Nursing 2014 - CMS Hospital Nursing CoP Standards 2014 - Webinar By MentorHealth

Overview: Did you know there are new changes to nine of the tag numbers in the nursing service chapter? Did you know there were ten recent memos of importance to nurse managers and chief nursing officers? There are many changes to this section in the recent past including timing of medications, standing orders, restraint, plan of care, verbal orders, blood transfusions, IV medication, third revised worksheet, and drug orders. CMS made over two dozen changes to the hospital CoP regulations effective July 16, 2012.
There are many changes to the final interpretive guidelines effective June 7, 2013 and August 30, 2013 with a new CoP hospital manual being issued August 30, 2013. In fact, there were two new tag numbers added to the nursing standards section and changes to seven existing sections including tags 405-409 and 410 through 413. Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual.
Facilities accredited by the Joint Commission, American Osteopathic Association, CIHQ, and DNV Healthcare must also follow these regulations. Recently, there has been increased scrutiny and surveillance to make sure that all hospitals are in compliance with the hospital CoPs. Don't be caught off guard and put your hospital's reimbursement at risk. This program will also reference other important sections that all nurses should be aware that are found outside the nursing services section such as medication standards, verbal orders, history and physicals, visitation, restraint and seclusion and grievances, and privacy and confidentiality.
CMS issues the privacy and confidentiality memo, safe injection practices memo and insulin pen memo. This program will include what is in the CMS discharge planning worksheet. It will include tips to prevent unnecessary readmissions. This section contains many problematic standards for hospitals including the nursing care plan standards and that an order is required for all medication especially if standing order or protocol used. Staffing, medications, new three time frame for administering medications and educational requirements will be discussed along with changes standing orders and protocols.
Areas Covered in the Session:
Introduction into the CMS hospital CoPs
Where to locate a copy
How to get apprised of changes
Revised CMS Hospital work sheets and importance
Recent CMS memos of interest
Rewrote all the discharge planning standards
Hospital deficiencies
Reporting to the PI system
Insulin pens and safe injection practices
New interpretive guidelines
Luer misconnections
Discharge planning standards
CMS complaint manual
OPO contract
Hospital complaint manual and reported to AO memo
Humidity memo
Interpretive guidelines effective June 7, 2013 and August 30, 2013
New Manual issued
Many recent changes to 9 tag numbers
Starts at Tag 385 and goes to tag 413
Nursing Services and 24 hours services
Third revised worksheet
Social Security Administration Act RN on duty
Integrated with hospital wide PI program
Organizational chart and nursing
Chief Nursing Officer (CNO) responsibilities
CNO requirements
CNO approval of nursing policies
Staffing and delivery of care
24 hour nursing services and supervision
Valid license for nurses and verification
RN to evaluate to care of all patients
Nursing care plans
Changes to the plan of care
Agency nurse requirements
Orientation of agency nurses
Medication administration
Order required for all medications
Standing orders and protocols
Three medications timing changes
Protocols, standing orders, order sets
Tag 405 standards moved to 457
Requirements for complete drug order
Verbal orders
Verbal orders changes
Blood transfusions and IV medications changes
Self administered medications
Other important sections nurses should be aware of:
Restraint and seclusion changes
Grievances
Medications policies
Visitation
Who Will Benefit:
Chief nursing officer (CNO)
Nurse Managers
HIM Staff
Compliance Officer
Chief of Medical Staff
Medical Staff Coordinator
Risk Manager
Patient Safety Officer
Regulatory Officers
Legal Counsel
Chief Risk Officer
Audit Staff
Sue Dill Calloway R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.
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