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 5-0023-12-25-017 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.

Nursing

• Nursing services and leadership
• Leadership duties
• Supervision and Evaluation of care
• Observation of med passes/nursing care
• Medication orders
• Verbal orders
• Drugs and IVs
• Written policies and procedures for administration
• Timing of medications
• High alert drugs
• Safe opioid use and patient assessment
• Sedation scales
• IV medications
• Blood and blood products
• Nursing care plans

Clinical Records

• Patient rights – timely access, copy
• OCR actions for failure to comply
• Medical record requirements
• Content of medical record
• Informed consent requirement
• Discharge summaries
• History and physicals
• Description of response to treatment
• Entries into the medical record and identification of author
• Confidentiality of the medical record
• Release of medical records and Blocking restrictions
• Retention of records
• Information blocking
• New proposed changes to HIPAA

Appendix and Resources