CMS Hospital Conditions of Participation (CoPs) Part One: CoP Overview Through Patient Rights
Recorded Version Only
Part one of this four-part CMS Hospital Conditions of Participation (CoP) certificate training program will cover CoP basics and detail more specific information including, but not limited to:
- An overview of CMS Hospital Conditions of Participation
- A detailed look at the importance and role of the Board and CEO
- Patient Rights
- Best practices to remain in compliance with each of the discussed condition areas
This first course will provide you with a foundational understanding of the CoP, including how to find important compliance information and the details of implementing compliance policies. Following this live 90 minute session, there is a web-based exercise workbook and assessment that you must complete to finish this course.
What You Can Expect:
- 90 Minute live or recorded high-quality lecture, done from the convenience of your computer
- Self-paced exercises and test on our Learning Management System (LMS)
- Detailed score reporting
Course Agenda:
- Overview of the CMS Survey Process and Introduction
- Introduction
- Location of the manual
- Keeping up with new changes
- Hospital revised worksheets, infection control, Performance Improvement (PI), and discharge planning
- Recent changes in privacy, confidentiality, rehab, timing medications, medication errors, etc
- QIO and state agency notification - Will it be implemented?
- CMS required education
- What's really important
- Survey protocols
- Survey team
- Compliance with the law
- Board and CEO
- Board requirements
- Medical Staff by-laws
- Appointment to the Medical Staff
- Credentialing and privileges
- TJC tracer on Credentialing & Privileging (C&P)
- Medical staff and the board
- Telemedicine
- CEO requirements
- Care of patients
- Plan and budget
- Contracted services
- Emergency services
- Patient Rights
- Right to privacy and safety
- Confidentiality
- Designation of a representative
- Right to an IM Notice for Medicare patients
- What is a patient advocate/support person?
- Interpreters for non-English speaking patients
- Low health literacy
- Advance directives
- Informed consent
- Abuse and neglect
- Criminal background checks
- Grievances and complaints (TJC)
- Visitation requirement
- Patient representative
- Family member and doctor notification
- Plan of care
- Informed consent
- Advance directives
- Privacy and confidentiality
- Care in a safe setting