The CMS Conditions of Participation for Acute Care Hospitals: Part 2 of 5 (Webinar W1007) - CEUs

Online Education   
Thursday, January 28, 2021 10:00 AM - 12:00 PM   iCalendar

b>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 Two, Patient Rights: Advance Directives, Consent, Interpreters, Grievances, Exercise of Patient Rights, Disclosures, Privacy, Safety, Ligature Risks, Abuse and Neglect, Confidentiality, Restraints and Visitation

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

  • Recall that CMS has restraint standards that hospitals must follow
  • Describe that the patient has a right to file a grievance and the hospital must have a grievance policy and procedure in place
  • Recall that interpreters should be provided for patients with limited English proficiency and this should be documented in the medical record
  • Discuss the patients’ rights regarding Advanced Directives


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