Loading Events
  • This event has passed.

Protocols, Standing Orders, Order Sets, and Preprinted Orders

October 29 @ 8:00 am - 10:00 am MDT

Cracking the Code of the Centers for Medicare and Medicaid Services (CMS) Hospital Conditions of Participation (CoPs) and The Joint Commission (TJC) Requirements

Our speaker will review the interpretive guidelines and regulations required by the Center for Medicare and Medicaid Services (CMS) related to standing orders, protocols, order sets, and preprinted orders. Regarding standing orders, Tag 457 will be discussed, including the four separate sections in the hospital Conditions of Participation (CoP) manual which regulate this issue, including the requirements that have been moved from Tag 405 to Tag 457. Additionally, standing orders related to medication approval and radiology standards will be reviewed.

The development of protocols and standing orders is best described as a journey. The session will provide the history of each of the four sections and what each section requires hospitals to do. Ms. Calloway will clarify this confusing area and make the requirements understandable for hospitals. This is especially important as hospitals move toward a complete electronic medical record.

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

  • Discuss why hospitals must comply with the CMS CoP requirements.
  • Give examples of the CMS requirements for standing orders and protocols.
  • Explain how all protocols must be approved by the medical staff even if the protocols are department specific.
  • Describe why a physician must sign off on the standing order along with the date and time.

Senior leadership, including CNOs and CMOs, physicians, nursing supervisors and managers, nursing staff, infection preventionists, pharmacy staff, radiology staff, performance improvement and patient safety personnel, compliance and regulatory officers, Joint Commission liaison, educators, hospital legal counsel, and others who are involved in ensuring compliance.

Sue Dill Calloway, President, Patient Safety and Health Care Education and Consulting

Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education & Consulting. She was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation.

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

Registration Deadline: October 22; 5:00 p.m. MDT | Registration fees are for one (1) connection.


Tickets are not available as this event has passed.


October 29
8:00 am - 10:00 am (MST)
$160 – $320
Event Category: