CMS Hospital Restraint and Seclusion: Simplifying the Complex & Problematic Standards

Product Id : HE102
Instructor : Sue Dill Calloway
Feb 25, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

Overview

For long, restraint and seclusion has been a problematic area of compliance for hospitals with both the CMS and the Joint Commission citing them as the number one area of deficiency in the CMS CoPs. Perhaps, also because restraint policy is one of the hardest to write and understand in healthcare today.

Also, The CMS issues a quarterly memo summarizing the deficiencies against hospitals and every hospital that accepts Medicare patients have to understand and comply with the 50-pager CMS restraint and seclusion interpretive guidelines.

Also, The CMS issues a quarterly memo summarizing the deficiencies against hospitals and every hospital that accepts MedicPhysicians or providers responsible in ordering restraint must be trained in the hospital’s policy and hospital staff educated on the interpretive guidelines. And it should be an ongoing training program not a one-off event. The CMS training manual itself includes 10-pages of training requirements. The CMS suggests that hospital train their staff from 8-16 hours every year on restraint and seclusion but this is rarely done. The restraint standards are 50 pages long and many hospitals just don't have an order form and documentation form to help staff comply with the regulations and interpretive guidelines.are patients have to understand and comply with the 50-pager CMS restraint and seclusion interpretive guidelines.

This webinar by healthcare safety and compliance expert, Sue Dill Calloway, RN, MSN, JD, will discuss and simplify the most complex and problematic standards in the restraint section. You will learn about the proposed changes to restraints published in the Hospital Improvement Rule and reporting requirements for patients who die in restraints and within 24 hours of being in a restraint.

This program will also provide a crosswalk to the Joint Commission standards and take the mystery and uncertainty out of these confusing regulations.

Session Highlights:

  • Reporting requirements for patients who die in restraints with 24 hours of a restraint
  • Education on hospital policy for physicians and others who order restraints
  • Understand CMS restraint education requirements for staff
  • Documentation in the medical record for face-to-face evaluation of patients who are violent or self-destructive
  • Restraint protocols
  • Overview of hospital deficiencies and CMS deficiency reports
  • Proposed changes in the hospital improvement rule
  • Changes by CMS in internal log and soft wrist restraints
  • Updated and current manual on:
    • Medical restraints
    • Behavioral health restraints
    • Violent and self-destructive behavior
  • Definition of restraint and seclusion
  • Leadership responsibilities
  • Two soft wrist restraints, internal log and documentation
  • Things that does not include restraints
  • Implementing a culture of safety
  • Need order ASAP
  • Documentation requirements
  • Least restrictive requirements
  • Training for RN doing one hour face-to-face assessment
  • New training and death reporting requirements
  • Revisions to the plan of care
  • Staff education
  • Monitoring of patient in R/S
  • Joint Commission Hospital Restraint standards and differences from CMS

Who Will Benefit:

  • Nurses in direct patient care
  • Compliance officers
  • Chief nursing officers
  • Chief of medical staff
  • Nurse educators
  • Medical staff coordinators
  • ED physicians
  • Patient safety officers
  • Accreditation and regulation staff
Speaker Profile:

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Education 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.


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