In a recent survey and certification memo, the Centers for Medicare & Medicaid Services (CMS) updates its guidance for hospital medication administration requirements and for the surgical services Conditions of Participation (CoP). Both the memo and interpretive guidelines are attached and should be immediately reviewed to validate compliance.
The Joint Commission and the Institute for Medical Quality continue to negotiate a new agreement for collaborating on joint surveys through the Consolidated Accreditation and Licensure Survey (CALS) process. In the meantime, the organizations have agreed to move forward in establishing a voluntary option for hospital participation in the CALS process. Because they don’t expect a new agreement to be signed before the May 26 expiration of the current agreement, the expiration date has been extended to Sept. 30. The attached letter with additional details was sent to all California hospitals that are accredited by The Joint Commission and includes contact information for hospitals that have additional questions about the accreditation process.
May 21, 2014
10:00 a.m. – 12:00 p.m., Pacific Time
Survey activity — and subsequent violations — will be more common now that California Department of Public Health has issued new regulations for hospital penalties, including non-immediate jeopardy violations. This webinar will help you understand how to manage violations from receipt to appeal.
April 30, Ontario; May 1, Glendale; NEW CENTRAL VALLEY LOCATION May 13, Fresno; May 20, Sacramento; May 22, Oakland
Hospitals are under increasing scrutiny. It’s more important than ever to do everything right — to understand health care laws and requirements, and to carefully document. Mistakes may lead to penalties — big ones. This year’s seminar will update you on the most recent changes in federal and state laws and show you how to stay compliant. All attendees receive a free copy of CHA’s 2014 Consent Manual.
The CHA Joint Committee on Accreditation & Licensing is currently accepting new member applications. The committee, which meets quarterly in Sacramento, addresses hospital accreditation, regulatory and licensing issues and makes policy recommendations to the CHA Board of Trustees. To be eligible to serve on the committee, individuals must be employed with a CHA member hospital and serve as liaison for accreditation and licensing issues at their facility. To apply, send a biography to Lori Woolsey at email@example.com by April 4.