Cerner will host a FREE webinar at 2 p.m. CST on Jan. 17 on tackling the rural opioid epidemic. Attendees will learn to understand the background of the opioid epidemic and how we got to where we are today; how...

NRHA & Cerner offer free webinar on tackling the rural opioid epidemic and more

NRHA & Cerner offer free webinar on tackling the rural opioid epidemic

Cerner will host a FREE webinar at 2 p.m. CST on Jan. 17 on tackling the rural opioid epidemic. Attendees will learn to understand the background of the opioid epidemic and how we got to where we are today; how to identify strategies that can be employed to help reduce opioid misuse; and how people, processes, and technology can combat the opioid crisis in rural communities. Register online here.


Four-Part Series: Critical Access Hospital (CAH) Conditions of Participation 2019

Click on one of the parts down below for additional information or to register.

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 She will review what the requirements of a CAH are to monitor and inspect, then ensure outdated drugs are not available for patient use.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.


Rural residents travel about twice as far to hospital on average

Rural Americans live an average 10.5 miles or 17 minutes from the nearest hospital, according to a new analysis by the Pew Research Center. That's about twice as far and five to seven minutes longer than people in suburban and urban areas, respectively, with the quarter of rural Americans with the longest times averaging 34 minutes. "These findings come amid a wave of rural hospital closures in recent years that have raised concerns about access to health care," the authors note.


Policy Can Help Improve Rural Health Care

Brock Slabach, MPH, FACHE, Senior Vice-President of the National Rural Health Association, discussed new developments in rural health care at the American Society of Health-System Pharmacists (ASHP) Midyear 2018 Clinical Meeting in Anahein, CA. ASHP officials honored Slabach with the Award of Honor during the meeting's opening session of ASHP. Read more here.


Rural health care, burden reduction bills introduced

Republican members of the House Ways and Means Committee introduced legislation to repeal the 96-hour physician certification requirement as a condition of payment for critical access hospitals (H.R. 5507), and permanently prohibit the Centers for Medicare & Medicaid Services from enforcing its direct supervision policy for outpatient therapeutic services provided in CAHs and small, rural hospitals (H.R. 741). Other bills introduced as part of the committee's Medicare Red Tape Relief project would codify certain meaningful measure principles and measure removal factors for hospital and post-acute care quality measures (H.R. 7253); direct the Secretary of Health and Human Services to solicit information from providers on ways to reduce Medicare administrative and regulatory burdens, and provide for transparency and public feedback in evaluating a post-acute care prospective payment system (H.R.7248); and ease certain prior authorization burdens for providers who participate in Medicare Advantage plans. 


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