CMS Hospital Surgery, Anesthesia and Post-Anesthesia Care Unit Standards; Are you in Compliance?

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

Date & Time

Thursday, May 23
9 - 11 a.m.

Register on or before Monday, May 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!

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.


performance improvement personnel, risk management and quality staff, compliance officers, CNOs, patient safety officers, nurse educators, staff nurses, nurse managers, leadership staff, board members, accreditation staff, department directors, infection preventionists, and anyone else who is responsible for ensuring the CMS Conditions of Participation related to performance improvement are met

The following program content was provided by the speaker.


This webinar will review the Centers for Medicare & Medicaid Services Hospital CoP standards for surgery, anesthesia and PACU guidelines. This session also will examine important CMS memos that discuss medication management, IV and safe opioid use. The current interpretive guidelines regarding pre- and post-anesthesia evaluations and anesthesia services, including documentation requirements, will be discussed. The types of deficiencies hospitals receive in the areas of informed consent, history and physicals, safe injection practices, compounding, and beyond-use dates will be identified.

Join this session, and learn about these standards and guidelines to help your staff and hospital stay current and up-to-date!


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

  • identify the different sections of the QAPI worksheet
  • explain why the board is ultimately responsible for the QAPI program and how they must ensure adequate resources for performance improvement personnel
  • discuss the high number of QAPI deficiencies hospitals are receiving, and ways to reduce and eliminate these in their facility


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 previously was 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.