Acute Care Hospital CoPs Part 5

This is part 5 of a 5-part series.  This five-part webinar series will cover the Centers for Medicare & Medicaid Services (CMS) Hospital Conditions of Participation (CoPs) manual, Appendix A. This series will discuss the most challenging standards within the CMS CoPs manual and will show how hospitals can do a gap analysis to assist in compliance. Every hospital that accepts payment for Medicare and Medicaid patients must comply with the CMS CoPs. The manual also has interpretive guidelines, which serve as the basis for determining hospital compliance, that must be followed for all patients treated in the hospital or hospital-owned departments. Although some changes from 2020 have pending interpretive guidelines and survey procedures, hospitals are still expected to comply with the regulations. This series will include a review of the 2020 changes and the 2023 updates. Facilities with deemed status accredited by the Joint Commission (TJC), HFAP, CIHQ, and DNV Healthcare must also follow the CMS CoPs regulations.

Click here for meeting brochure.

Learning Objectives include:

  • Discuss that CMS requires many policies for infection prevention and control.
  • Recall that patients referred to a post-acute care provider (PAC) must be given a list in writing of those available and the list must be documented in the medical record.
  • Describe that all staff must be trained in the hospital’s policy on organ donation.
  • Recall that CMS requires specific items to be documented in the medical record regarding the post-anesthesia assessment.
2/15/2024 9:00 AM - 11:00 AM
Central Standard Time
9:00-11:00 AM
Please Note: You must be an OHA member and be logged in to register online. Any employee of an OHA member hospital can obtain a login by contacting [email protected].

Sign In

To register online, you must be an OHA member and be logged in. If you do not know your login username and password, please email [email protected]  or call (405) 427-9537.