The CMS Conditions of Participation for Acute Care Hospitals: Part 5 of 5 (Webinar 1010)

Online Education   
Thursday, February 18, 2021 10:00 AM - 12:00 PM   iCalendar

The fee for each session is $225 for GHA members, $195 for members of any affiliated GHA Society, and $295 for non-members. Contact the Education Department to register for the full series and the fifth session is free!

Please note: To support social distancing and remote work, a single registration provides unlimited lines for all employees and trustees of your hospital, including a link to view the recording. Please register just one person from your facility and have that person share the access information with others who wish to participate.

Laura A. Dixon, BS, JD, RN, CPHRM
Healthcare Risk Education and Consulting, LLC

Course Curriculum
Every hospital that accepts payment for Medicare and Medicaid patients must comply with the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs). The manual has interpretive guidelines that must be followed for all patients treated in the hospital or hospital owned departments. Facilities accredited by the Joint Commission (TJC), HFAP, CIHQ, and DNV GL Healthcare with Deemed Status must follow these regulations.

This five-part webinar series will cover the entire CMS Hospital CoP manual for acute care hospitals. Each section of the manual will be discussed including those which had recent updates and still-pending Interpretive Guidelines.

Part Five Infection Control, Discharge Planning, Organ, Surgery, PACU, Anesthesia, ED, Outpatient, Rehab, and Respiratory

Objectives: At the conclusion of part five, participants should be able to:

  • Discuss that CMS requires many policies in the area of infection control
  • Describe that all staff must be trained in the hospital’s policy on organ donation
  • Recall that CMS has specific things that are required be documented in the medical record regarding the post-anesthesia assessment
  • Recall that CMS has finalized the discharge planning worksheet and changes to the standards


CEO, COO, CNO, CMO, quality managers, consumer advocates, nurses and nurse educators, department directors, risk managers, hospital legal counsel, compliance officers, Joint Commission liaisons, case managers, pharmacists, social workers, discharge planners, PI coordinators, patient safety officers, dieticians, infection control and prevention staff, medication management teams, and anesthesia and surgery staff

Continuing Education Credits
The Georgia Hospital Association Research & Education Foundation is an approved provider of nursing home administrator credits as a professional trade association in long term care under Ga. Comp. R. & Regs. 393-13-.02, (1) (a). Each session is approved for 2 contact hours.

If you are registering for an out-of-state hospital association, please contact the education department at, or 770-249-4542.

Online Education   

Map & Directions