CMS Regulatory Requirements For Emergency Preparedness Programs And TJC Compliance
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Speaker : LAURA A DIXON
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When : Wednesday, November 06, 2024
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Time : 03 : 00 PM EST
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Laura A. Dixon, BS, JD, RN, CPHRM
Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.
Prior to joining COPIC, she served as the Director, the Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States.
Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management.
As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse
Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
The COVID-19 pandemic and multiple natural and man-made disasters over the past few years have required hospitals to activate their emergency preparedness plan. In anticipation of patient injury because of such disasters, CMS – Centers for Medicare and Medicaid Services – revised the Emergency Preparedness Conditions of Participation for hospitals in 2020.
This webinar will cover CMS regulations for a facility regarding emergency preparedness with the recent updates to include emerging infectious diseases. All covered facilities are required to have a written program to address the various natural and man-made emergencies that may impact the delivery of care and patient safety. Training of staff and testing of the program must be done. This program will cover the required elements for compliance with CMS regulations, including mandatory testing and training of all personnel. There will also be a brief discussion of references and resources from The Joint Commission.
Learning Objectives
At the conclusion of the webinar, attendees will be able to:
- Identify the 3 key essentials for emergency preparedness
- Recall the 4 core elements of an emergency preparedness program
- Recall key responsibilities of a facility when the emergency preparedness plan is activated.
- Describe when and the extent of an exemption to mandatory testing could occur.
Areas Covered
Identification of State Operations Manual
- Introduction
- Overview of Appendix Z
- Abbreviations used by CMS
Core Elements
- Emergency plan – basics and requirements
- Risk Assessments
- Policies and procedures needed
- Items for plan development
- Patient populations
- Continuity of operations
- Cooperation and collaboration with local, tribal, regional, State and Federal officials
- Power sources
- Evacuations or Shelter in Place
- Alternate care sites
- Communications Plan
- Training and Testing
- When an exemption to testing may apply
- Emergency and standby power systems
- Integrated Healthcare Systems
Joint Commission standards
- Emergency management Standards and elements of performance
- Active shooter
Who Should Attend
- CEO
- Compliance Officer
- Chief Medical Office
- Chief Nursing Officer
- Nurse Education
- Nurse Directors/Supervisors
- Risk Managers
- Compliance officer
- Patient Safety Officers
- Quality Improvement staff
- Hospital Legal Counsel
- QAPI Director
- Emergency/Disaster Preparedness Officer
- Safety/Security Officers
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$200.00
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