2019 - Dietary, Food and Nutrition Services; Meeting the CMS Hospital and CAH CoPs, DNV Healthcare and TJC Requirements

Final regulations on credentialing and privileging qualified dieticians and qualified nutritional specialist
C&P to order patient diets
Can be with or without appointment to the MS
State law and hospital policy
State scope of practice
Must be C&P by MS and board
How to obtain current copy of CoP manual
Proposed changes rea dieticians ordering patient diet
Ways to keep up with CMS changes
Starts at tag number 618
3 tag numbers changes and one deleted (Tag 628, 929, and 630)
Organized dietary services
Director and qualified dietary staff required
Must meet nutritional needs of patients
Policies required
Diet manual availability, frequency of meals served, system for diet ordering and tray delivery, accommodation of non-routine occurrence, acceptable hygiene practices, kitchen sanitation etc.
Same standards whether or not by contracted services
Director who is full time and qualified
List of responsibilities to include in job description
Approve patient menus and nutritional supplements, patient dietary counseling, collaborating with other staff, maintaining patient data to recommend,
prescribe, or modify therapeutic diets etc.
Policies and procedures include
Safety practices for food handling, emergency food supplies, orientation, work assignments, menu planning, purchasing of foods and supplies etc.
Survey procedure questions
Diets and menus to meet the needs of patients
Therapeutic dies and guidelines
Nutritional needs in accordance with recognized dietary practices
Current therapeutic diet manual approved by MS and dietician
CMS third revised hospital worksheet on infection control
Infection control important in dietary