Critical Access Hospitals (CAHs) must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation located in Appendix W in the manual. This nine-part webinar series will cover the CAH CoP manual.  Included is a 2-hour program on Patient Rights – one of the most cited segments of the Manual. The CAH Manual does not include a specific section on Patient Rights as does the Acute manual; but hospitals must provide a safe environment for patients and method to ensure all patient rights are met.

This series will help CAHs comply with specific CoP problem areas, such as nursing care plans, necessary policies and procedures, medication administration and drug storage, and informed consent to name a few.

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 5-0023-12-25-015 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.

 

Organizational Structure and Governing Body/Individual

• Governing body/Individual’s responsibilities
• Appointment to medical staff
• Telemedicine services and requirements
• Required disclosures

Agreements and Contracted Services

• Agreement with providers or suppliers
• Lab and diagnostic services
• Food services

Quality Assurance Performance Improvement – QAPI

• Changes to the QAPI program
• Requirements of a QAPI program
• QAPI standards
• Data collection and analysis
• Reference: Standards and guidelines for Acute hospitals

Discharge Planning

• Need for effective discharge planning process
• Discharge evaluation and plan
• Review of discharge planning process
• Requirement to assist in PAC selection

Appendix and Resources