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

July 23, 2020 @ 8:00 am - 10:00 am MDT


Due to COVID-19, the registration 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. 

This webinar will review the Centers for Medicare and 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. Our program will cover important CMS memos that discuss medication management, IV, and safe opioid use. This will cover the changes to history and physicals (H&P) informed consent, safe injection practices, compounding and beyond use dates (BUDs) and more.

Are you confused as to what the final anesthesia standards are after four revisions in a two-year period? The speaker has authored a book on the CMS anesthesia standards and can provide you with clarity and specific answers to your questions. 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 a number of policies and procedures required by CMS related to surgery and anesthesia services.
  • Describe that CMS has a section that addresses PACU requirements.
  • Recall that CMS has a list of things that must be included in the OR register.
  • Describe 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. 

CNOs, CMOs, anesthesiologists, nurses, nurse educators, quality improvement staff, regulation and accreditation 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.

Thursday, July 16; 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 23, 2020
8:00 am - 10:00 am MDT
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