CMS Hospital Surgery, Anesthesia, and PACU, CoP Requirements: Are You in Compliance?

Описание: Learn Here, https://bit.ly/3ANt6s6

This program will cover the CMS hospital CoP standards for surgery, anesthesia, and PACU. Every hospital that accepts Medicare and Medicaid must follow these standards and they must be followed for all patients. This program will cover some of the important CMS memos that discuss medication management, IV, and safe opioid use. This will cover the changes to H&P that went into effect in November 2019 and February 2020. Some of the changes include the options for hospitals to elect to do an assessment on healthy outpatients undergoing surgery or a procedure instead of an H&P.

This program will go over the number of reported CMS deficiencies and types received by hospitals. This has many important issues such as informed consent, H&Ps, safe opioid use, safe injection practices, compounding, and beyond use dates (BUDs).

This program will discuss the many standards required by the surgery department and anesthesia including required policies. Hospitals will need to make sure their policies and procedures reflect these requirements.

This program will cover the current CMS guidelines, including the current interpretive guidelines regarding pre-anesthesia evaluations, post-anesthesia evaluation, and anesthesia services. Hospitals are required to have many policies including one on specific clinic situations involving anesthesia or analgesia. This includes interpretive guidelines on moderate sedation and deep sedation. It impacts moderate and deep sedation done in other places like the emergency department and GI lab and patients who have ECTs.

The history and physical and informed consent form must be on the chart before surgery except in an emergency. An exception is made for young healthy outpatients if hospitals implement policies and follow the requirements.

A study found that 66% of the time the consent was missing which resulted in a delay of 10% of surgical procedures. This costs the average hospital almost $600,000 a year. What surgical equipment is required? Come learn the answers to these questions and many more.

Objectives:-

Recall that there are a number of policies and procedures required by CMS related to surgery and anesthesia services
Describe that CMS has a section that addresses PACU requirements
Recall that CMS has a list of things that must be included in the OR register
Describe what information is required for informed consent and that it should be on the chart before surgery
Discuss the 48-hour requirements for the post-anesthesia evaluation of both inpatients and outpatients

Outline:-

Surgery and PACU

CMS deficiency report
CMS current manual and new website
CMS Certification and Survey Memos
Humidity in the OR
Safe injection practices
Infection control breaches memo
CMS worksheets with a section on safe injection practices
What constitutes surgery?
Infection control in ORs
Equipment, temperature, humidity
Supervision in the OR
Scrub tech and circulators
Surgical privileges
Surgery policies required
Preventing OR fires
History and physical 2019 & 2020 changes
Informed consent
OR register
PACU standards
Operative report requirements
Surgery equipment required
PACU standards
Monitoring of patients receiving opioids

Anesthesia

Must comply if the hospital does any type of anesthesia
Director of Anesthesia Services
Anesthesia versus analgesia
General, regional, MAC, topical, minimal sedation, moderate sedation
Rescue capacity
OR, Radiology, ED, Clinics, Psychiatry and other sites where anesthesia is provided
QAPI
Director of Anesthesia responsibilities
Who can administer anesthesia
Scope of practice for CRNA and Anesthesia Assistants
CRNA state exemption
Anesthesia Policies required
Criteria for privileges
Pre-anesthesia assessment
Post-anesthesia evaluations
Consent, infection control, documentation, safety policies required
Documentation requirements
Intraoperative anesthesia record requirements

Who Should Attend?

Director of the OR and OR nurses/staff
PACU Nurse Manager/PACU nurses
Chief of Anesthesia
Anesthesiologist
CRNAs
Anesthesia Assistants
Medical Credentialing Staff
Patient Safety Officer
Risk Manager
Chief Nursing Officer (CNO)
Chief Medical Officer (CMO)
Chief Operating Officer (COO)
Chief Executive Officer (CEO)
OB Nurses and Nurse Director
Joint Commission liaison
Quality Improvement Director
Regulation and Accreditation Director
Nurse Educator
PI Director
Compliance Officer

Speaker:-
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 and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. She has 20+ years of clinical experience