WHO SHOULD PARTICIPATE: CMOs, CNOs, compliance officers, emergency department personnel, joint commission coordinators, medical records staff, quality improvement personnel, risk managers, legal counsel, and anyone else interested in the subject matter
OVERVIEW: Restraint and Seclusion, a hot topic with the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC), is an area in which hospitals are commonly cited for being out of compliance. This webinar will cover the most problematic standards in the CMS Conditions of Participation (CoPs) restraint section. Any physician or provider who orders restraint must be trained in the hospital’s policy. Both CMS and TJC require hospital staff to be educated on restraint and seclusion interpretive guidelines on an annual basis. CMS also requires restraint training to be ongoing, meaning it should be provided at orientation, as well as through a recurring training program. CMS has 50 pages of interpretive guidelines on restraint and seclusions for hospitals. Every hospital that accepts Medicare patients must comply with the interpretive guidelines even if the hospital is accredited by TJC, HFAP, CIHQ, or DNV Healthcare. Also, the webinar will briefly cover The Joint Commission standards on restraint and seclusion, many which closely align with CMS CoPs.
LEARNING OBJECTIVES:
• Recall that CMS requires all physicians and others who order restraints to be educated on
the hospital policy;
• Describe that CMS has restraint education requirements for staff;
• Discuss that CMS has specific things that need to be documented in the medical record
for the one-hour face-to-face evaluation on patients who are violent and or
self-destructive; and
• Define the CMS restraint requirement of what a hospital must document in the internal log
if a patient dies within 24 hours of having two soft wrist restraints on.
MEET YOUR FACULTY: Laura A. Dixon, JD, RN, CPHRM; Speaker Bio
CONTINUING EDUCATION: Nursing: Up to 2.0 contact hours will be awarded for this offering by the Louisiana Hospital Association for complete attendance and evaluation of the program. The LHA is approved by the Louisiana State Board of Nursing – CE Provider #39.
Participants will receive, upon completion of this program and evaluation, a certificate documenting the completed continuing education/clock hours.