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CRITICAL ACCESS HOSPITAL (CAH) CONDITIONS OF PARTICIPATION

 Date : Monday May 20, 2024  Presented By : Laura A. Dixon  Time : 1:00 PM EST
 Event Type : Live Webinar  Duration : 480 minutes  Event Category : Healthcare
 Days Left : 5 Days

For group or any booking support, contact:  cs@conferenceuniverse.com   1 (866)
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Live $999 Corporate Live 1-3-Attendees $1799 Corporate Live 1-6-Attendees $2999
Recording $999 Transcript $999 DVD $1099 Live & Recording $1599 Recording &
Transcript $1599



DESCRIPTION

Critical Access Hospitals (CAHs) must comply with the Centers for Medicare &
Medicaid Services’ Conditions of Participation located in Appendix W in the
manual. This four-part webinar will cover the entire CAH CoP manual. The
regulations and interpretive guidelines serve as the basis for determining
compliance.

There were multiple changes and new regulations for CAHs in 2020, including a
change to all the tag numbers. Most of the new Tag numbers do not include
Interpretive Guidelines or Survey Procedures. Other changes included twenty-five
new tag numbers in infection prevention and control and antibiotic stewardship
and ten new tag numbers in QAPI. As for Swing Bed changes – the regulations are
limited to Appendix W, but the interpretive guidelines and survey procedures are
in Appendix PP.

This seminar will help CAHs comply with specific CoP problem areas, such as
nursing care plans, necessary policies and procedures, medication carts and drug
storage, informed consent, and medication administration to name a few.

 

Who should attend:

CEOs, COOs, CFOs, Nurse Executives (CNO), Accreditation and Regulation Director,
Nurse Managers, Pharmacists, Pharmacist Compliance Officers, Health information
management, Nurses, Nurse Educators, Nursing Supervisors, Quality Managers, Risk
Managers, Healthcare Attorneys, Health Information Management Personnel, Social
Workers, Patient safety officer, Infection preventionist, Radiology director,
Emergency Department Directors, Outpatient Director, Medication Team, Ethicist,
Director of Rehab: OT, PT, speech pathology, and audiology, CRNA, Anesthesia
providers, Radiology staff, QAPI staff, Policy and Procedure Committee,
Dietician, Activities Director of swing bed patients, and Infection Control
Committee Members.

Continuing Education

Continuing Medical Education
This educational activity is jointly provided by AXIS Medical Education
and Texas Hospital Association.
The Texas Hospital Association is applying for approval from the following
accrediting organizations for the Critical Access Hospital (CAH) Conditions of
Participation: Ensuring Compliance 2024 Webinar Series.

In support of improving patient care, this activity has been planned and
implemented by AXIS Medical Education and Texas Hospital Association. AXIS
Medical Education is jointly accredited by the Accreditation Council for
Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy
Education (ACPE), and the American Nurses Credentialing Center (ANCC), to
provide continuing education for the healthcare team.

Credit Designation for Nursing
AXIS Medical Education designates this continuing nursing education activity
for 2.0 contact hours each.
Learners are advised that accredited status does not imply endorsement by the
provider or ANCC of any commercial products displayed in conjunction with an
activity.

Credit Designation for Physicians
AXIS Medical Education designates this live activity for a maximum of 2.0 AMA
PRA Category 1 Credit(s)™ each. Physicians should claim only the credit
commensurate with the extent of their participation in the activity.

American College of Healthcare Executives
By attending the Critical Access Hospital (CAH) Conditions of Participation:
Ensuring Compliance 2024 Webinar Series offered by Texas Hospital Association
participants may earn up to 2.0 ACHE Qualified Education Hours each toward
initial certification or recertification of the Fellow of the American College
of Healthcare Executives (FACHE) designation.

CAH Conditions of Participation 2024 – Part 1 || Time: 01 PM  || Date May 20 ||

Part One of Four: Introduction, General Information, Memos, Recent Laws, Safe
Injections, Advance Directives, Emergency Services & EMTALA, and Observation
Status

Learning Objectives:

 * Describe that CMS requires the Board to enter into a written agreement for
   telemedicine services.
 * Recall CMS 3 worksheets which a CAH can utilize as a self-assessment tool to
   enhance compliance.
 * Describe that CMS has a list of emergency drugs and equipment every CAN must
   have.
 * Recall that all CAH must comply with EMTALA requirements.
 * Recall that the average length of stay in a CAH should not exceed 96 hours on
   annual basis.

CAH Conditions of Participation 2024 – Part 2 || Time: 01 PM  || Date May 21 ||

Part Two of Four: Physical Plant & Environment, Emergency Preparedness,
Governing Board, Pharmacy and Dietary

Learning Objectives:

 * Explain the responsibilities of the pharmacists that include developing,
   supervising, and coordinating activities of the pharmacy.
 * Describe the benefits and requirements for CAH to utilize Compounding
   Pharmacies.
 * Recall the requirements for security and storage of medications, medication
   carts and anesthesia carts.
 * Discuss the requirement for dietary to meet the nutritional needs of patients
   and requirements of a dietitian.

CAH Conditions of Participation 2024 – Part 3 || Time: 01 PM  || Date May 22 ||

Part Three of Four: Infection Prevention and Control and Antibiotic Stewardship,
Safe Medication Administration, Laboratory, Provision of Services: Outpatient,
Laboratory, Nursing; and Discharge Planning

Learning Objectives:

 * Recall that the infection preventionist must be appointed by the board.
 * Discuss that insulin pens can only be used on one patient.
 * Describe that an order is needed to allow the patient to self-administer
   medications.
 * Explain the three-time frames in which to administer medications.
 * Discuss that CMS requires that a plan of care be done.

CAH Conditions of Participation 2024 – Part 4 || Time: 01 PM  || Date May 23 ||

Part Four of Four: Radiology, Rehab, Visitation, Medical Records, QAPI, Organ
Procurement, Swing Beds

Learning Objectives:

 * Describe the requirements for history and physicals for CAH.
 * List what must be contained in the operative report.
 * Discuss what the CAH must do to comply with the requirements for notification
   of the organ procurement (OPO) agency.
 * Recall that CMS patient rights are in Swing Beds section.

 

PRESENTED BY : LAURA A. DIXON

Laura A. Dixon served as the Director, Facility Patient Safety and Risk
Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon
provided patient safety and risk management consulting and training to
facilities, practitioners, and staff in multiple states.

Such services included the creation of presentations on risk management topics,
assessment of healthcare facilities; and development of programs and compilation
of reference materials that complement physician-oriented products.

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 of, Western
Region, Patient Safety, and Risk Management for The Doctors Company, Napa,
California.

In this capacity, she provided patient safety and risk management consultation
to the physicians and staff in the western United States. Ms. Dixon’s legal
experience includes representation of clients for Social Security Disability
Insurance providing legal counsel and representation at disability hearings and
appeals, medical malpractice defense, and representation of nurses before the
Colorado Board of Nursing.

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

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