CMS 2014 - CMS and Accreditation Compliance: Why Bother

Overview: The CMS Conditions of Participations (CoPs) transcend deemed status accreditors and all accreditation standards must be consistent with the CoPs. That being said, deemed status accreditors are permitted to 'raise the bar' or pursue standards of excellence in areas that exceed the CoPs' scope and therefore, healthcare organizations must be cognizant of both if they pursue deemed status accreditation.
Problematic CoPs include: medical history and physical examination, updated exam and chart entries, verbal orders, date/time/authentication of written orders, informed consent, discharge process and summary, and completion of medical records.
More recent significant changes to the CoPs include: single governing board v. individual medical staffs within systems, medical staff members on governing boards, podiatrist and medical staff leaders, self-administered medications, standing orders, verbal order updates, practitioners who order outpatient services, governing board consultation to the medical staff for quality issues, and definition of 'physician' for rural health clinics and FQHCs.
New changes to The Joint Commission Standards include: emergency management requirements, new national patient safety goal re clinical alarm systems, and relationship between the governing board, medical staff, and management team.
New changes to the Healthcare Facilities Accreditation Program include: addition of OPPE and FPPE effective 1/1/15, requirement for a discharge checklist, and verification of home based medications
New changes from Det Norske Veritas (DNV) and the Center for Improvement in Healthcare Quality (CIHQ) are pending.
Why should you attend: Regulatory and accreditation compliance is necessary to achieve deemed status and be eligible to receive Medicare and Medicaid payment, a significant percentage of healthcare reimbursement. Therefore, all healthcare leaders need to be aware of 2014 changes to the CMS Conditions of Participation and by extension, the relevant 2014 changes to the deemed status accreditation organizations: The Joint Commission (TJC), the Healthcare Facilities Accreditation Program (HFAP), Det Norske Veritas (DNV), and the Center for Improvement in Healthcare Quality (CIHQ), the newest deemed status accreditor, effective 2013.
This fast paced programs will cover the most problematic standards as well as the new and evolving standards that will allow participants to be better prepared for both scheduled and unscheduled surveys and to achieve regulatory and accreditation compliance.
Areas Covered in the Session:
The relationship between CMS CoPs and deemed status accreditors
The problematic few: Learn how organizations cope with thorny CoPs
Recent CoPs and Accreditation Standards that you may not be aware of
New CoPs and Accreditation Standards up for review and comment-Understand what is coming
Who Will Benefit:
CEOs
COOs
CFOs
CMOs
VPMAs
CNOs
CIOs
Physician and Nursing Managers
Physician Leaders
Jonathan Burroughs MD, MBA, FACHE, FACPE is President and CEO of The Burroughs Healthcare Consulting Network, Inc. and works with some of the nation's top healthcare consulting organizations to provide 'best practice' solutions and training to healthcare organizations throughout the country in the areas of governance, physician?hospital alignment strategies, credentialing, privileging, peer review and performance improvement/patient safety, medical staff development planning, strategic planning, physician performance and behavior management as well as ways in which physicians and management can work together in new ways to solve quality, safety, operational, and financial challenges.
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