This ten-part online seminar series will cover a majority of the CMS Hospital CoP manual – Appendix A. (Psychiatric and Swing Bed requirements are addressed in a separate program.) It is a fantastic way to educate everyone in your hospital on all the sections of the CMS hospital manual, especially ones that apply to their department.

Non-members: Please contact Tammy Wells for more information.
Continuing Education
The Kentucky Hospital Research and Education Foundation is an approved Kentucky Board of Nursing continuing education provider. This offering number 5-0023-12-25-023 is approved for 1.2 contact hours. Participants must attend the entire session, complete the post-session evaluation, and provide nursing license number in order to receive contact hours and be awarded a certificate. No partial credit will be given. The Kentucky Board of Nursing approval does not constitute endorsement of program content.

Board and Medical Staff 

• Board requirements
• CMS by-laws
• Appointment of the MS
• Credentialing and privileges
• Medical staff and the board
• Single medical staff or unified integrated MS
• Privileging others such as PharmD, podiatrist, Registered Dietician
• Telemedicine
• CEO requirements
• Care of patients
• Plan and budget
• Contracted services

Medical Staff 

• Medical staff and Board requirements
• Shared medical staff
• MS by-laws
• Appraisal of MS
• Accountability of MS for quality of care
• Credentialing and privileging
• Telemedicine – hospital and entity based
• Hospitals part of a system – shared medical staff
• History and physicals

Utilization Review  

• Composition of UR committee
• Admission or continuous stays
• Medicare patient discharge appeal rights
• UR plan
• Scope and frequency of reviews
• Notice Law and MOON form

Appendix and Resources