The CMS Conditions of Participation for Acute Care Hospitals: Part 1 of 5 (Webinar W1006)

Online Education   
Thursday, January 21, 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 One: Introduction, CMS Survey Memos, Surveyor Training Material, Hospital deficiency reports, CMS 3 worksheets, CDC Vaccine, OCR 1557, Required Education, Hard Hit Areas, Board and Medical Staff, Budget, Contracts, Emergency Services, Medical Records, Standing Orders, H&Ps

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

  • Discuss how to locate a copy of the current CMS CoP manual
  • Describe that a history and physical for a patient undergoing an elective surgery must not be older than 30 days and updated the day of surgery
  • Discuss that verbal orders must be signed off by the physician along with a date and time


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.

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