Introduction to Medicare Conditions of Participation and Survey Process for Acute and Critical Access Hospitals

Audience

CEOs; COOs; CFOs; chief nursing officers; chief medical officers; physicians; nurse executives, nurses and nurse managers; risk managers; patient safety officers; health care attorneys; compliance officers; directors and managers of pharmacy, quality, accreditation, health information management, medical records, social work, dietary, radiology, emergency department, outpatient, surgical services, laboratory, infection control, safety and security, and facility management; TJC coordinators; policy and procedure committee members; ethics committee members; and any staff responsible for ensuring compliance with CMS Conditions of Participation

Overview

Understanding the Medicare CoPs and maintaining current knowledge of the regulations and surveyor guidelines can be a challenge for both new — and even seasoned — hospital leaders. This 90-minute virtual event will provide an overview of the Medicare survey process for both acute and critical access hospitals and provide participants with information on available resources. We'll discuss the relationship between the Medicare certification process and the accrediting bodies, as well as how to write an effective plan of correction to satisfy the surveyors.

Objectives

Upon completion of this program, participants will be able to:

• • describe the Medicare CoPs
  • explain how to keep up to date on applicable regulations
  • explain the survey process, including routine surveys and complaint investigations
  • describe the components of a Plan of Correction and how to write an effective POC

Speaker

Nancy Ruzicka is a recognized expert on state and federal rules, regulations and interpretative guidelines for hospitals, CAHs, rural health clinics and other Medicare-certified entities. She previously worked as a director of integrity and compliance and privacy official at Mercy Medical Center — Des Moines; as director of regulatory compliance at UnityPoint Health, West Des Moines; and has more than 20 years of experience with the Iowa Department of Inspections and Appeals, which is the Medicare state survey agency in Iowa. She also was a practicing pharmacist for 35 years. Ruzicka holds master’s degrees in health law and business administration and a bachelor’s degree in pharmacy, all from Drake University, located in Des Moines, Iowa. She is certified in health care compliance and maintains her Iowa pharmacy license.