WHO SHOULD PARTICIPATE: This webinar is intended for all hospitals including general acute, critical access and psychiatric hospitals, and anyone involved with compliance regulations and standards, including CEOs, CMOs, CNOs, physicians, nurses, quality improvement staff, risk managers, compliance officers and legal counsel, safety officers, behavioral health and psychiatric staff, and emergency department staff.

OVERVIEW: Hospitals must comply with CMS conditions of participation (CoPs) or face penalties. According to CMS and accrediting organizations such as Der Norske Veritas and The Joint Commission (TJC), one of the most commonly cited deficiencies at the immediate jeopardy level is about the rights of patients to receive care in a safe setting. According to CMS, ligature risks compromise a patient’s right to receive care in a safe setting. The hospital’s responsibility to provide care and safety to psychiatric patients at risk of harm to themselves or others is one of CMS’ primary concerns. This webinar will explain the specific guidance surveyors use to determine compliance with providing care in a safe environment.

OBJECTIVES: 

At the conclusion of this session, participants will be able to:

• Describe CMS’ requirements for providing care in a safe environment for patients, specifically those who are suicidal or in need of behavioral health services;
• Discuss CMS’ adoption of TJC suicide panel recommendations for comprehensive ligature risk interpretative guidelines;
• Discuss physical environment and personal belongings issues; and
• Provide examples of immediate jeopardy and CoPs-level deficiencies relating to patient safety.

MEET YOUR FACULTY: Nancy Ruzicka is a consultant on state and federal rules, regulations and interpretative guidelines. She previously worked as director of integrity and compliance and privacy official at MercyOne Des Moines and director of regulatory compliance at UnityPoint Health-Des Moines. She also has more than 20 years of experience with the Iowa Department of Inspections and Appeals. Ruzicka holds master’s degrees in health law and business administration and a bachelor’s degree in pharmacy, all from Drake University. She is certified in health care compliance and maintains her Iowa pharmacy license.

REGISTRATION DEADLINE:

Registrations are due into the LHA office one week prior to the webinar in order to ensure timely delivery of instructions and handout.

REGISTRATION:
Log in online to register. VISA, Master Card, Discover or American Express are accepted. Email confirmations will be sent to all registrants who list an accurate email address. Webinar materials are provided 1-2 business days in advance of the webinar. Once webinar materials are distributed no refunds will be issued and full payment is expected.

CANCELLATION POLICY:
Cancellations received in writing up to one week prior to a scheduled event will be charged a cancellation fee of $40 (per person, per event). Registrants who are unable to attend an LHA educational event are permitted to, and encouraged to send a substitute without incurring a cancellation fee. Please send written notice of any substitutions prior to the scheduled event. Cancellations received less than one week prior to the scheduled event, or individuals who fail to attend will result in a non-refundable registration fee.

TRANSFER POLICY:
Transfer requests must be in writing and received one week prior to the event to receive a credit to use at a later date. A $40 transfer fee will be charged.  The LHA will hold your credit for a period of one year following the start date of the program for which you were originally registered. Transfer requests received less than one week prior to event will result in a non-refundable registration fee.

AMERICANS WITH DISABILITIES ACT:
The LHA will make every effort to provide reasonable accommodations for physically-challenged participants who require special services. When registering, please attach a written description of needs to the application.

LHA #M2049005