CMS CoPs for Hospitals: 2019 Update — Part II of V

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A five-part webinar series.

Start Time:12:00 AM
End Time:12:00 AM
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Provided by MHA Health Institute
Health Institute

Date & Time

Thursday, Feb. 28
9 - 11 a.m.

Register on or before Wednesday, Feb. 20, 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, CEOs, CMOs, CNOs, physicians, nurses, quality improvement and risk management staff, performance improvement coordinators, pharmacy and medication management 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.


This five-part webinar series will cover the entire Centers for Medicare & Medicaid Services Hospital Conditions of Participation manual. This is a great way to educate employees in your hospital on the sections of the CMS hospital manual that apply to their departments. Every hospital that accepts Medicare or Medicaid must be in compliance with these regulations and interpretive guidelines.

Part II of this series will focus on patient rights, including, but not limited to, safety of behavioral health patients, privacy and safety, OCR Section 1557, confidentiality, patient advocacy, interpreters, low health literacy, advance directives, medical records, plan of care, informed consent, and restraint and seclusion deficiencies.


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

  • identify CMS restraint standards that hospitals must follow
  • discuss how hospitals are required to have grievance policies and procedures in place
  • identify a patient's right to file a grievance
  • discuss how CMS requires interpreters for patients with limited English proficiency and how this should be documented in the patient's medical record


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.