CMS Regulatory Requirements For Emergency Preparedness Programs and TJC Compliance
From: Oct 26, 2023 - To: Dec 31, 2023
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 – revised the 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 must have a written program to address the various natural and man-made emergencies that may impact care delivery 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 personnel training. There will also be a brief discussion of references and resources from The Joint Commission.
Learning Objectives:-
After the webinar, attendees will be able to:
Recall critical definitions used in the regulations
Identify the three critical essentials for emergency preparedness
Recall the four core elements of an emergency preparedness program
Recall the critical responsibilities of a facility when the emergency preparedness plan is activated.
Outline:-
Definitions and Identification of State Operations Manual
Listing of code references by facility type
Key definitions
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
Communications Plan
Training and Testing
Integrated Healthcare Systems
Joint Commission Standards
Emergency Management Standards and elements of performance
Active shooter
Resources and Links
Who Should Attend:-
CEO
Compliance Officer
Chief Medical Officer
Chief Nursing Officer
Nurse Education
Nurse Directors/Supervisors
Risk Managers
Compliance officer
Patient Safety Officers
Quality Improvement staff
Hospital Legal Counsel
QAPI Director
Safety/Security Officers
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