2024 Acute Care Hospital Conditions of Participation: Nov. 22

Date: November 22, 2024 Time: 9:30 AM

Location:

Webinar - 9:30-11:30 a.m.

Registration:

New Health System Registration Fee

Due to popular demand, IHA now offers a “Health System Registration” option for systems to enroll multiple hospitals in a program. To participate, please select the “Health System” option during registration. 

IHA Member Registration Fees

  • Hospital – $195 per webinar

  • New: Health System – $595 per webinar

Non-IHA Member Registration Fees

  • Hospital – $395 per webinar

  • New: Health System – $1,195 per webinar

Registration Examples

  • Hospital Registration: A hospital registering for this program can connect an unlimited number of internal units or departments at that specific location only. 
    Example: Hospital A registers for the program and shares connection information with multiple internal units or departments. Note: Hospital A cannot share the webinar with any other hospital, even if they are part of the same health system.

  • Health System Registration: A health system registering for this program can connect an unlimited number of units or departments within their corporate office(s) and any affiliated hospitals within their health system. 
    Example: Health System B registers for the program and shares connection information with all their affiliated hospitals and within their corporate office(s). Note: Health System B cannot share webinar information outside of their system.

Important Notice: Individuals connecting to the webinar from an organization that did not register will be billed the full registration fee.

Register Online

Navigating the ever-changing regulatory requirements for acute care hospitals is a critical and challenging task. With the Centers for Medicare & Medicaid Services (CMS) continually updating Conditions of Participation (CoPs), it’s important that hospital leaders and compliance professionals have the most current information. The latest CoP manual for acute care hospitals, issued in April, spans over 475 pages, and includes detailed survey protocols, regulations and interpretative guidelines. 

To support your CoP compliance efforts, IHA is offering a comprehensive five-part webinar series led by nationally recognized Medcare CoP expert Nancy Ruzicka, B.S., RPh, MBA, MJ, CHC. The series will provide actionable compliance strategies and vital resources tailored to the State Operations Manual Appendix A. You’ll learn about recent revisions and understand the most frequently cited standards for Illinois acute care hospitals to enhance compliance.

The series will cover several topics, including:

  • Frequently cited CoPs

    • Patient rights including a safe environment 

    • Physical environment 

    • Nursing services

    • Emergency preparedness

  • Regulatory changes

    • Infection prevention program

    • Antibiotic stewardship program

    • Discharge planning

    • Quality Assurance and Performance Improvement (QAPI)

Agenda

Part 5: Infection Control, Antibiotic Stewardship and Patient Care Services

This session will address key aspects of infection prevention and control, antibiotic stewardship, and comprehensive patient care. You’ll learn about discharge planning, surgical services, anesthesia, rehabilitation and respiratory services.

Topics:

  • Infection prevention and control

  • Antibiotic stewardship

  • Discharge planning

  • Surgical services

  • Anesthesia

  • Rehabilitation and respiratory services

Ensure your hospital meets the highest standards of safety and regulatory compliance by refining your approaches to infection control and patient care.

Objectives

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

  • Implement effective infection prevention and control practices to reduce the risk of healthcare-associated infections.

  • Develop and apply strategies for successful antibiotic stewardship that promotes appropriate use of antibiotics.

  • Evaluate and improve discharge planning and identify regulatory requirements for surgical services, anesthesia, rehabilitation and respiratory services.

Who Should Attend

This program is designed for hospital leaders and staff responsible for CoP compliance, including those in:

  • Administration (CEOs, COOs, CMOs, CNOs) 

  • Compliance, accreditation and regulation

  • Quality improvement     

  • Risk management

  • Infection prevention

  • Radiology

  • Rehabilitation

  • Legal affairs

  • Health information management

  • Diagnostic imaging, laboratory, emergency department, outpatient care, rehabilitation (OT, PT, speech pathology and audiology), operating room and special procedures

  • Clinical leadership including physicians, nurses, pharmacists, social workers and dieticians

Speakers

Nancy M. Ruzicka, BS, RPh, MBA, MJ, CHC
Owner, Ruzicka Healthcare Consulting

A recognized expert, Ruzicka focuses on state and federal rules, regulations and interpretative guidelines. She provides consultation to individual client hospitals, nursing facilities, rural health clinics, physician offices and other Medicare-certified healthcare providers through onsite mock surveys, remote consultation and interpretation of Medicare CoPs. Ruzicka also provides education on federal regulations throughout the nation to multiple state hospital associations. She has served as content expert and editor for regulatory client hospital education for Lammico, a medical malpractice insurance company.

Ruzicka previously worked as the Compliance and Integrity Officer at MercyOne Des Moines Medical Center and Director of Regulatory Compliance at UnityPoint Health, Des Moines. She has more than 20 years of experience with the Iowa Department of Inspections and Appeals. While working for the State of Iowa, she surveyed hospitals, critical access hospitals, psychiatric hospitals, intermediate care facilities for developmentally disabled, nursing homes and other Medicare-certified entities. Ruzicka was responsible for updating state hospital licensing regulations, which had not been updated since the early 1970s. 

Register online