue in 2013! CMS received a 50 million grant several years ago and surveyors received additional training making them more knowledgeable about the infection control standards. If hospitals do not do this right, it will also cost you a lot of money. CMS will starting reporting each hospital’s scores and reduce payments by 1% to hospitals with the highest rate of medical errors and infections starting in 2015.

HHS will use as much as $1 billion dollars in new funding under the Affordable Care Act on infection control initiatives such as the Partnership for Patients program. This will truly become the year for infection control so hospitals need to stay up to date and incorporate these initiatives into their infection control plan and program. Hospitals need to recognize that this is the year for infection control.

Joint Commission also focuses on infection control in their 2013 NPSG on MDROs (multi drug resistant organisms), reducing central line infections and reducing surgical site infections. Both CMS and TJC have issued memos on steam sterilization and flash sterilization (now called immediate use) which will be discussed. Cleaning of glucose meters between patients, single use lancets, cleaning of scopes and laryngoscopes, hand hygiene, single and multi-dose vials are just some of the hot issues being hit during the survey process. Hospitals have to use the CDC system to report central line infections for ICUs and some catheter associated UTIs. Safe injection practices are also important and hospitals should have a policy to reflect the CDC ten requirements and CMS issued a recent memo on this.

Hospitals need to have a good infection control practices in place or face denial of reimbursement. CMS has adverse events or hospital acquired conditions (HACs) in which hospitals would get no additional reimbursement and several involve infection control issues. Several of the 29 Never Events are infection control issues and many insurers are trying to put into hospital contracts that the hospital cannot bill for these. Surveyors can cite hospitals for being out of compliance with the hospital conditions of participation (CoPs). Therefore, it is important that your infection preventionist and staff be up to date on this essential information.

Learning Objectives
After completing this activity, the participants will be able to:
1. Recall what policies and procedures are required by CMS in the area of infection control.
2. Discuss how CMS has a revised infection control worksheet.
3. Discuss how CMS requires that the national standards of care and practice must be followed such as those from the CDC, SHEA, APIC, OSHA, and AORN.
4. List the CMS required infection control officer’s responsibilities in measuring, identifying, preventing and controlling infection.

Criteria for Successful Completion
• Registration is required for verification of attendance.
• Attend the webinar in its entirety.
• Complete the web-based Course Evaluation.
• Complete the online Post-Test with a passing score of 75%.
• CSC will send you a CE Certificate upon successful completion. Note: you will be notified to retake the post-test if your score is below 75%.
Accreditation: The Indian Health Service (IHS) Clinical Support Center is accredited by the Accreditation Council for Continuing Medical Education to sponsor continuing medical education for physicians. The IHS Clinical Support Center designates this enduring educational activity for 1 hour of AMA PRA Category 1 Credit™ for each hour of participation. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Indian Health Service Clinical Support Center is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

This activity is designated 2.0 contact hours for nurses.

Accreditation applies solely to this educational activity and does not imply approval or endorsement of any commercial product, services or processes by the CSC, IHS, the federal government, or the accrediting bodies

Faculty Disclosure Statement: As a provider accredited by ACCME, ANCC, and ACPE, the IHS Clinical Support Center must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors/coordinators, planning committee members, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. The course directors/coordinators, planning committee members, and faculty for this activity have completed the disclosure process and have indicated that they do not have any significant financial relationships or affiliations with any manufacturers or commercial products to disclose. There is no commercial or non-commercial company financial support for this educational activity.

Email ihscsc@ihs.gov if you have any questions or need assistance.

You may review the IHS Privacy Policy at http://www.ihs.gov/privacy_policy.asp and the Survey Monkey Privacy Policy for details on how user information submitted in the evaluation is protected (http://www.surveymonkey.com/mp/policy/privacy-policy/). Your information will be kept confidential when you participate in a CE Internet based program. The information collected is necessary to provide you with the appropriate CE credits for your participation.
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