Workplace Violence: CMS and Joint Commission Standards
  • CODE : DIXO-0013
  • Duration : 60 Minutes
  • Level : All
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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, 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.


Workplace Violence has escalated over the past 15 years, especially in the healthcare arena. Such violence is directed at providers and staff, but also towards family members and others with injuries frequently occurring to bystanders such as healthcare providers.

In November 2022, the Centers for Medicare and Medicaid (CMS), issued a memo regarding workplace safety addressing care in a safe environment. July 1, 2023, The Joint Commission’s updated standards on Workplace Violence became effective. These standards included requirements for monitoring, reports, and investigations.

This program will cover CMS standards for workplace safety and Emergency Preparedness standards, along with The Joint Commission’s Standards and Elements of Performance.

Areas Covered

  • Topics to be covered
  • General information on Joint Commission and CMS
  • Workplace Violence statistics
  • CMS memo on Workplace Violence element
  • Emergency Preparedness standards
  • Workplace analysis
  • TJC standards on Workplace Violence
      o    Definitions
      o    Environment of care
      o    Risk Assessments
      o    Worksite analysis
      o    Monitoring
      o    Reports and Investigations
      o    Human resources
      o    Leadership’s role
  • OSHA/Department of Labor guidelines
  • Joint Commission’s Emergency Management/Preparedness
  • Appendix and Resources

Learning Objectives

  • Recall CMS’s recent memo of November 2022, regarding workplace violence and providing safe environment for care
  • Discuss the updates to The Joint Commission’s Workplace Violence standards
  • Discuss the three areas within the standards impacted by the updates – Environment of Care, Human Resources and Leadership

Who Should Attend

  • Patient Safety Officers
  • Senior Leaders including CEO, COO, CNO, CMO etc.
  • Risk managers and staff
  • TJC accreditation director
  • Compliance officers
  • CMS regulatory compliance staff
  • Department directors
  • Nurses
  • Nurse Educators
  • Nurse managers and supervisors
  • Quality improvement director and staff
  • Anyone responsible to ensure quality and safety of patients and to ensure compliance with CMS or TJC standards
  • $200.00



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