All Entries Tagged With: "Prevention and Continuous Readiness"
New CMS Anesthesia Regulations: Pre- and Post-anesthesia Evaluation
This article discusses pre- and post-anesthesia evaluations and is the fourth installment in a series outlining compliance challenges associated with the new CMS Anesthesia Services CoPs.
New CMS Anesthesia Regulations: Responsibilities of the Anesthesia Services Department
This article discusses responsibilities of the Anesthesia Services Department as part of a four-part series outlining compliance challenges associated with CMS’s new Anesthesia CoPs.
New CMS Anesthesia Regulations: Anesthesia Administration and Privileging Practitioners
This second post in a four-part series discusses who can administer anesthesia and how they should be privileged in order to comply with new CMS Anesthesia Services CoPs.
Nebraska Hospital Association Webinar on Medicare Termination to Feature Compass Clinical Consulting CEO, Kate Fenner, RN, PhD
Kate Fenner, RN, PhD, CEO of Compass Clinical Consulting, and Alton Byers, MS, FACHE, will present a webinar in collaboration with the Nebraska Hospital Association on July 27 from 1:30pm-3:30pm CT.
New CMS Anesthesia Regulations: Defining Anesthesia Services
CMS has issued changes to its Anesthesia Services CoPs. This first post in a four-part series clearly defines both anesthesia and sedation to help hospitals assess vulnerabilities in these areas.
TJC and CMS Survey Expertise Coming to A City Near You
Compass Clinical Consulting’s Practice Leader for Accreditation and Regulatory Compliance, Ruth Elzer, RN, MS, will be speaking at seminars across the country this summer. Check out the following events for the most recent information regarding compliance with the standards of The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS).
Knock, Knock, State’s Here: Reporting Restraint Deaths
In the past, hospitals were only required to report deaths that occurred in behavioral health. However, the most recent requirements – in place since 2008 – expand the types of deaths that must be reported to the Centers for Medicare and Medicaid Services (CMS) regional office.
Journal of Healthcare Management Features “Guide to CMS Compliance” by Compass Clinical Consulting Accreditation Expert Ruth Elzer
The Journal of Healthcare Management recently featured a column by Compass Clinical Consulting Practice Leader for Accreditation and Regulatory Compliance, Ruth Elzer, RN, MS. The column, which is included in the March/April edition of the journal, offers insight and practical advice and expert analysis on how to comply with regulations from the Centers for Medicare and Medicaid Services (CMS) in 2010.
Choosing the Right Tool for Hospital Risk Assessment: Focused Risk Vulnerability Analysis
by Amanda Brown, RN, MSM, CIC Part I of this series outlined the power of simple risk assessment to identify, mitigate, and eliminate hazards in the day-to-day operations of a hospital. Parts II and III will present approaches to risk assessment that are more complex and require more attention from multidisciplinary teams. In this installment, [...]
Choosing the Right Tool for Hospital Risk Assessment: Simple Risk Assessment
How can hospitals ensure that patients, employees, and visitors are safe in an environment rife with its own unique risks? The solution begins with risk assessment. This installment of our three-part series on risk assessment will describe the approach and tools that accompany simple risk assessment.
Investigating Errors: Investing in Prevention
Serious events that result in harm to patients leave a mark on a hospital, and all those involved. But, depending on the approach taken by investigators of the event, these events can teach valuable lessons that will positively impact future patient care.
In 2010, Hospitals Must Take Patient Complaints Seriously
Both The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS) require hospitals to arm patients and families with specific instructions about how to register complaints. These expectations have likely increased the volume of complaints processed over the last year. But, even more importantly, subtle changes in the content of complaints may pose a challenge for hospitals in 2010, particularly if the impact of these complaints is underestimated.
23 Days to Fix Everything: Responding to Immediate Jeopardy Findings Before It’s Too Late
An increasing number of hospitals are being forced to deal with findings of Immediate Jeopardy and subsequent termination procedures. Responding to termination procedures is inevitably stressful and confusing. To help you navigate the process, here are a couple of basic tips on what to expect and how to respond to prevent Immediate Jeopardy findings from turning into Medicare termination.
Haunted by Hospital-Acquired Conditions?
Increasing the awareness of HACs and their impact on patients and the hospital is an important step toward focusing on HAC risk reduction. As Halloween approaches, consider adopting a “Haunted Ward” for in-service education.
Just When You Thought It Was Safe to Go Tracing
The evolution of other standards and increasing pressure from the Centers for Medicare and Medicaid Services (CMS) will force tracer teams to be more knowledgeable and skilled to protect their hospitals from unexpected survey results.
The Rising Costs of Poor Quality
The fines being levied in California and other states represent only one of the potential costs of poor survey results.