CHA News Article

CMS Issues New Requirements for Hospital Medication Administration

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.

Guidance related to the hospital medication administration requirements includes:

  • Clarification that the medication administration requirements under the nursing services CoP are related to only some components of the overall hospital medication process, but that hospitals are expected, through this and the related requirements of the pharmaceutical services and quality assessment/performance improvement CoP, to take a comprehensive approach to the medication process;
  • The need for hospitals to update their guidance for IV medications and blood transfusions in general; and
  • The need for patient risk assessment and appropriate monitoring during and after medication administration, particularly for post-operative patients receiving IV opioid medications, in order to prevent adverse events.

Guidance related to the surgical services CoP requirement includes:

  • Clarification that hospitals must have adequate provisions for immediate post-operative care to emphasize the need for post-operative monitoring of patients receiving IV opioid medications, regardless of where they are in the hospital.