Centers for Medicare & Medicaid Services Hospital Anesthesia Guidelines

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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

Tuesday, Oct. 22
9 - 11 a.m.

Register on or before Thursday, Oct. 17, 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.

Can’t attend the webinar? Would you like to share the webinar with your department or team? No worries! Register now, and you will have access to the webinar recording for two weeks after the presentation.

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.


hospital staff involved with surgery, anesthesia, and post-anesthesia care unit compliance regulations and guidelines, including but not limited to, CMOs, CNOs, anesthesiology personnel, physicians, nurses, patient safety officers, risk managers, compliance officers and legal counsel, and any staff involved in assisting with cases of anesthesia and moderate sedation

The following program content was provided by the speaker.


This webinar will review in detail the Centers for Medicare & Medicaid Services hospital anesthesia Conditions of Participation that all hospitals accepting Medicare patients must follow. Deep sedation — including use of Propofol — is considered anesthesia, so this standard can affect care provided in places like the emergency department, radiology department, GI lab and pain clinic, among others. The number of deficiencies for the anesthesia tag numbers will be discussed. The presenter also will address what anesthesia policies are required and what must be documented by the anesthesia provider during surgery.


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

  • discuss the CMS policies and procedures related to anesthesia services
  • list what CMS requires be documented in the intra-operative record by the anesthesia provider
  • identify the CMS requirements that must be documented in the post-anesthesia evaluation
  • explain how CRNAs can be supervised by an anesthesiologists and/or operating surgeon unless a state exemption is obtained
  • discuss the requirements for the pre-anesthetic assessment and how it must be completed within 48 hours of the time the first drug is given to induce anesthesia
  • describe how the post-anesthesia assessment must be completed within 48 hours of the time the patient is sent to recovery (critical access hospitals must be completed before the patient leaves the hospital)


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.