This eleven-part online seminar series will cover a majority of the CMS Hospital CoP manual – Appendix A. It is an excellent way to educate everyone in your hospital on multiple sections of the CMS hospital manual, especially ones that apply to their department.

Every hospital that accepts payment for Medicare and Medicaid patients must comply with the Conditions of Participation. The manual has interpretive guidelines that must be followed for all patients treated in the hospital or hospital owned departments. Facilities with deemed status accredited by other accrediting associations - The Joint Commission, HFAP, CIHQ, and DNV Healthcare must follow these regulations.

Sections addressed include infection prevention and control and antibiotic stewardship program, QAPI, medical record services, dietary, utilization review, emergency services, surgical services, anesthesia, PACU, medical staff, nursing services, lab, rehabilitation, radiology, respiratory, physical environment, pharmacy, organ and tissue procurement, patient rights including restraint and seclusion, discharge planning and the new obstetrical services regulations.

The interpretive guidelines provide rationales for the regulation and serve as the basis for determining hospital compliance. Though some changes from 2020 continue to have interpretive guidelines and survey procedures pending, hospitals are still expected to comply with the regulations. This program will include the 2020 changes, 2023, 2024 and 2025 updates and where some of the gaps continue, including absence of interpretive guidelines and survey procedures, and any recent updates.