Return-Path: Received: from vps.transocean.com by vps.transocean.com with LMTP id 2D/MORqzHlpsQwAAInt2oQ ; Wed, 29 Nov 2017 05:16:10 -0800 Return-path: Envelope-to: john@transocean.com Delivery-date: Wed, 29 Nov 2017 05:16:10 -0800 Received: from app17.hraudiotrainings.com ([209.220.97.209]:49865) by vps.transocean.com with esmtp (Exim 4.89) (envelope-from ) id 1eK2DY-0004aS-0g for john@transocean.com; Wed, 29 Nov 2017 05:16:10 -0800 Received: by app17.hraudiotrainings.com with SMTP id FB6FDADA4.14 for ; Wed, 29 Nov 2017 08:15:14 -0500 To: john From: "CMS Hospital Guidelines" Reply-To: Subject: CMS hospital interpretive guidelines on infection control and antibiotic stewardship program Date: Wed, 29 Nov 2017 08:15:14 -0500 Message-ID: <5F4658..@hraudiotrainings.com> MIME-Version: 1.0 Content-type: text/html X-Spam-Status: No, score=0.8 X-Spam-Score: 8 X-Spam-Bar: / X-Ham-Report: Spam detection software, running on the system "vps.transocean.com", has NOT identified this incoming email as spam. The original message has been attached to this so you can view it or label similar future email. If you have any questions, see root\@localhost for details. Content preview: The CMS Hospital Interpretive Guidelines on Infection Control and Antibiotic Stewardship Program Presented By: Sue Dill Calloway Live Webinar | Date: Tuesday, December 12, 2017 | Time: 1 pm ET | Length: 120 minutes Register Now Learn About the CMS Interpretive Guidelines on Infection Control, Safe Injection Practices and Antibiotic Stewardship Program Updates Infection control is a very important issue in today’s healthcare environment and should be a top priority for hospitals. It can cost hospitals money if it is not done right! The CDC estimates that there are about 1.7 million healthcare associated deaths in America every year and it is estimated that healthcare acquired infections (HAIs) incur nearly $20 billion in excess healthcare costs each year. This is also why HAIs are a top priority for the U.S. Department of Health and Human Services [...] Content analysis details: (0.8 points, 3.0 required) pts rule name description ---- ---------------------- -------------------------------------------------- 0.0 URIBL_BLOCKED ADMINISTRATOR NOTICE: The query to URIBL was blocked. See http://wiki.apache.org/spamassassin/DnsBlocklists#dnsbl-block for more information. [URIs: audioeducator.com] 0.0 T_SPF_PERMERROR SPF: test of record failed (permerror) 0.0 T_SPF_HELO_TEMPERROR SPF: test of HELO record failed (temperror) 0.7 MIME_HTML_ONLY BODY: Message only has text/html MIME parts -0.0 BAYES_40 BODY: Bayes spam probability is 20 to 40% [score: 0.3961] 0.0 HTML_MESSAGE BODY: HTML included in message 0.0 T_HTML_TAG_BALANCE_CENTER Malformatted HTML X-Spam-Flag: NO

The CMS Hospital Interpretive Guidelines on Infection Control and
Antibiotic Stewardship Program

Presented By: Sue Dill Calloway

Live Webinar | Date: Tuesday, December 12, 2017 | Time: 1 pm ET | Length: 120 minutes

Register Now

Learn About the CMS Interpretive Guidelines on Infection Control, Safe Injection Practices and
Antibiotic Stewardship Program Updates

Infection control is a very important issue in today’s healthcare environment and should be a top priority for hospitals. It can cost hospitals money if it is not done right! The CDC estimates that there are about 1.7 million healthcare associated deaths in America every year and it is estimated that healthcare acquired infections (HAIs) incur nearly $20 billion in excess healthcare costs each year. This is also why HAIs are a top priority for the U.S. Department of Health and Human Services

Hospitals that receive Medìcare reimbursement have to comply with the CMS interpretive guidelines on infection control. CMS has hospital acquired conditions (HACS) in which there is no additional payment to hospitals for certain infections. Several of the 29 Never Events are infection control issues and many insurers are trying to put into hospital contracts that the hospital cannot bill for these. Surveyors can cite hospitals for being out of compliance with the hospital conditions of participation (CoPs). The Hospital-Acquired Condition (HAC) Reduction Program is in effect and as part of the Patient Protection and Affordable Care Act, hospitals that rank in the quartile of hospitals with the highest total HAC scores will have their CMS payments reduced by 1%. Hospitals need to have a good infection control practices in place or face denial of reimbursement. Therefore, it is important that your infection preventionist and staff be up to date on this essential information.

This session by expert speaker Sue Dill will cover the current CMS infection control standards in detail. Sue will also cover the TJC antibiotic stewardship program requirements and the CMS proposed infection control standards which also includes a requirement for an antibiotic stewardship program. This session will include the CDC Core elements for hospitals and outpatient departments regarding their antibiotic stewardship program. It will also include some significant proposed changes to the infection control standard from the Hospital Improvement Act. Sue will discuss the CDC and FDA update review procedure for cleaning, disinfecting, and sterilizing reusable medical devices and the CDC vaccine storage and handling toolkit.

She will also be discussing the common deficiencies in infection control. The number of infection control deficiencies has gone up significantly and this should be on the radar screen of every hospital. She will provide you with tips to prevent getting a deficiency. Both CMS and TJC have issued memos on steam sterilization and flash sterilization (now called immediate use steam sterilization) which will be discussed along with memos on cleaning of scopes. Hospitals have to use the CDC system to report central line infections for ICUs. Safe injection practices are important and hospitals should have a policy and procedure on this. This session will include the ten CDC safe injection practices. Sue will also discuss the CMS issued survey memos on safe injection practices, infection control breeches, two on humidity, three on EBOLA, one on CRE and ERCPs and insulin pen memos. The session will include an important memo about four unsafe injection practices. These are four of the ten CDC safe injection practice requirements.

CMS requires hospitals to follow standards of care. This session will discuss ISMP published guidelines on IV push drugs for adults, mentioned by CMS in the CoPs. Sue will cover the CDC guidelines on vaccine handling and storage. You will get additional resources including the proposed changes to the hospital infection control worksheet. Read more

Session Highlights

Understand policies and procedures required by CMS in the area of infection control
Understand the Joint Commission’s antibiotic stewardship program requirements
Discuss that CMS requires that the national standards of care and practice must be followed such as those from the CDC, SHEA, APIC, OSHA, and AORN
Understand that all glucose meters should be cleaned after each use
Understand CMS requirement for mandatory educatìon in infection control
Learn that a clean needle and syrìnge should be used each time under the safe injection practices memo issued by CMS

Session Agenda

Who needs to follow the guidelines
ISMP IV push guidelines
2017 proposed changes to infection control

Antibiotic stewardship program requirement
IP appointed by the board and approved by MEC and CNO
Changes in the IC standards
Compliance with standards of care

Importance of infection control today
CMS infection control breaches memo
CRE and cleaning of scopes
Humidity memos
CDC 2016 vaccine storage and handling
CDC November 2015 outpatient guidelines
CMS safe injection practices memo
CMS insulin pen memo
CMS infection control surveys
CDC HAI and deaths
CMS fìnal worksheet on infection control
CMS memo to surveyors
Most recent changes to the infection control standards
CMS manual
Tag number A-0747 through 750 and 756
Active program for prevention and control
Includes infection and communicable diseases
Definitions
Applicability to housekeeping and maintenance
Dietary surveillance areas
Following standards of care: APIC, CDC, OSHA, AORN, SHEA
Documenting surveillance activities
Participation in PI projects and NHSN
CDC system and tracking MRSA and VRE
Challenges in MDROs (multi-drùg resistant organisms)
Ambulatory and ED areas
CDC’s HICPAC (federal advisory committee)
Isolation guidelines, prevention pneumonia etc.
Bioterrorism and emergency preparedness
Compliance with OSHA
Survey procedure by CMS surveyors
Required policies in infection control
Resources for infection control must be adequate
System to identify, report, investigate and control infection
HAI and community acquired infections
Infection control officer’s responsibilities
Log of incidents
Keeping up with the literature
Resources for complying with standards
HHS video on preventing HAI every practìtioner should see
CDC guidelines on intravascular catheters
CMS revised CoP on IV medications and blòod transfusions
HHS HAI video every healthcare provider should see
Partnering to heal
CDC guìde and checklist for outpatient setting: minimum expectations for safe care
CMS plans infection control inspections of hospitals
Bonùs slides on the proposed changes to the infection control worksheet and the 2017 pilot program
And more

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About Our Speaker

Sue Dill Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare Consulting and Educatìon company with a focus on medical-legal educatìon especially Joint Commission and the CMS hospital CoPs regulatory compliance. Read more

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