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There were multiple changes to the hospital nursing chapter of the conditions of participation (CoPs) in 2020 and it is anticipated there will be additional changes in 2021. There have been over eighteen CMS survey memos of importance issued relating to nursing in the recent past. The final changes were in the Hospital Improvement Rule. This program will discuss plans of care, staffing, policy changes, when an RN is required in an outpatient department, documentation, supervision, nursing leadership, verbal orders, antibiotic stewardship program requirement, and more.
CMS has issued deficiency reports which include the most problematic standards for hospitals. The nursing services have been cited over 5,635 times according to the most recent report. This webinar by industry expert Laura A. Dixon, BS, JD, RN is a must-attend program for any chief nursing officer, clinical nurse, or nurse supervisor, or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing. Laura will discuss the deficiencies and how hospitals can ensure compliance.
CMS made previous revisions to IV medication administration, blood transfusion, safe injection practices, compounding, beyond-use date (BUD), and implemented safe opioid standards. Hospitals continue to struggle with how to comply with these complicated standards, especially the safe opioid interpretive guidelines.
There are many changes in the past to this section include timing of medications, standing orders, soft wrist restraints, and restraint reporting, plan of care, verbal orders, blood transfusions, IV medication, compounding, BUD, antibiotic stewardship program, safe injection practices, self-administration of medications and drug orders.
CMS also issued the final worksheets on QAPI, discharge planning, and infection control which should be on the radar screen of all department managers especially because there were changes in 2020 in all these sections and with interpretive guidelines and survey procedures still to be decided by CMS. There are also proposed changes to the infection control worksheet which will be discussed.
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. Laura will cover the nursing services section in the hospital CoP manual. Facilities accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV GL Healthcare must also follow these regulations.
During the webinar, Laura will also reference other important sections that all nurses should be aware of that are found outside the nursing services section such as the revised discharge planning standards, medication standards, revised history and physicals, visitation, restraint and seclusion and grievances, and privacy and confidentiality. CMS issued the privacy and confidentiality memo, safe injection practices memo, humidity memo, and insulin pen memo.
This section contains many problematic standards for hospitals including the nursing care plan standards and that an order is required for all medication especially if standing order or protocol used. Staffing, medications, a three-time frame for administering medications, and educational requirements will be discussed along with changes in standing orders and protocols. CMS starting issuing deficiency reports and this will be covered so hospitals are aware of which are the problematic tag numbers.
