CMS Hospital CoPs on Patient Rights Standards: Keys to Ensure Compliance

Event Information
Product Format
Prerecorded Event
Sue Dill Calloway, RN, MSN, JD
120 minutes
Product Description

Why Patient Rights Should Be on Your Radar in 2018

Did you know that the largest number of deficiencies for hospitals’ noncompliance with the Conditions of Participation (CoP) manual is in the area of patient rights? With more than 7,000 deficiencies in patient rights, hospitals have suffered the most mistakes regarding restraints and seclusion, followed by care in a safe setting, grievances, privacy, advance directives, confidentiality, admission status notification, and visitation and consent.

Learn how your hospital can avoid getting into hot water for these same patient rights deficiencies in this information-packed webinar by regulatory compliance expert Sue Dill Calloway, RN, MSN, JD. Discover the Centers for Medicare & Medicaid Services’ (CMS’) requirements for patient rights, which include informed consent, privacy, confidentiality of medical records, safety, advance directives, interpreters, abuse and neglect, plan of care, staffing levels, and much more.

After attending this webinar, you will have an in-depth understanding of all the patient rights requirements, as well as the new detailed section that CMS added in 2018 on ligature risks and the requirements for caring for suicidal patients. You’ll walk away with all the tools and knowledge you need to comply with the CMS CoPs and the crosswalk to the Joint Commission standard. Learn about the requirement to have a grievance committee and CMS’ requirements for advance directives, two of the mandates that hospitals too-often overlook.

Session Highlights

Here is a taste of what you will uncover:

  • Learn the best practice for physicians, nurses, and other hospital staff to comply with the CoP patient rights standards
  • Hear about what fellow healthcare professionals are doing to comply with patient rights standards (so you don’t have to reinvent the proverbial wheel)
  • Learn why patient rights standards are causing so many deficiencies and how you can avoid the same fate as other hospitals
  • Find out what the CoPs have to say about the grievance committee requirement when you already have a patient advocate on staff
  • Clear up confusion over when you do and don’t need to provide an interpreter
  • How to find current copy
  • How to find changes in the hospital CoPs
  • CMS privacy and confidentiality memo
  • Preprinted order sheet changes

Session Agenda

  • Introduction to CMS patient rights
  • CMS survey and certification website
  • The Conditions of Participation (CoPs)
  • How to keep up with the changes
  • Ligature risk
  • Deficiency reports
  • Access to hospital complaint data
  • Number of deficiencies patient rights
  • CMS proposed hospital CoP changes
  • Hospital improvement introduction
  • CMS patient rights
  • Interpreters and OCR section 1557 of the ACA
  • Patient rights and non-discrimination
  • Grievance process
  • Exercise of patient rights, consent, advance directives
  • Privacy, safety, and confidentiality
  • Restraint and seclusion

Who Should Attend

  • CEOs, COOs, CNOs, CMOs
  • Board Members
  • Joint Commission Coordinators
  • Quality Improvement Coordinators
  • Compliance Officers and Risk Managers
  • Nurse Directors, Managers, Supervisors, and Educators
  • Patient Safety Officers
  • Emergency Department Managers
  • Consumer Advocates
  • Staff Nurses
  • Clinic Managers
  • Outpatient Directors
  • Lab Directors
  • Policy and Procedure Committee Members
  • Ethics Committee Members
  • Anyone involved in implementing CMS grievance or Joint Commission complaint standards
  • Anyone responsible for implementing restraints
  • Those responsible for implementing visitation policies

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Sue Dill Calloway - Hospital Coding Expert

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education company with a focus 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. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of...   More Info
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