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Medical Staff, Telemedicine and Other Changes: Meeting CMS Conditions of Participation and TJC Standards

August 31 @ 8:00 am - 9:30 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.

There are over 2,180 deficiencies from the Centers for Medicare & Medicaid Services (CMS) related to the medical staff section. Three significant changes became effective on November 29, 2019 to the CMS Conditions of Participation (CoPs) under the transparency bill, discharge planning and hospital improvement rule, all of which will be discussed in this webinar. This discussion will include changes to the history and physicals for healthy patients having outpatient procedures as well as changes to the autopsy rules. The board and medical staff sections will be considered in detail. There will also be a concurrent discussion of the Joint Commission (TJC) standards for medical staff.

Although telemedicine has been a factor in healthcare for many years, COVID-19 gave it a larger role in diagnosis and treatment of patients. It is anticipated that the telemedicine boom will outlive the coronavirus, CMS has made many changes to the regulatory standards of telemedicine during the COVID-19 pandemic. These standards, along with the 1135 telemedicine waivers, and the new tag numbers for critical access hospitals in 202 and 2021 will be covered in this presentation.

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

  • Recall that CMS has a section related to the medical staff.
  • Articulate that hospitals can have a separate medical staff or a unified shared and integrated medical staff.
  • Recall that CMS will allow the Medical Staff to credential qualified non-physicians to write orders, if state law allows.
  • Recite the requirements for a medical staff under TJC standards.
  • Explain the Joint Commission standards on telemedicine.

Chief Executive Officer, Chief Operating Officer, Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Joint Commission Coordinator, 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 20 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.

August 24; 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.


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IHA Member (083121G)
$ 160.00


August 31
8:00 am - 9:30 am MDT
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