CMS Hospital CoP Anesthesia Guidelines 2015

209 Pages·2015·6.27 MB·English

CMS Hospital CoP
Anesthesia Guidelines 2015
Speaker

Sue Dill Calloway RN, Esq.
CPHRM, CCMSCP

AD, BA, BSN, MSN, JD

President of Patient Safety and
Education Consulting

 5447 Fawnbrook Lane
 Dublin, Ohio 434017
 614 791-1468
(Call with questions, No emails)
 [email protected]

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Author of Book on the CMS Anesthesia Standards

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You Don’t Want to Receive One of These

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The Conditions of Participation (CoPs)

Regulations first published in 1986

Many revisions since then

First regulations are published in the
Federal Register then CMS publishes the
Interpretive Guidelines and some have

survey procedures 2

Hospitals should check this website once a
month for changes
1www.gpoaccess.gov/fr/index.html 2www.cms.hhs.gov/SurveyCertificationGenInfo/PMSR/list.asp

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CMS CoP Manual Called SOM

www.cms.hhs.gov/manuals/d
ownloads/som107_Appendixt
oc.pdf

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CMS Survey and Certification Website

www.cms.gov/SurveyCertific
ationGenInfo/PMSR/list.asp#
TopOfPage

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CMS Transmittals

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CMS Hospital Worksheets History
 First, October 14, 2011 CMS issues a 137 page memo in
the survey and certification section and it was pilot tested in
hospitals in 11 states
 Memo discusses surveyor worksheets for hospitals by CMS during a
hospital survey
 Addresses discharge planning, infection control, and

QAPI (performance improvement)
 May 18, 2012 CMS published a second revised edition and
pilot tested each of the 3 in every state over summer 2012
 November 9, 2012 CMS issued the third revised worksheet
and revised discharge planning one March 2014

Final ones issued November 26, 2014

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