2013 CMS Jun 6 Enduring

Self Study Course Description

CMS Changes in Review

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: June 7, 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, Administrators, QM Staff, Risk Managers, and other interested Health Care Providers

Course Overview
Having a hard time keeping up with all of the recent CMS hospital condition of participation changes? This program is for you! This program will cover all of the recent changes to the CMS hospital conditions of participation (CoPs) including visitation, privacy and confidentiality, rehab orders, consent, advance directives, timing of medication, pharmacy, IV medications, Luer misconnections, adverse reporting to PI, humidity changes, blood, transfusion reactions, anesthesia and more.

It will also cover over two dozen changes effective July 16, 2012. This was one of the major revisions in over two decades. CMS states it will save hospitals 5 billion dollars over five years. This includes changes to verbal orders, restraints, outpatient under one director, board and medical staff section, single board in hospital systems, standing orders, nursing plan of care, self-administration of medication, IV medication and blood training, and more.

This program will also include the proposed February 2013 changes by CMS to the hospital CoP manual. This includes privileging dieticians to order diets, board to consult directly with chief medical officer, board representation, orders for outpatient services, radiopharmaceuticals, and more! CMS says this will save hospitals and providers $3.4 billion over five years.

CMS activities for both complaint surveys and validation surveys have increased and a hospital does not want to be found out of compliance. This also comes on the heels of the third CMS revised worksheets on PI, infection control, and discharge planning.

Every hospital that accepts Medicare or Medicaid reimbursement, which are most hospitals in the United States, must follow the Center for Medicare and Medicaid Services (CMS), Conditions of Participation. These must be followed on every hospital patient and not just Medicare or Medicaid patients.

Learning Objectives
After completing this activity, the participants will be able to:
1. Recall that CMS has many changes to the hospital conditions of participation manual.
2. Describe that the CMS changes to the verbal order requirements will be affected by a state specific law.
3. Recall the changes to the restraint and seclusion standards regarding if the patient dies in one or two soft wrist restraints.
4. Recall the anesthesia changes including what must be documented in the preanesthesia and postanesthesia evaluations.
5. Discuss that CMS issued over 2 dozen final changes on July 16, 2012 and proposed changes in February of 2013.
6. Recall that CMS issued an 11 page memo on confidentiality and privacy.

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 1.5 hours 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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