Offered Through Partnership with Georgia Hospital Association

OVERVIEW
This webinar covers the Centers for Medicare & Medicaid Services (CMS) hospital Conditions of Participation (CoP) that affect the emergency and outpatient services departments. Any hospital that accepts Medicare must follow the CMS CoPs for all patients.

The webinar will review staffing requirements, provision of services both on and off-campus, EMTALA, required policies and procedures, training requirements, medical director requirement, and compliance with standards of care. It will also discuss the requirements for restraint and seclusion, grievances, and protocols.

This program will also cover the final changes to the outpatient section, published in the Hospital Improvement Rule that went into effect Nov. 29, 2019. The hospital will be required to have a policy and designate which outpatient departments will require a registered nurse, and additional changes will be discussed.

LEARNING OBJECTIVES
By the end of this presentation, learners should be able to:

• Recall that CMS has a section in the hospital CoP manual on emergency services.
• Discuss that CMS requires the emergency department to have specified policies and procedures.
• Describe that there are restraint and seclusion standards that staff must follow.
• Explain what is required if the patient files a grievance.
• Recall that CMS has a section in the hospital CoP manual on outpatient services.
• Discuss that the outpatient department must follow standards of practices.
• Describe that an order is needed for any outpatient test or procedure.
• Recall that hospitals must have a policy and list of all the outpatient departments and which ones must be staffed with a registered nurse.

SPEAKER: Sue Dill Calloway
Sue Dill Calloway is president of Patient Safety and Healthcare Consulting and Education Company, where she focuses 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. Previously, Sue was a director for risk management and patient safety for the Doctors Company. She was the VP of legal services at a community hospital and served as the privacy officer and the compliance officer. She was also a medical malpractice defense attorney for 10 years and has three nursing degrees in addition to a law degree. She is a well-known lecturer and the first in the country to be a certified professional in CMS. She has written 102 books and thousands of articles.