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CMS Hospital Improvement Final Rules

July 21, 2020 @ 8:00 am - 10:00 am MDT


Due to COVID-19, the registration fee is per hospital and not per connection for this webinar. Please only select a qty. of “1” under Registration and indicate the number of connections requested when completing the Attendee information.

Not sure if you will be able to make the live session? Everyone who registers will receive a link to the recording of the webinar that you will have 120 days to view at your convenience at no additional charge.  

Last year the Centers for Medicare and Medicaid Services (CMS) issued the final Hospital Improvement Rule, which effectively combined three laws into one. The rule included 393 pages of the Conditions of Participation (CoPs) manual, including the sections on nursing; medical records; infection control; quality assurance and performance improvement (QAPI); patient rights; history and physical (H&Ps); and restraint and seclusion.

This webinar will provide an in-depth review of the changes impacting all hospitals, including Critical Access Hospital. It will also cover the requirement to have an antibiotic stewardship program and how to implement such a program. Additionally, attendees will learn how CMS clarified a number of existing requirements and federal regulations that are already final.

At the conclusion of this session, participants should be able to:

  • Recall that hospitals have requirements in the CMS CoPs on antimicrobial stewardship programs.
  • Discuss that CMS changed the term LIP (licensed independent practitioner) to LP (licensed practitioner) so PAs can order restraint and seclusion and do assessments, if allowed by the hospital.
  • Describe that the hospital must have policies that describe which outpatient areas require a registered nurse.
  • Recall that CMS removed the section that required hospitals to conduct autopsies in cases of unusual deaths.

CNO, CMO, pharmacy staff, health information management personnel, infection preventionists, antimicrobial stewardship team members, nurses, nurse educators, QAPI director and staff, risk management team members, patient safety officers, hospital legal counsel and compliance officers.

Sue Dill Calloway is president of Patient Safety and Healthcare Consulting and Education company, where she focuses on medical legal education, especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. Previously, Sue was a director for risk management for the Doctors Company. She was the VP of legal services at a community hospital and served as the privacy officer. She was also a medical malpractice defense attorney for 10 years and has three nursing degrees in addition to a law degree.

She is a well-known lecturer and the first in the country to be a certified professional in CMS. She has written 102 books and thousands of articles.

The speaker has no real or perceived conflicts of interest that relate to this presentation.

Tuesday, July 14; 5:00 p.m. MDT

Access instructions and materials will be emailed to the person completing the order prior to the program date. If you do not receive the instructions at least 24 hours in advance, please contact IHA.


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July 21, 2020
8:00 am - 10:00 am MDT
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