Description

Emergency Services Legal and Risk Management Updates 2021: Complying with the CMS Hospital CoPs

This webinar covers the hospital CoPs that affect the emergency department. These interpretive guidelines are located in two separate sections of the hospital CoP manual.

Any hospital that accepts Medicare must follow the CMS CoPs and for all patients. This section discusses staffing requirements, provision of services both on and off-campus, EMTALA, required policies and procedures, training requirements, medical director requirements, and compliance with standards of care. It will also discuss the requirements for restraint and seclusion, grievances, and protocols.

This program will help educate what hospital emergency departments need to do to prevent being out of compliance with the CMS hospital requirements.

Objectives:-

• 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 has required if the patient files a grievance

Detailed Outline:-

• Introduction
• Location of the manual
• Survey memos
• Access to complaint data
• EMTALA and 2019 changes
• Required policies
• Hospitals without emergency departments
• Staff training
• Transport policies
• On-campus and off-campus responsibilities
• Medical Staff and emergency procedures
• Meeting needs of patients
•  Following standards of care
  • ACEP and ENA
• QAPI
• Lab, x-ray, medical records, surgery responsibilities
• Qualified medical director required
• Equipment and supplies
• Staffing
• Restraint and seclusion and November 29, 2019 change
• Grievance
• Protocols

Who Should Attend?

• Emergency department physicians
• Nurses
• Mid-level providers (PA and NP)
• Chief medical officer
• Chief nursing officer
• Compliance officer
• Patient safety officer
• In-house legal counsel
• Risk managers
• Director of regulatory compliance
• Nurse supervisors
• Anyone who is responsible to ensure compliance with the hospital conditions of participation.