CAH CoP 2020 Series- Part 4: Radiology, Contracts, Emergency Services, Rehab, Visitation, Medical Records, Surgery, Anesthesia, QAPI, Organs and Swing Beds
Description:-
At the conclusion of part three, participants should be able to:
- Explain the informed consent elements required by CMS,
- 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 when a patient expires,
- Recall that CMS has many patient rights that are afforded to patients in swing beds.
- Recall that hospitals must have a visitation policy and patients must be informed
Session Agenda:-
Radiology
- Many changes
- Radiology services
- Radiology staff
- Scope of radiology services
- Radiology policies required
Contracted Services
Emergency procedures
Visitation
- Written copy to patient and document
- Patient advocate
- When the patient is incapacitated
- P&P required
- Staff education required
Rehab section
- Order
- Plan of care requirements
Medical Records
- Final changes
- Timely access to medical records
- OCR now fining hospitals if access is not timely
- Medical record standards
- Identification of author
- Inpatient and outpatient requirements for medical records
- Records System
- Informed consent
- List of procedures required for consent
- Medical necessity and the RACs (recovery audit contractors)
- History and physicals
- Discharge summaries
- Preventing unnecessary readmissions
- Response to treatment
- Confidentiality of medical records
- Retention of medical records
- Protection of Record Information
Surgical Services
- Surgery policies required
- PACU
- OR register
- Operative report
- Surveyor in the OR
- Surgical privileges
- Designation of Qualified Practitioners
Anesthesia services
- Anesthetic Risk and Evaluation
- Administration of Anesthesia
- Pre-anesthesia evaluation
- Post-anesthesia evaluation
- Discharge
- PI required
- Healthcare-associated infections
- State Exemption of CRNAs
- Periodic Evaluation
Organ, Tissue and Eye Procurement
- Definition of imminent death
- Tissue and eye bank
- Family notification
- Organ donation
Special Requirements for CAH Providers of Long-Term Care Services (Swing beds)
- Rewritten and four changes in 2020
- Eligibility
- Payment
- SNF Services
- Resident Rights
- Exercise of Rights
- Notice of Rights and Services
- Free Choice
- Privacy and Confidentiality
- Access and Visitation Rights
- Personal Property
- Married Couples
- Admission, Transfer and Discharge Rights
- Transfer and Discharge
- Payment of care
- Content of notice
- Resident Behavior and Facility Practices
- Restraints, Abuse
- Staff Treatment of Residents
- Hiring of employees
- Activities
- Social Services
- Dental requirements
- Resident Assessment
- Comprehensive Care Plans
- Discharge Summary
- Nutrition
- Provision of Services
- Websites for CAH
- CAH resources
Presenter BIO
Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a current board member. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal and risk management issues and writes numerous publications.
Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other health care providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year. She was the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program.
She also writes many articles for Briefing on the Joint Commission. She also writes articles on ambulatory surgery and present educational programs on ambulatory surgery issues. She was affiliated with Mount Carmel College of Nursing as an adjunct nursing professor for over seventeen years. She was also a trial attorney for eight years defending nurses, physicians and healthcare facilities.
She has been employed in the nursing profession for more than 30 years. Ms. Calloway has legal experience in medical malpractice defense for physicians, nurses and other health professionals. She is also certified in healthcare risk management by the American Society of Healthcare Risk Managers.
Ms. Calloway received her AD in nursing from Central Ohio Technical College, her BA, BSN, MSN (summa cum laude) and JD (with honors) degrees are from Capital University in Columbus. She is a member of many professional organizations. She has a certificate in insurance from the American Insurance Institute.
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