Certified CMS Compliance Professional (CCMSCP)™ – Begin Your Training Today!

Gain a comprehensive understanding of the CMS Hospital Conditions of Participation and get certified. Tune in to our training programs, complete the core courses and advance your career. Getting started is as easy and fast as these simple steps:

Purchase the CMS Certificate bundle at a discounted price.
Within 24 hours our customer training specialist will contact you to set up your training schedule – or call us directly at 610-854-6307.
Receive an email with the links to download your training and resources
Watch the training programs at your own pace and earn your Certified CMS Compliance Professional (CCMSCP)™ certificate!
Portal Link Provided: All Workshops/Exams – Log-in Credentials Never Expires

Our certificate program includes 5 core courses which review the CMS Hospital Conditions of Participation (CoP) manual in its entirety. You may also choose additional elective courses from a list of training programs to gain extensive knowledge in the CMS topics you wish to study more.

Part 1: Intro through CMS Standing Orders, Order Sets, and Protocols

Part 1 covers an introduction to the interpretive guidelines and regulations required by the Center for Medicare and Medicaid Services (CMS) related to Order Sets, Protocols, Preprinted Orders, and Standing Orders- including the latest updates and requirements for the four sections.

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Summary

Standing Orders and protocols are a very confusing area for hospitals and healthcare practices. All hospitals are required to follow these regulations, as well as the Joint Commission standards on standing orders and protocols. Are you compliant in the four separate CMS hospital condition of participation sections that hospitals must be aware of? This program will cover the interpretive guidelines and regulations required by the Center for Medicare and Medicaid Services (CMS) related to Order Sets, Protocols, Preprinted Orders, and Standing Orders.

This has been a very confusing area for hospitals, as the regulations change often. This program will demystify the changes and requirements to keep your practice up-to-date and compliant. Any hospital that accepts Medicare or Medicaid patients must follow these standards for all patients. This 2 hourswebinar will answer those questions, along with focusing on:

Updates and changes in CMS requirements for standing orders and protocols in four separate sections
New protocols that must be approved by the Medical Staff, even if the protocol is department specific
The recent creation of Tag 457 and other tag changes

Who Would Benefit?

Anyone involved in ensuring compliance with the CMS Hospital Conditions of Participation related to standing orders, protocols, order sets including the CEO, Chief Operating Officer, Chief Nursing Officer, Chief Risk Officer, Chief Medical Officer, Risk Management, Hospital legal counsel, Senior Leadership, Radiology director, PI staff, Compliance Officer, Regulatory Officer, Joint Commission liaison, Pharmacy Director, Nurse Educator, Pharmacist, Rehab and Respiratory Director and staff, Patient Safety Officer, MEC committee members, Infection Preventionist, OR Manager, Anesthesia Director, Anesthesiologist, Staff Nurses, Nurse Managers, Nurse Supervisors, IS Department staff, Policy and Procedure Committee Members, and anyone involved in standing orders, protocols, order sets and preprinted orders. This includes anyone who serves on a committee that reviews standing orders, order sets, and protocols.

Program Highlights

History and development, tag changes, and final interpretive guidelines

Tag 457 – much of the content was moved from Tag 405
Tag 405 – order needed for all drugs and biologicals
Tag 406 – drugs and biologicals prepared on the orders contained in standing orders, protocols, and electronic standing orders
Tag 450 – entries in the medical record must be legible, complete and every entry must be signed, dated, and timed

CMS Memo on Standing Orders in Hospitals

Documenting and requirements for signing off as an order on a patient’s chart
Protocols used to standardize and optimize patient care in accordance with clinical guidelines or standards of practice
Formal protocols with code team or rapid response teams

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Sue Dill Calloway RN, MSN, JD is president of Patient Safety and Healthcare Consulting and Education, a company with a focus on medical legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer.

She was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.
She is a well-known lecturer and the first one in the country to be a certified professional in CMS.
She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.

Program Benefits

This online training will provide background on the four sections and what each section requires hospitals to do to be compliant. This webinar will clarify this confusing area and make the requirements understandable for hospital staff. This is especially important as hospitals move toward a complete electronic medical record. This two-hour webinar will explain and clear up any questions on tags, changes, and recording practices for hospitals.

Part 2: Restraint, Seclusion, Patient Rights through Documentation

Part 2 covers the requirements for sensitive issues such as patient restraint, records, privacy and confidentiality, a comprehensive review of quality assessment and seclusion protocols.

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Summary

The number one CMS hospital conditions of participation deficiencies involve restraints. Hospitals receiving Medicare are subject to the 50-pages of CMS interpretive guidelines. Our CMS expert, Sue Dill Calloway, will provide guidance on staff education, documenting, QAPI, face to face, reporting and more. How can you address the most problematic standard and ensure your policies and procedures are compliant? Join us for this high-impact, 2-hour online training to discover:

What CMS regulates regarding restraints and seclusion: Standards to follow
Your requirements for medical record documentation
Reporting requirements when a patient dies in restraints & the internal log
2019 proposed changes to restraint and seclusion standards
Expert guidance on the CMS interpretive guidelines

Program Highlights

CMS Regulations & Interpretive Guidelines for Restraints & Seclusion

Policies & procedures for restraint & seclusion: Ensure CMS compliance
CMS staff education & training mandate: How to comply with the rules
Breakdown of the CMS interpretive guidelines: What you need to know
Definition of restraint and seclusion and when is a drug used as a restraint

Medical Record Documentation & Log for Restrained Patients: Rules to Follow

What you must put into the medical record when death occurs in restraints
Requirements for an internal log: What you track & why
Common deficiencies & how to avoid them at your hospital

Reporting Requirements & Proposed Changes in the CMS Improvement Act

What you need to report when a patient dies in restraints or within 24 hours
Looking ahead: How to prepare for CMS proposed changes
Proposed standards regarding physician assistants ordering restraint & seclusion
Real-life examples of restraint & seclusion deficiencies & how to avoid them

Live Q&A Session: Have your questions answered!

About the Speaker

Sue Dill Calloway, RN, MSN, JD CPHRM, CCMSCP, has been a nurse attorney and medical-legal consultant for more than 30 years. She has presented numerous educational programs for nurses, physicians, and other health care professionals on topics such as patient safety, Joint Commission, CMS, and HIPAA issues.

Sue is the past Director of Hospital Patient Safety with The Doctors Company and OHIC Insurance Company. She is on the board for the Emergency Medicine Patient Safety Foundation and previously was their chief learning officer.
She has past experience as a nursing professor, medical malpractice defense attorney, and director of health policy and risk management for eight years for the Ohio Hospital Association.
Sue is also past VP of legal services, compliance officer and privacy officer for a community hospital. Sue was part of the patient safety committee and involved in risk management activities.
She has written 102 books and thousands of articles.

Program Benefits

If a CMS surveyor showed up at your hospital tomorrow would you be prepared? Does your staff understand all 50 pages of the CMS interpretive guidelines? This program will also discuss the proposed changes to restraints published in the Hospital Improvement Rule. You do not want to miss this need-to-know information- or face the consequences for non-compliance.

Part 3: Nursing Services CoPs: Nursing care plans and Compliance

Part 3 covers a comprehensive review of the medical records, pharmaceutical services, radiological services, laboratory services, changes to safe opioid use, blood transfusions & IV medication management.

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Summary

The nursing chapter of the Conditions of Participation are among the most cited CoPs with over 3,997 deficiencies in the most recent CMS report. In addition to multiple changes in the last two years, there are proposed changes you need to know for 2019.

Your nursing policies and procedures need to be up-to-date with the latest CMS Conditions of Participation and interpretive guidelines to reduce risk. How can you gain the insight you need to ensure compliance? How can you make sure that your policies and practices are up-to-date so you stay in compliance and don’t put your hospital at risk?

Our CMS expert, Sue Dill Calloway, will pro

Latest CMS Nursing Conditions of Participation & interpretive guidelines
Frequently cited problems within the nursing CoPs
Proposed changes under the Hospital Improvement Rule
Policies & procedures required to comply with the CoPs
The latest CMS memos impacting Nursing standards

Program Highlights

CMS Nursing CoP Updates: Latest Standards and Changes to Know

Latest regulations and interpretive guidelines impacting nursing services
How to ensure your policies & procedures are CMS compliant
CNO responsibilities, staffing requirements & delivery of care
Federal regulation changes made and keys to stay compliant in 2019

Avoid Costly Penalties: Policy Changes That Affect Nurses Immediately

Nursing care plans & changes to the plan of care: Keys to stay compliant
Critical requirements for standing orders, order sets & protocols
Revised CMS hospital worksheets and why they are important
Changes to safe injection practices, compounding, medication prep & more

Reduce Risk & Ensure Compliance with New Revisions: Keys to Get It Right

Standards of care and practice to prevent hospital associated infections (HAI)
Verbal orders & verbal order changes: Comply with most updated rules
Changes to safe opioid use, blood transfusions & IV medication management

Live Q&A Session – Have your Nursing CoP questions answered by the expert!

About the Speaker

She was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.
She is a well-known lecturer and the first one in the country to be a certified professional in CMS.
She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.

Program Benefits

This online training will provide background on the nursing chapter of the Conditions of Participation. This webinar will clarify this confusing area and make the requirements understandable for hospital staff. This two-hour webinar will explain and clear up any questions on updates, standards and changes amongst standing orders, order sets and protocols. You don’t want to miss this training- or risk the consequences of failing to comply.

Part 4: Infection Control Standards and Patient Safety

Part 4 covers a comprehensive review of the physical environment, infection control, discharge planning, Antibiotic stewardship program, safe injection practices, and the survey process.

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Summary

If there is one webinar your hospital should listen to this year it should be this one. Infection control is a top priority nationwide with hospital acquired infections and septic shock on the rise, resulting in hundreds of thousands of deaths annually. Compliance is more important than ever as CMS is reporting hospitals’ medical errors and infection scores, while reducing reimbursement. Join us for a two hour webinar where participants will uncover:

Need to know infection control standards to ensure CMS compliance
Critical policies & processes you must implement today
Infection control worksheet – ensure your facility is up-to-date
Stay survey ready – latest infection control prevention tools

Program Highlights

CMS Infection Control CoPs: What Your Policies and Procedures MUST Include

CMS Infection Control standards on the proposed changes
Antibiotic stewardship program requirements you need to know
QAPI requirements in infection control – critical guidance for hospitals
Documentation you must have – policies, and infection control plans

Prevent Infections at Your Hospital: Keys to Ensure Patient Safety

How to identify & address infection control hot spots
Latest CMS memos for infection control breaches, insulin pens & more
Guidelines to reduce infections – CDC’s safe injection practices
CDC guidelines and checklist – minimum expectations of safe care on outpatients

Prepare for Your Next Survey: Familiarity with the Infection Control Worksheet

Hot issues being covered during the survey process
Critical staff training required to avoid infection control breaches
Keys to develop a system to identify, report, investigate and control infections
Real examples of infection control deficiencies cited by surveyors on the worksheet

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Sue is the past Director of Hospital Patient Safety with The Doctors Company and OHIC Insurance Company. She is on the board for the Emergency Medicine Patient Safety Foundation and previously was their chief learning officer.
She has past experience as a nursing professor, medical malpractice defense attorney, and director of health policy and risk management for eight years for the Ohio Hospital Association.
Sue is also past VP of legal services, compliance officer and privacy officer for a community hospital. Sue was part of the patient safety committee and involved in risk management activities.
She has written 102 books and thousands of articles.

Program Benefits

This webinar will discuss important memos on infection control issues from CMS. It will discuss the ISMP IV guidelines and safe injection practices issues. It will cover the CDC vaccine storage and handling toolkit and the CDC procedures for cleaning and disinfecting reusable medical devices. This program will also cover, in detail, the CMS infection control worksheet used to assess compliance with the infection control hospital CoPs. Infection control is hit hard during the survey and every hospital should have a working familiarity with this important document.

Part 5: Grievance and Complaint Protocols, Discrimination, and Patient Rights Standards

Office of Civil Rights (OCR) requirements for hospitals under Section 1557 for grievances alleging noncompliance to the discrimination law, the Joint Commission complaint standards, DNV grievance requirements, HIPAA compliance when processing, and data tracking for positive outcomes.

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Summary

A recent report by CMS found that thousands of hospitals are out of compliance with the hospital CoPs. Compliance with the CMS hospital grievance requirements is widely problematic for hospitals. Join our expert, Sue Dill Calloway, as she provides guidance on these regulations as well as the Office of Civil Rights (OCR) requirements for hospitals under Section 1557 for grievances alleging noncompliance to the discrimination law. Also, gain a complete understanding of the Joint Commission complaint standards as well as the DNV healthcare grievance requirements.

Join us for this two-hour online training to discover how you can align policies, procedures, education and training with the standards to avoid noncompliance.

Section 1557: The policy required & timelines for filing grievance
Policies & procedures to ensure prompt complaint resolution
Keys to respond to grievances: The CMS 7-day rule & timeline
Critical guidelines for complying with patient rights standards
What hospitals are being cited for & steps to avoid a deficiency

Program Highlights

Patient Grievances & Complaints: Ensure CMS, TJC, OCR, & DNV Compliance

Keys to distinguishing between a grievance & complaint
Updates to Section 1557 on compliant processes
Governing boards & the complaint process – their roles & responsibilities
Real life examples – why hospitals are cited & how to avoid a deficiency

Complying with Patient Rights: How, When & What You Must Provide

Providing notice of patient rights – the latest CMS requirements
Patients’ rights to file a grievance – what you need to know
Critical requirements for your Grievance Committee

Complaint & Grievance Policies and Processes Your Hospital Must Enforce

Verbal & written requests: Ways to respond promptly & effectively
What are the HIPAA rules if the complaint is not from a patient?
Ways to track & trend data to ensure better patient care

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Sue is the past Director of Hospital Patient Safety with The Doctors Company and OHIC Insurance Company. She is on the board for the Emergency Medicine Patient Safety Foundation and previously was their chief learning officer.
She has past experience as a nursing professor, medical malpractice defense attorney, and director of health policy and risk management for eight years for the Ohio Hospital Association.
Sue is also past VP of legal services, compliance officer and privacy officer for a community hospital. Sue was part of the patient safety committee and involved in risk management activities.
She has written 102 books and thousands of articles.

Program Benefits

The third most common reason hospitals are non-compliant and get into trouble fall under the patient rights section! Don’t let this happen to your organization. Learn what you need to do to ensure complete compliance. Many hospitals are unaware how many regulations and requirements go into this problematic standard. The CMS grievance requirements have recently been a frequent source of investigation. Join us for a two hour, in-depth training that can keep you out of hot water and compliant.

Purchase CCMSCP^TM Training

Complete Certified CMS Compliance Professional Package

Price $1,199.00

Our certification program includes 5 core courses which review the CMS Hospital Conditions of Participation (CoPs) manual in its entirety. This bundle offers you complete training at a discounted price from buying each course individually. You may also choose additional elective courses from a list of training programs at the bottom of the page to gain additional knowledge. Your courses include training, supplemental materials and comprehensive exams.

Additional Courses

Complying with OCR Section 1557 and CMS CoPs: Discrimination, Interpreters, Required Signs
Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements
CMS QAPI Standards & Worksheet for 2019: Ensure Compliance
Out-of-Network Collections for Medical Practices and Organizations
HIPAA Requirements Regarding Digital Patient Communications
2019 ICD-10-CM Coding Changes and Updates

Part 1: Intro through CMS Standing Orders, Order Sets, and Protocols

Summary

Program Highlights

History and development, tag changes, and final interpretive guidelines

CMS Memo on Standing Orders in Hospitals

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Program Benefits

Part 2: Restraint, Seclusion, Patient Rights through Documentation

Summary

Program Highlights

CMS Regulations & Interpretive Guidelines for Restraints & Seclusion

Medical Record Documentation & Log for Restrained Patients: Rules to Follow

Reporting Requirements & Proposed Changes in the CMS Improvement Act

Live Q&A Session: Have your questions answered!

About the Speaker

Program Benefits

Part 3: Nursing Services CoPs: Nursing care plans and Compliance

Summary

Program Highlights

CMS Nursing CoP Updates: Latest Standards and Changes to Know

Avoid Costly Penalties: Policy Changes That Affect Nurses Immediately

Reduce Risk & Ensure Compliance with New Revisions: Keys to Get It Right

Live Q&A Session – Have your Nursing CoP questions answered by the expert!

About the Speaker

Program Benefits

Part 4: Infection Control Standards and Patient Safety

Summary

Program Highlights

CMS Infection Control CoPs: What Your Policies and Procedures MUST Include

Prevent Infections at Your Hospital: Keys to Ensure Patient Safety

Prepare for Your Next Survey: Familiarity with the Infection Control Worksheet

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Program Benefits

Part 5: Grievance and Complaint Protocols, Discrimination, and Patient Rights Standards

Summary

Program Highlights

Patient Grievances & Complaints: Ensure CMS, TJC, OCR, & DNV Compliance

Complying with Patient Rights: How, When & What You Must Provide

Complaint & Grievance Policies and Processes Your Hospital Must Enforce

Live Question & Answer Session – Have your questions answered by the expert!

About the Speaker

Program Benefits

Purchase CCMSCPTM Training

Complete Certified CMS Compliance Professional Package

Price $1,199.00

Additional Courses

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