Hospital Management
CMS Regulatory Requirements For Emergency Preparedness Programs And TJC Compliance
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..
Nurse To Nurse Bullying: A Sepsis In Healthcare
Nurse-to-nurse bullying threatens the safety and well-being of patients and nurses. The misconduct is a major problem for all nurses and causing 60% of new nurses to leave their first nursing position and 1 in 3 nurses to quit the profession. Sometimes the bullying is so subtle it is almost invisible yet causes cumulative damage to the targeted nurse as well as those nurses who witness the behavior. The Joi..
The Federal False Claims Act: Enforcement and Recent Updates
The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how healthcare providers may be at risk. In addition, the session will review recent cases and show how they potentially impact healthcare providers.We will start with a review of the Federal False Claims Act and discuss how it works and how..
Becoming a Renaissance Human: How Neuroscience, Da Vince, and HeartMath Can Make You a Full Human
The speaker is a man on a mission. After recovering from a couple of life-threatening illnesses and re-committing to his full creative expression, people began calling him a "renaissance man". Realizing his zeal for life had returned but aware of how many millions of people have lost their creative spark, he began creating processes and programs to help people and organizations with full creativity.Then the..
Stark After Tuomey, Intermountain Health, Akron General, Prime Healthcare and Kalispell Regional.
The session will provide an overview of the physician anti-referral law (known as Stark II), and its available exceptions. It will also show how violation of Stark II can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact participants.Claims filed by h..
Team Synergy: How to Harness Collective Intelligence to Maximize Individua Skills and Talents for Powerful Results
The speaker developed a model for team success and performance called Inner Quality Management. There are four facets of IQM:Internal Self-ManagementCoherent CommunicationBoosting Organizational ClimateStrategic Processes of RenewalHe worked with teams on four continents capturing best practices from the highest-performing teams.He observed the success of phenomenal sports teams like the Golden State Warrio..
Physician Employment Agreements: Problem Areas that can be Landmines
We will review the elements of the physician employment agreement that can cause the greatest problems, focusing on the pitfalls and the complications that can develop when the parties do not fully understand what is being agreed to. Such items as corporate practice, term and termination, termination for cause, duties of the physician, call, non-compete clauses, and compensation are all items that should be..
The Coherent Organization: Sustainable, Healthy, Compassionate, Effective
The Coherent Organization is based on a model for organizational performance developed by Bruce Cryer, called Inner Quality Management. There are four tenets of IQM, outlined in Bruce’s book, From Chaos to Coherence.Internal Self-ManagementCoherent CommunicationBoosting Organizational ClimateStrategic Processes of RenewalBruce worked with corporations, government agencies, health systems, and academic insti..
Informed Consent Update: Maneuvering the Maze Towards Compliance
Centers for Medicare and Medicaid (CMS) and the accrediting organizations, such as The Joint Commission (TJC) and DNV have certain elements required for informed consent. This program will discuss the current CMS hospital Conditions of Participation (CoPs), including critical access hospitals, Joint Commission and DNV Healthcare standards, on informed consent requirements. There are three different sections..
The Disruptive Practitioner: A Danger to the Hospital's Operation
Most disciplinary policies are progressive. A progressive policy applies increasingly more severe sanctions to additional incidents of bad behavior. It is very important that the organized medical staff have a disruptive practitioner policy. This webinar will discuss the development of such a policy, including what it should include, and how it should be implemented. It is also important to understand what ..
Medical Staff and Telemedicine: Meeting CMS Conditions of Participation and the Joint Commission Standards
Any hospital that accepts Medicare and Medicaid payments must comply with the regulations known as Conditions of Participation. The Centers for Medicare and Medicaid Services (CMS) hospitalCoPs have sections on all aspects of patient care including medical staff and telemedicine. The medical staff section includes information on credentialing and privileging requirements, implementing Medical Staff (MS) byl..
Complying with OCR Section 1557: Discrimination, Interpreters, Required Signs,and More
This webinar will discuss a law that applies to all hospitals, including critical access hospitals, and other healthcare providers such as physician offices and nursing homes. The law addresses nondiscrimination, required signs and notices, interpreters, a civil rights law for healthcare providers and others and more under Section 1557 of the Affordable Care Act. It forbids discrimination based on sex, race..
The Federal Anti-Kickback Statute And Stark Law: What Physicians, Hospitals and Other Providers Need to Know
This webinar will focus on the Anti-Kickback Statute (AKS) and Stark Law (Stark), the federal anti-referral legislation, with an in-depth discussion of each and their relationship with the federal False Claims Act. It will also provide a review of enforcement priorities by the Office of the Inspector General (OIG) and Department of Justice (DOJ), as well as cases that are pertinent to these enforcement acti..
Nursing:CMS CoP Standards for Hospitals
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities with Deemed Status accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV ..
CMS Hospital QAPI Standards 2025
Quality Assessment and Performance Improvement (QAPI) Conditions of Participation deficiencies are the third most frequently cited of the 24 Conditions for Medicare-certified hospitals. CMS believes that a hospital with a well-designed and well-maintained QAPI program, fully engaged in hospital-wide continuous assessment and improvement efforts can significantly enhance its ability to provide high quality a..