Loading Events

« All Events

CMS Hospital Surgery, Anesthesia, and PACU CoPs Requirements: Are You in Compliance?

October 19 @ 8:00 am - 10:00 am MDT


Due to COVID-19, the registration fee is per individual hospital (not system) for this webinar. A single registration provides multiple lines for employees at your hospital, including a link to view the recording for 60 days post-webinar. Please only select a qty. of “1” under Registration and indicate the number of connections requested for your hospital when completing the Attendee information. The person completing the registration will be responsible for sharing the access information with others from your hospital who wish to participate.

Not sure if you’ll be able to make the live session? Everyone who registers will receive a link to the recording at no additional charge.

This webinar will review the Centers for Medicare & Medicaid Services (CMS) hospital Conditions of Participation (CoPs) for surgery, anesthesia, and post-anesthesia care units (PACU), including the most commonly cited deficiencies and how to avoid them. This program will cover some of the important CMS memos that discuss safe injection practices and infection control breaches with IV medications. Guidance from the Institute for Safe Medication Practices (ISMP) and the Centers for Disease Control and Prevention (CDC) will also be provided. 

We will review how the CMS guidelines affect sedation done in the emergency department and GI lab, as well as the current interpretive guidelines regarding pre-anesthesia evaluations, post-anesthesia evaluation and anesthesia services. You will also learn the cause for delays of 10% of surgical procedures and how to avoid an average loss of $600,000 a year due to these delays

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

  • Recall that there are several policies and procedures required by CMS related to surgery and anesthesia services.
  • Describe that CMS has a section addressing PACU requirements.
  • Recall that CMS has a list of items that must be included in the OR register.
  • Explain what information is required for an informed consent and that it should be on the chart before surgery.
  • Discuss the 48-hour requirements for the post-anesthesia evaluation of both inpatients and outpatients.

Director of Anesthesia, Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Surgery Director, Quality Improvement personnel, Risk Manager, Legal Counsel.

Laura A. Dixon is the president of Healthcare Risk Education and Consulting. She previously served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020.  In her role, Ms. Dixon provided consultation and training to facilities, practitioners and staff in multiple states. 

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services and pain management.  Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California.  In this capacity, she provided consultation to the physicians and staff for the western United States.  

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, a Doctor of Jurisprudence degree from Drake University College of Law, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing.  She is licensed to practice law in Colorado and California.  

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

October 12; 5:00 p.m. MTN

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


The numbers below include tickets for this event already in your cart. Clicking "Get Tickets" will allow you to edit any existing attendee information as well as change ticket quantities.
IHA Member (101921)
$ 160.00


October 19
8:00 am - 10:00 am MDT
Event Category:
Event Tags: