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.

Continuing Education
The Kentucky Hospital Research and Education Foundation is an approved Kentucky Board of Nursing continuing education provider. This offering number 5-0023-12-25-011 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.

Introduction

• History
• Deficiencies and problematic standards for CAHs
• How to find manual, survey memos, and changes
• Recent memos that affect CAHs

Conditions of Participation

• Introduction
• Survey Protocol and Team
• Swing bed review module
• Compliance with Federal, State and Local Laws and Regulations
• Licensure of CAH
• Licensure, Certification or Registration of Personnel
• Advanced directives
• Status and Location
• Compliance with CAH Requirements
• Agreements with Rural Health Network Hospitals
• Number of Beds and Length of Stay
• Observation and the two-midnight rule

Appendix and Resources