CMS Nursing Conditions of Participation for Hospitals and Proposed Changes: 2019 Update

Contact Our Team


Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

Provided by MHA Health Institute
Health Institute

Date & Time

Wednesday, Jan. 30
9 - 11 a.m.

Register on or before Tuesday, Jan. 22, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The webinar registration fee is for one phone line connection. Each additional phone line connection will be charged a registration fee. Get more value by inviting colleagues to join you on the one connection.

This webinar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation.


Anyone involved with compliance regulations and standards, including, but not limited to CMOs, CNOs, physicians, nurses, quality improvement staff, risk managers, pharmacy staff, compliance officers and legal counsel, ethics committee members, consumer advocates, TJC liaisons, safety officers, behavioral health and psychiatric staff, and case managers.

The following program content was provided by the speaker.


Recently, there has been increased scrutiny and surveillance to make sure all hospitals are in compliance with the hospital Centers for Medicare & Medicaid Services Conditions of Participation. Every hospital that accepts Medicare or Medicaid must be in compliance with these regulations and interpretive guidelines.

This webinar will cover the nursing services section in the hospital CoP manual. Discussions will include the significant changes CMS has made to the Hospital Improvement Rule, plans of care and staff policy changes. This program also will cover review documentation, supervision, nursing leadership and verbal orders. Additionally, changes to medication administration, blood transfusion, safe injection practices and safe opioid standards, among other changes and updates, will be reviewed.


At the conclusion of this session, participants will be able to:

  • identify the CMS nursing services that every accredited hospital must follow
  • describe the medications that must be administered within three different timeframes
  • identify the sections of frequently cited nursing care plans, as well as the recent CMS changes to those plans
  • discuss the various CMS requirements for verbal orders


Sue Dill Calloway, J.D., MSN, R.N.
Patient Safety and Healthcare Consulting and Education Company
Columbus, Ohio

Sue Dill Calloway has been a nurse attorney and consultant for more than 30 years. Currently, she is president of Patient Safety and Healthcare Education and Consulting and was previously the chief learning officer for the Emergency Medicine Patient Safety Foundation. She has conducted many educational programs for nurses, physicians and other health care providers. Dill Calloway has authored more than 100 books and numerous articles. She is a frequent speaker and is well known across the country in the area of health care law, risk management and patient safety.