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Medical Records (CMS CoPs) 2023

Product Id : FDA306
Instructor : Lena Browning
May 11, 2023 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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Description

Are you up to date on the recent CMS Conditions of participation (CoPs) changes?  

Medical Records is an extremely important section - with new requirements that were just released.

Failure to comply will cost you. The first hospital that failed to release medical records in a timely manner, in accordance with the new rules, was fined $85,000

Don’t let that happen to you - this program will cover the latest CMS regulations and new guidelines for medical records. This includes top areas of focus, such as: verbal orders, medical history, standing orders, discharge, medication orders, and more.

Join us for this informative 120-minute workshop to maximize compliance and minimize risk, plus: 

Crucial CMS requirements that you may be missing 

  • The most up-to-date information on electronic records and verbal orders 
  • New procedures for discharge recording and information collection 
  • What you need to submit within 7 days to be compliant 
  • CMS Final Discharge Planning Standards and final changes to the Hospital H&P CoPs 

Program Highlights

  • Introduction to the CMS hospital CoPs 
  • Latest CMS Survey memos 
  • Interpretive guidelines for hospitals 
  • Changes to verbal orders, standing orders and H&P update
    • How to keep posted of new changes 
    • Confidentiality and privacy memos 
    • MOON form 
    • IM and detailed notice forms 
    • Transfer form requirements and recent changes 
    •  Final changes to federal drug and alcohol drug 42 CFR Part 2 
    • OCR information on HIPAA on patient access vs authorization 
  • Grievances and incident reports 
  • Medical record service requirements, educational needs and personnel 
  • Legibility and authentication requirements 
  • Informed consent
  • List of procedures for consent requirements 
  • New changes for discharge summaries and processing 
  • Completed medical records  
  • Other sections of CoPs that are important for documentation in the medical record
  • Medication documentation 
  • Pre/ Post Anesthesia assessment and standards 
  • Visitation with changes to advance directives, consent and plan of care 
  • Notification of OPO in deaths 
  • Organ donation documentation 

Question and Answer Session - Hear expert answers to real-world questions!

Who Should Attend:

CEOs, chief operations officers, chief nursing officers, chief legal officers, nurses and medical staff, quality managers, nurse educators, risk managers, compliance officers, chief of health information, pharmacists, social workers, discharge planners, patient safety officers, outpatient director, director of rehab, infection control, directors of radiology.

Speaker Profile:

Lena Browning, MHA, BSN, RNC-NIC, CSHA

Lena Browning is a nurse leader and accreditation specialist with more than twenty-five years of experience in clinical leadership in acute care settings. Throughout her career, she has demonstrated a commitment to improving patient safety by empowering staff and leadership to maintain continuous compliance and achieve excellence in patient care across healthcare settings. As a Principal Consultant with Compass Clinical Consulting, Lena served as team lead for the accreditation and regulatory compliance survey team.  Lena has a strong commitment to client relationships and provides support to retainer clients to ensure patient safety and quality of care.  Most recently, Lena has fulfilled 3 Interim positions as Director of Accreditation and was responsible for restructuring accreditation departments and leading organizations in continuous compliance and preparation for survey readiness for their triennial Joint Commission (TJC) or Centers for Medicare and Medicaid Services (CMS) survey.  Since then, those three organizations have had successful surveys with no condition-level findings.  Additionally, Lena has successfully coached numerous organizations through Immediate Jeopardy situations with all organizations getting the IJ lifted, and no condition level findings noted on return surveys.  She is a true pioneer in leadership development and coaching for excellence in healthcare accreditation.

Prior to consulting, Lena had over 2 decades of experience in Accreditation and Regulatory leadership. As an expert for CMS, TJC, and state regulations, she has performed system-wide tracers for continuous readiness and patient safety, coordinated accreditation and regulatory surveys, chaired, and facilitated continuous readiness committees, and coached staff and leadership in effective compliance and performance improvement strategies.  Additionally, Lena has extensive experience in Quality and Patient Safety, Performance Improvement, Medical Staff Credentialing and Privileging, Contract Management, and Strategic Planning for Hospitals and Home Care Agencies.    

Lena earned her Master of Healthcare Administration from the University of Southern Indiana and her Bachelor of Science in Nursing from Murray State University. She is a Registered Nurse Certified in Neonatal Intensive Care, a Certified Specialist in Healthcare Accreditation, and holds numerous certifications in basic life support, neonatal and pediatric advanced life support, and newborn resuscitation and post-resuscitation stabilization. Additionally, she is a member of the Association for Professionals in Infection Control and Epidemiology (APIC).

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