CMS Pharmacy and Medication: Complying with the Hospital CoPs (W3052)

Online Education   
Tuesday, October 03, 2023 10:00 AM - 12:00 PM   iCalendar Eastern Standard Time

This session is complimentary for all GHA members.

The fee is $295 for non-members.


Susan Seeley, RN, MSN, NEA-BC

Nash Healthcare Consulting

Course Curriculum

Nearly every hospital in America accepts Medicare and Medicaid reimbursement, which means these hospitals must follow the Center for Medicare & Medicaid Services (CMS) hospital regulations and interpretive guidelines. In 2020, CMS made changes to 3 of the 18 pharmacy tag numbers. However, interpretive guidelines and survey procedures are still pending from CMS.

In recent years, there has been greater scrutiny of the standards and an increase in the number of deficiencies for hospitals. These include changes regarding compounding of sterile medication and the beyond use date (BUD), the goal of which is to bring them into alignment with acceptable standards of practice.

There have also been many recent changes in the nursing section that address medication usage, including changes to timing of medication, self-administered medication, compounding, blood, and safe opioid use.

The session will also cover medication errors, which are common in hospitals today. CMS states that drug-related adverse outcomes occur in 1.9 million inpatient stays, which is almost 5% of all admissions. There are also 838,000 outpatients a year who have a drug-related adverse event. Hospitals that spend more resources on medication issues generally have lower rates.

Finally, the top problematic pharmacy standards will be discussed. CMS is now issuing a deficiency report showing when the pharmacy is cited for noncompliance. This program will show how to ensure compliance with the hospital CoPs.

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).  Approved for 2 contact hours. 

By attending the webinar CMS Pharmacy and Medication: Complying with the Hospital CoPs offered by Georgia Hospital Association, participants may earn up to 2 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation. Attendees who wish to have the hours applied toward ACHE Qualified Education credit must self-report their participation by logging into their MyACHE account and selecting ACHE Qualified Education Credit.

If you need assistance with registration, please contact the education department at or 770-249-4529

Online Education