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Part 1 of 4, our speaker will provide an introduction to CMS, including 2019 proposed changes, CMS memos on topics such as safe injection practices, deficiencies, revised complaint manual, texting, ligature risks, etc. Sue will review CAH problematic standards and provide resources as well. Most importantly, our speaker will discuss the various regulations and interpretive guidelines for CAHs, including, but not limited to compliance, licensure, provider certification, network agreements, credentialing, advanced directives, ED staffing, EMTALA, Equipment and supplies, medication, personnel, emergency response, length of stay, observation (Two midnight rule), swing beds, and numbers of beds.
Part 2 of 4, our speaker will describe pharmacist responsibilities, including development, supervision and coordination of pharmacy activities. She will review what the requirements of a CAH are to monitor and inspect, then ensure outdated drugs are not available for patient use. Sue will also discuss requirements for security and storage of medications, medication carts and anesthesia carts. She will review requirements for do not use abbreviations and sound alike/look alike drugs. She will also examine various changes to the CoPs including, but not limited to dietary and nutrition services, physical plant and environment, maintenance, fire inspections staffing, physician responsibilities and supervision, patient admissions and transfers.
Part 3 of 4, our speaker will review 2015 manual revisions for the sections on infection control (IC), drugs and safe medication use, patient services, lab and nursing. She will discuss nationally recognized infection control guidelines, including why the infection control worksheet is so important for CAHs, hospital acquired infections (HAIs), the four challenges of infection control and the role of hospitals leaders in infection control. Sue will delve into safe medication CoPs including preparation and administration, safe infection practices and the CMS IC worksheet and safe infection guidelines. Some of Sue’s review of the nursing CoPs will cover nursing care, changes in observation guidelines, drugs and IVs, nursing care plans and proposed changes for 2019. This provides only a brief overview of what will be covered in this program.
Part 4 of 4, our speaker will review CoP sections on radiology, contracted services, emergency procedures, visitation, rehabilitation, medical records, surgical and anesthesia services, organ procurement and CAH swing beds.