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All facilities accredited by TJC, AOA, CIHQ, and DNV Healthcare must adhere to the CMS CoPs. This 525-page manual contains interpretive guidelines, policies, procedures, and standards that must be followed for all providers treating patients hospitals or any hospital-owned departments.
Part II of the series will provide an overview of patients' rights.
|- 2018 proposed changes||- Right to privacy & safety||- Confidentiality|
|- IM notice for Medicare patients||- Family member & doctor notification||- Grievances & complaints|
|- Advance directives||- Informed consent||- Abuse & neglect|
|- Interpreters||- Low health literacy||- Plan of care|
|- Patient medical records||- Access to medical records||- Patient representative|
|- Criminal background checks||- Visitation requirements||- Patient advocate|
Restraint & Seclusion
|- Right to be free from unnecessary R&S||- Less restrictive alternatives||- Medication used as a restraint|
|- Restraint worksheet||- Hospital leadership role||- Soft limb restraints|
|- Documentation||- Education requirements||- PRN orders|
|- Renewing restraint orders||- Internal vs. external log||- Policies & procedures|
|- Assessments||- Plan of care||- One-hour rule|
Anyone involved with or interested in compliance regulations and standards, including but not limited to: CEOs, CFOs, COOs, CMOs, CNOs, CE Directors, Quality Improvement Staff, Physicians, Nurses (all levels), Board Members, Clinic Managers, Outpatient Directors, Lab Directors, Compliance Officers, CMS Liaisons, TJC Liaisons, Registration Staff, Safety Officers and Staff, Pharmacy Staff, Ethics Committee Members, Consumer Advocates, Risk Managers, Legal Counsel, Behavioral Health Staff, Psychiatry Staff, Social Workers, Discharge Planners, Case Managers, Hospice Staff and Regulatory Affairs Staff.