2013 CMS Sep 26 Enduring

Self Study Course Description

Timing of Medication and Standing Orders & Protocols

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: September 27, 2013
Expiration Date: May 30, 2014
Estimated Time to Complete Course: 1.5 hours

There is no fee associated with this educational activity.

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

Course Overview
CMS has changed the problematic standard that said all medications must be given within 30 minutes of the scheduled time. Come learn what the new changes require. Hospitals must update their policies and procedures to include these new regulations. Hospitals need to provide education to their staff and should consider adding this information to their nursing orientation program. Medical staff must approve the medication timing policy and know the CMS requirements.

The new guidelines discuss the timing of medication. Staff must know if the medication is subjected to the one hour, two hour, or four hour timing requirements. Staff must know what is a time-critical schedule medication and a non-time critical scheduled medication. Additionally, the memo includes information on standing orders, protocols, order sets, and more. This new interpretive guideline changes tag 404 and 405 in the CMS hospital condition of participation manual. All hospitals that receive Medicare or Medicaid reimbursement must follow the hospital conditions of participation and they must be followed for all patients. Don’t be found to be out of compliance with these new interpretive guidelines.

Are you aware of the 2013 changes to standing orders recently published by CMS? This program will also cover the interpretive guidelines and regulations required by the Center for Medicare and Medicaid Services (CMS) for hospitals related to Order Sets, Protocols, Preprinted Orders, and Standing Orders. This has been a very confusing area for hospitals and this program will demystify the changes and requirements. Any hospital that accepts Medicare or Medicaid patients must be in compliance with these standards and for all patients.

The development of protocols and standing orders is best described as a journey. This program will provide the history of each of the four sections and what each section requires hospitals to do. This program will clarify this confusing area and make the requirements understandable for hospitals. This is especially important as hospitals move toward a complete electronic medical record.

Learning Objectives
After completing this activity, the participants will be able to:
1. Discuss the CMS hospital CoP regulations on the three time frames for medications.
2. Discuss CMS specific nursing education on the medication timing policy.
3. Describe how the Medical Staff must approve the policy on the timing of medications.
4. Discuss hospital policy on standing orders which must include how they are developed, approved, monitored and initiated by staff.
5. Discuss CMS requirements for standing orders and protocols in three separate sections.
6. Describe how all protocols must be approved by the Medical Staff even if the protocols are department specific.
7. Recall that the physician must sign off the standing order along with a date and time.

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 1.5 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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