Medical Records: Compliance with CMS Hospital CoPs and Proposed Changes 2018 is an event dedicated to CMS regulations and interpretive guidelines for medical records.
Medical Records: Compliance with CMS Hospital CoPs and Proposed Changes 2018 covers topics such as:
- Introduction to the CMS hospital CoPs
- CMS survey memos
- How to obtain a copy
- Changes to verbal orders, standing orders and H&P update
- Interpretive guidelines issued
- Five requirements for discharge instructions
- Proposed changes to CMS discharge planning standards and what forms would need to be changed
- How to keep posted of new changes
- Changes to transfer form, admission assessment form and discharge planning form
- Proposed changes to federal drug and alcohol drug
- Confidentiality and privacy memo
- TJC changes to comply with CoPs
- OCR new information on HIPAA
- AHIMA practice guidelines
- Autopsies
- Final changes to privacy, security, HITECH
- HITECH and Breach Notification law
- History and physicals
- Verbal orders and changes
- Incident reports
- Grievances
- Medical record education and personnel
- Medical record service requirements
- Content of records
- Author identification
- Legibility and authentication requirements
- Standing orders and protocols
- List of procedures for consent requirements
- Informed consent
- Completed medical records
- Discharge summaries
- Restraint and seclusion
- Other sections of CoPs that are important for documentation in the medical record
- Pre-anesthesia assessment
- Medication documentation
- Visitation with changes to advance directives, consent and plan of care
- Post anesthesia assessment
- Organ donation documentation
- Notification of OPO in deaths
- Anesthesia standards
Medical Records: Compliance with CMS Hospital CoPs and Proposed Changes 2018 intended for:
- Health Information Management Directors
- Chief Nursing Officers (CNO)
- Health Information Management Staff
- Radiology Directors
- Compliance Officers
- Hospital Legal Counsel
- Lab Directors
- Chief Operating Officers (COO)
- Chief Executive Officers (CEO)
- Joint Commission Coordinators
- Chief Medical Officers (CMO)
- Risk Managers
- Quality Improvement Coordinators
- Patient Safety Officers
- Nurse Educators
- Nurse Managers/Supervisors
- Emergency Department Managers
- Clinic Managers
- Staff Nurses
- Surgery Department Nurse Managers
- Medical Department Nurse Managers
- ICU Nurse Directors
- OR Nurse Directors
- Outpatient Directors
- CCU Nurse Directors
- Policy and Procedure Committee
- IS Directors
- Anyone involved in the implementation of the CMS or Joint Commission medical record and documentation standards