Envelope-to: JOHN@TRANSOCEAN.COM
Delivery-date: Wed, 27 Dec 2017 07:28:17 -0800
From: "CMS Hospital CoPs" <marketing@audioeducatorconf.com> 
To: "JOHN@TRANSOCEAN.COM" <JOHN@TRANSOCEAN.COM>
Reply-To: marketing@audioeducatorconf.com
Date: Wed, 27 Dec 2017 09:29:15 -0500
Subject: CMS Hospital Improvement Rule: Proposed changes for 2018
MIME-Version: 1.0
Content-Type: multipart/alternative;
	boundary="_=aspNetEmail=_598adf6e40974101bcb3631fdd4f6d4a"
Message-ID: <WIN-8T85N0GG2GK1d424823f5364378ad71ba637bf0ff65@WIN-8T85N0GG2GK>
 
 Content preview:  Celebrate New Year with AudioEducator! Apply code "HNY50"
   at check-out & get 50% OFF (Valid till 2nd January, 2018) CMS 2018 Hospital
    Improvement Rule Proposed Changes: Nursing, Medical Rècords, Infection Control,
    Antibiotic Stewardship Program, Restraints, QAPI Presented By: Sue Dill Calloway
    Live Webinar Date: Tuesday, February 20, 2018 | Duration: 90 minutes Time:
    1 pm ET | 12 pm CT | 11 am MT | 10 am PT REGISTER NOW Prepare for CMS’s
    Proposed Changes in 2018 to the Hospital Improvement Rule CMS has proposed
    some significant changes to the hospital conditions of participation (CoPs)
    that every hospital should know, including critical accèss hospitals. This
    includes changes to nursing, medical rècords, infection control, QAPI, patient
    rights, and restraint and seclusion. All hospitals will be required to have
    an antibiotic stewardship program and the new changes will explain what the
    program should include. The changes will include a prohibition on discrimination
    that must be given to patients in writing. CMS is proposing to add the current
    law requirements under OCR 1557 and place them into the CMS hospital CoPs.
    [...] 
 
 Content analysis details:   (0.9 points, 3.0 required)
 
  pts rule name              description
 ---- ---------------------- --------------------------------------------------
  0.5 KAM_NUMSUBJECT         Subject ends in numbers
  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: saveastamp.ca]
 -0.0 SPF_PASS               SPF: sender matches SPF record
  0.2 HEADER_FROM_DIFFERENT_DOMAINS From and EnvelopeFrom 2nd level mail
                             domains are different
  0.0 HTML_FONT_LOW_CONTRAST BODY: HTML font color similar or identical to
                             background
  0.0 HTML_MESSAGE           BODY: HTML included in message
 -0.0 BAYES_20               BODY: Bayes spam probability is 5 to 20%
                             [score: 0.1621]
  0.1 DKIM_SIGNED            Message has a DKIM or DK signature, not necessarily valid
  0.0 T_DKIM_INVALID         DKIM-Signature header exists but is not valid
X-Spam-Flag: NO

--_=aspNetEmail=_598adf6e40974101bcb3631fdd4f6d4a
Content-Type: text/plain;
	charset="UTF-8"
Content-Transfer-Encoding: quoted-printable

Celebrate New Year with AudioEducator=21=0D=0AApply code =22HNY50=22 at c=
heck-out =26 get 50=25 OFF=0D=0A(Valid till 2nd January, 2018)=0D=0ACMS 2=
018 Hospital Improvement Rule Proposed Changes: Nursing, Medical R=C3=A8c=
ords, Infection Control, Antibiotic Stewardship Program, Restraints, QAPI=
=0D=0APresented By: Sue Dill Calloway=0D=0ALive Webinar =0D=0ADate: Tuesd=
ay, February 20, 2018 =7C Duration: 90 minutes=0D=0ATime: 1 pm ET =7C 12 =
pm CT =7C 11 am MT =7C 10 am PT=0D=0AREGISTER NOW=0D=0APrepare for CMS=E2=
=80=99s Proposed Changes in 2018 to the Hospital Improvement Rule=0D=0ACM=
S has proposed some significant changes to the hospital conditions of par=
ticipation (CoPs) that every hospital should know, including critical acc=
=C3=A8ss hospitals=2E This includes changes to nursing, medical r=C3=A8co=
rds, infection control, QAPI, patient rights, and restraint and seclusion=
=2E All hospitals will be required to have an antibiotic stewardship prog=
ram and the new changes will explain what the program should include=2E T=
he changes will include a prohibition on discrimination that must be give=
n to patients in writing=2E CMS is proposing to add the current law requi=
rements under OCR 1557 and place them into the CMS hospital CoPs=2E=0D=0A=
=0D=0AJoin this session, where medical legal consultant Sue Dill Calloway=
, will discuss the changes that CMS has proposed regarding the hospital c=
onditions of participation (CoPs) that every hospital should know=2E The =
session will cover changes to patient rights and medical r=C3=A8cords, QA=
PI, nursing services and outpatient departments, and infection control an=
d antibiotic stewardship=2E Read more=0D=0ASession Highlights=0D=0AWith t=
his session, you will learn about:=0D=0AThe antimicrobial stewardship pro=
gram that all hospitals will have to implement=0D=0ACMS=E2=80=99s proposa=
l to change LIP to licensed practit=C3=AConer (LP) so PAs can order restr=
aint and seclusion and do assessments=0D=0AThe policies, which every hosp=
ital must have, that describe which outpatient areas require a RN=0D=0ATh=
e f=C3=ACnal diagnos=C3=ACs that would have to be in the medical r=C3=A8c=
ord for all outpatients within 7 days=0D=0ASession Outline=0D=0APatient r=
ights and medical r=C3=A8cords=0D=0ARestraint five changes=0D=0AChange fr=
om LIP to LP=0D=0APhys=C3=ACcian assistants (PAs) to order and evaluate=0D=
=0ARight to acc=C3=A8ss medical r=C3=A8cords=0D=0AOr=C3=A0l or written re=
quest=0D=0AOCR 2016 2 documents on acc=C3=A8ss to medical r=C3=A8cords=0D=
=0ANon-discrimination under OCR 1557=0D=0AWritten policy prohibiting=0D=0A=
Inform each patient on prohibition against discrimination=0D=0AInform on =
how to file a complaint=0D=0AMedical r=C3=A8cords=0D=0AContent of medical=
 r=C3=A8cords=0D=0ADocument complications and hospital acquired condition=
s=0D=0ADiagnos=C3=ACs in outpatient r=C3=A8cord in 7 days=0D=0AF=C3=ACnal=
 diagnos=C3=ACs=0D=0ADischarge instructions and transfer summaries=0D=0AN=
ovember 3, 2015 FR on proposed discharge planning standards related to di=
scharge instructions and transfer summaries=0D=0AInformation to monitor p=
atient conditions=0D=0AQAPI=0D=0AQuality indicator data including patient=
 care data=0D=0AMedicar=C3=A8 quality reporting data=0D=0AHospital readmi=
ssion data=0D=0AHospital acquired conditions (HACs) and 5 changes=0D=0ANu=
rsing services and outpatient departments=0D=0AStaffing =E2=80=93 adequat=
e number=0D=0ASupervisory staff=0D=0ANeed to respond immediately when nee=
ded=0D=0ANursing care plans=0D=0APolicies and procedures=0D=0ACNO must ev=
aluate nursing staff including ag=C3=A8ncy staff=0D=0AAll outpatient depa=
rtments must identify whether RN must be present=0D=0AOutpatient policy r=
equired=0D=0AP=26P must be reviewed by MEC=0D=0AAnnual review of P=26P=0D=
=0AOrders for drugs and biologicals=0D=0AVerbal  orders=0D=0AInfection co=
ntrol and antibiotic stewardship=0D=0AHospital wide surveillance=0D=0AFol=
lowing national recognized standards and best practices=0D=0AInfection co=
ntrol hospital wide QAPI program=0D=0AInfection control program and polic=
ies requirements=0D=0AQualified infection preventionist=0D=0ARequirements=
 for the antibiotic stewardship program=0D=0AQualified lead=C3=A8r who mu=
st be appointed by the board=0D=0AActive program and evidenced-based use =
of antibiotics=0D=0ADocument improvements and reduction of CDI=0D=0ABoard=
 responsibilities=0D=0AResponsibilities of lead=C3=A8r of antibiotic stew=
ardship program=0D=0AAntibiotic stewardship policies=0D=0ATracking all in=
fections=0D=0AQAPI leadership=0D=0ACompetency based staff training=0D=0AA=
nd more=0D=0A  CLICK HERE TO REGISTER  =0D=0AGet answers to your question=
s in the Q=26A directly from the speaker=0D=0ASav=C3=A8 upto 90=25 with A=
udioEducator=E2=80=99s Annual License=0D=0AKnow More=21=0D=0A=E2=9C=86 Ca=
ll now at 1-866-458-2965 or email at customerservice=40audioeducator=2Eco=
m (Reference cod=C3=A8: EHOSMZ01_SA)=0D=0AAbout Our Speaker=0D=0ASue Dill=
 Calloway, RN, MSN, JD, is the president of Patient Safety and Healthcare=
 Consulting and Educat=C3=ACon company with a focus on medical-legal educ=
at=C3=ACon especially Joint Commission and the CMS hospital CoPs regulato=
ry compliance=2E Read more=0D=0AWe hope you found this message to be usef=
ul=2E=0D=0AIf you don=E2=80=99t wish to receive any further communication=
, please click the unsubscribe link below=2E Your request will be process=
ed within 10 days=2E =0D=0AAudio Educator =7C 2222 Sedwick Rd, Durham NC =
27713 =7C 866-458-2965 =0D=0AThis message has been sent by Audio Educator=
=2E=0A=0A=0AThis message is intended for JOHN=40TRANSOCEAN=2ECOM=2E If yo=
u do not wish to receive future emails, please click here: http://incomin=
g=2Esaveastamp=2Eca/unsubstracker=2Easpx?=7B0=7D=7BJOHN=40TRANSOCEAN=2ECO=
M=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=2E=0D=0A

--_=aspNetEmail=_598adf6e40974101bcb3631fdd4f6d4a
Content-Type: text/html;
	charset="UTF-8"
Content-Transfer-Encoding: quoted-printable

<=21doctype html>=0D=0A<html>=0D=0A<head>=0D=0A<meta charset=3D=22utf-8=22=
>=0D=0A<title>CMS Hospital Improvement Rule: Proposed changes for 2018</t=
itle>=0D=0A<style>=0D=0Abody =7Bmargin:0px; padding: 0px;=7D=0D=0A      t=
able =7Bborder-collapse: collapse;=7D=0D=0A      td =7Bcolor: =23000000;=7D=
=0D=0A=09  =2Eresponsive-image img =7B=0D=0A          height: auto =21imp=
ortant;=0D=0A          max-width: 100=25 =21important;=0D=0A          wid=
th: 100=25 =21important;=0D=0A        =7D=0D=0A=09=09=0D=0A=09=09a =7B=0D=
=0A=09=09text-decoration:none;=0D=0A=09=7D=0D=0A=09=09=0D=0A=40media only=
 screen and (max-width: 595px) =7B=0D=0A        body,table,td,p,a,li,bloc=
kquote =7B=0D=0A          -webkit-text-size-adjust:none =21important;=0D=0A=
        =7D=0D=0A        table =7Bwidth: 100=25 =21important;=7D=0D=0A=0D=
=0A        =2Eresponsive-image img =7B=0D=0A          height: auto =21imp=
ortant;=0D=0A          max-width: 100=25 =21important;=0D=0A          wid=
th: 100=25 =21important;=0D=0A        =7D=0D=0A=09=09=2Eremoveborder=0D=0A=
=09=09=7B border:none =21important;=0D=0A=09=09=7D=0D=0A      =7D=0D=0A=0D=
=0A=0D=0A=0D=0A</style>=0D=0A</head>=0D=0A<body style=3D=22background:=23=
ececec; margin:0; padding:0;=22>=0D=0A<table width=3D=22100=25=22 border=3D=
=220=22 cellspacing=3D=220=22 cellpadding=3D=220=22><tr><td>=0A=0D=0A<tab=
le align=3D=22center=22 border=3D=221=22 cellpadding=3D=220=22 cellspacin=
g=3D=220=22 class=3D=22removeborder=22 style=3D=22border-collapse: collap=
se; width: 600px;=22>=0D=0A<tbody>=0D=0A<tr>=0D=0A<td bgcolor=3D=22=23fff=
fff=22>=0D=0A<table bgcolor=3D=22=23ffffff=22 border=3D=220=22 cellpaddin=
g=3D=220=22 cellspacing=3D=220=22 class=3D=22removeborder=22 style=3D=22w=
idth: 100=25;=22>=0D=0A<tbody>=0D=0A<tr>=0D=0A<td align=3D=22center=22 bg=
color=3D=22=23c62020=22 style=3D=22padding: 10px 10px 5px 10px;=22><font =
color=3D=22=23ffffff=22 face=3D=22Verdana=22 size=3D=225=22><strong>Celeb=
rate New Year with AudioEducator=21</strong></font></td>=0D=0A</tr>=0D=0A=
<tr>=0D=0A<td align=3D=22center=22 bgcolor=3D=22=23C62020=22 style=3D=22p=
adding: 0px 10px 5px 10px;=22><font color=3D=22=23ffffff=22 face=3D=22Ver=
dana=22 size=3D=224=22> Apply code =22<strong><font color=3D=22=23fff200=22=
>HNY50</font></strong>=22 at check-out =26amp; get <strong><font color=3D=
=22=23fff200=22>50=25 OFF</font></strong></font></td>=0D=0A</tr>=0D=0A<tr=
>=0D=0A<td align=3D=22center=22 bgcolor=3D=22=23C62020=22 style=3D=22padd=
ing: 0px 10px 10px 10px;=22><font color=3D=22=23ffffff=22 face=3D=22Verda=
na=22 size=3D=222=22> (Valid till 2nd January, 2018)</font></td>=0D=0A</t=
r>=0D=0A<tr>=0D=0A<td align=3D=22center=22 bgcolor=3D=22=23ffffff=22 styl=
e=3D=22padding: 10px;=22><font color=3D=22=23000000=22 face=3D=22Verdana=22=
 size=3D=225=22>CMS 2018 Hospital Improvement Rule Proposed Changes: Nurs=
ing, Medical R=26egrave;cords, Infection Control, Antibiotic Stewardship =
Program, Restraints, QAPI</font></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td align=
=3D=22center=22 bgcolor=3D=22=230283ab=22 style=3D=22padding: 10px;=22><f=
ont color=3D=22=23ffffff=22 face=3D=22Verdana=22 size=3D=223=22><strong>P=
resented By: Sue Dill Calloway</strong></font></td>=0D=0A</tr>=0D=0A<tr>=0D=
=0A<td align=3D=22center=22 bgcolor=3D=22=23ffffff=22 style=3D=22padding:=
 10px;=22><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22=
> <strong>Live Webinar </strong><br> <strong>Date:</strong> Tuesday, Febr=
uary 20, 2018 =7C <strong>Duration:</strong> 90 minutes<br> <strong>Time:=
</strong> 1 pm ET =7C 12 pm CT =7C 11 am MT =7C 10 am PT </font></td>=0D=0A=
</tr>=0D=0A<tr>=0D=0A<td align=3D=22center=22 style=3D=22padding: 15px 0p=
x 5px 0px; border-bottom: =23000000 solid 1px;=22><em><font color=3D=22=23=
0283ab=22 face=3D=22Verdana=22 size=3D=224=22><strong><a href=3D=22http:/=
/incoming=2Esaveastamp=2Eca/linktracker2=2Easpx?=7B0=7EJOHN=40TRANSOCEAN=2E=
COM=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=7B=7D=7Bhttps=253a=252f=25=
2fwww=2Eaudioeducator=2Ecom=252fhospitals-and-health-systems=252fcms-hosp=
ital-improvement-act=2Ehtml=253futm_medium=253dEmail=2526amp=253butm_sour=
ce=253dCalloway_122717_SA=2526amp=253butm_campaign=253dEHOSMZ01_SA=7D=7B=7D=
=7B=7D=22 style=3D=22color: =230283ab; text-decoration: underline;=22>REG=
ISTER NOW</a></strong></font></em></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td sty=
le=3D=22padding: 10px;=22><font color=3D=22=23000000=22 face=3D=22Verdana=
=22 size=3D=223=22><strong>Prepare for CMS=26rsquo;s Proposed Changes in =
2018 to the Hospital Improvement Rule </strong></font></td>=0D=0A</tr>=0D=
=0A<tr>=0D=0A<td style=3D=22padding: 10px; padding-top: 0px;=22><font col=
or=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>CMS has proposed=
 some significant changes to the hospital conditions of participation (Co=
Ps) that every hospital should know, including critical acc=26egrave;ss h=
ospitals=2E This includes changes to nursing, medical r=26egrave;cords, i=
nfection control, QAPI, patient rights, and restraint and seclusion=2E Al=
l hospitals will be required to have an antibiotic stewardship program an=
d the new changes will explain what the program should include=2E The cha=
nges will include a prohibition on discrimination that must be given to p=
atients in writing=2E CMS is proposing to add the current law requirement=
s under OCR 1557 and place them into the CMS hospital CoPs=2E<br><br> Joi=
n this session, where medical legal consultant <strong>Sue Dill Calloway<=
/strong>, will discuss the changes that CMS has proposed regarding the ho=
spital conditions of participation (CoPs) that every hospital should know=
=2E The session will cover changes to patient rights and medical r=26egra=
ve;cords, QAPI, nursing services and outpatient departments, and infectio=
n control and antibiotic stewardship=2E</font> <a href=3D=22http://incomi=
ng=2Esaveastamp=2Eca/linktracker2=2Easpx?=7B0=7EJOHN=40TRANSOCEAN=2ECOM=7D=
=7B93d47645-6498-4605-862f-7794f085fff5=7D=7B=7D=7Bhttps=253a=252f=252fww=
w=2Eaudioeducator=2Ecom=252fhospitals-and-health-systems=252fcms-hospital=
-improvement-act=2Ehtml=253futm_medium=253dEmail=2526amp=253butm_source=25=
3dCalloway_122717_SA=2526amp=253butm_campaign=253dEHOSMZ01_SA=7D=7B=7D=7B=
=7D=22 style=3D=22color: =230283ab; text-decoration: none;=22><font color=
=3D=22=230283ab=22 face=3D=22Verdana=22 size=3D=223=22><strong>Read more<=
/strong></font></a></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td style=3D=22padding=
: 10px; padding-top: 0px;=22><strong><font color=3D=22=23000000=22 face=3D=
=22Verdana=22 size=3D=223=22>Session Highlights</font></strong></td>=0D=0A=
</tr>=0D=0A<tr>=0D=0A<td style=3D=22padding: 0px 10px;=22><font color=3D=22=
=23000000=22 face=3D=22Verdana=22 size=3D=223=22>With this session, you w=
ill learn about:</font>=0D=0A<ul>=0D=0A<li><font color=3D=22=23000000=22 =
face=3D=22Verdana=22 size=3D=223=22>The antimicrobial stewardship program=
 that all hospitals will have to implement</font></li>=0D=0A<li><font col=
or=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>CMS=26rsquo;s pr=
oposal to change LIP to licensed practit=26igrave;oner (LP) so PAs can or=
der restraint and seclusion and do assessments</font></li>=0D=0A<li><font=
 color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>The policies=
, which every hospital must have, that describe which outpatient areas re=
quire a RN</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22V=
erdana=22 size=3D=223=22>The f=26igrave;nal diagnos=26igrave;s that would=
 have to be in the medical r=26egrave;cord for all outpatients within 7 d=
ays</font></li>=0D=0A</ul>=0D=0A</td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td style=
=3D=22padding: 10px; padding-top: 0px;=22><strong><font color=3D=22=23000=
000=22 face=3D=22Verdana=22 size=3D=223=22>Session Outline</font></strong=
></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td style=3D=22padding: 0px 10px;=22>=0D=
=0A<ul>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=
=223=22>Patient rights and medical r=26egrave;cords</font>=0D=0A<ul>=0D=0A=
<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Res=
traint five changes</font></li>=0D=0A<li><font color=3D=22=23000000=22 fa=
ce=3D=22Verdana=22 size=3D=223=22>Change from LIP to LP</font></li>=0D=0A=
<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Phy=
s=26igrave;cian assistants (PAs) to order and evaluate</font></li>=0D=0A<=
li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Righ=
t to acc=26egrave;ss medical r=26egrave;cords</font>=0D=0A<ul>=0D=0A<li><=
font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Or=26agr=
ave;l or written request</font></li>=0D=0A</ul>=0D=0A</li>=0D=0A<li><font=
 color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>OCR 2016 2 d=
ocuments on acc=26egrave;ss to medical r=26egrave;cords</font></li>=0D=0A=
<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Non=
-discrimination under OCR 1557</font>=0D=0A<ul>=0D=0A<li><font color=3D=22=
=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Written policy prohibiti=
ng</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22=
 size=3D=223=22>Inform each patient on prohibition against discrimination=
</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 =
size=3D=223=22>Inform on how to file a complaint</font></li>=0D=0A</ul>=0D=
=0A</li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=
=3D=223=22>Medical r=26egrave;cords</font>=0D=0A<ul>=0D=0A<li><font color=
=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Content of medical=
 r=26egrave;cords</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=
=3D=22Verdana=22 size=3D=223=22>Document complications and hospital acqui=
red conditions</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=
=22Verdana=22 size=3D=223=22>Diagnos=26igrave;s in outpatient r=26egrave;=
cord in 7 days</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=
=22Verdana=22 size=3D=223=22>F=26igrave;nal diagnos=26igrave;s</font></li=
>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=
=22>Discharge instructions and transfer summaries</font>=0D=0A<ul>=0D=0A<=
li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Nove=
mber 3, 2015 FR on proposed discharge planning standards related to disch=
arge instructions and transfer summaries</font></li>=0D=0A</ul>=0D=0A</li=
>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=
=22>Information to monitor patient conditions</font></li>=0D=0A</ul>=0D=0A=
</li>=0D=0A</ul>=0D=0A</li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=
=22Verdana=22 size=3D=223=22>QAPI</font>=0D=0A<ul>=0D=0A<li><font color=3D=
=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Quality indicator dat=
a including patient care data</font></li>=0D=0A<li><font color=3D=22=2300=
0000=22 face=3D=22Verdana=22 size=3D=223=22>Medicar=26egrave; quality rep=
orting data</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22=
Verdana=22 size=3D=223=22>Hospital readmission data</font></li>=0D=0A<li>=
<font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Hospita=
l acquired conditions (HACs) and 5 changes</font></li>=0D=0A</ul>=0D=0A</=
li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=22=
3=22>Nursing services and outpatient departments</font>=0D=0A<ul>=0D=0A<l=
i><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Staff=
ing =26ndash; adequate number</font></li>=0D=0A<li><font color=3D=22=2300=
0000=22 face=3D=22Verdana=22 size=3D=223=22>Supervisory staff</font></li>=
=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22=
>Need to respond immediately when needed</font></li>=0D=0A<li><font color=
=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Nursing care plans=
</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 =
size=3D=223=22>Policies and procedures</font></li>=0D=0A<li><font color=3D=
=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>CNO must evaluate nur=
sing staff including ag=26egrave;ncy staff</font></li>=0D=0A<li><font col=
or=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>All outpatient d=
epartments must identify whether RN must be present</font></li>=0D=0A<li>=
<font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Outpati=
ent policy required</font></li>=0D=0A<li><font color=3D=22=23000000=22 fa=
ce=3D=22Verdana=22 size=3D=223=22>P=26amp;P must be reviewed by MEC</font=
></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=
=223=22>Annual review of P=26amp;P</font></li>=0D=0A<li><font color=3D=22=
=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Orders for drugs and bio=
logicals</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Ver=
dana=22 size=3D=223=22>Verbal=26nbsp; orders</font></li>=0D=0A</ul>=0D=0A=
</li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=
=223=22>Infection control and antibiotic stewardship</font>=0D=0A<ul>=0D=0A=
<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Hos=
pital wide surveillance</font></li>=0D=0A<li><font color=3D=22=23000000=22=
 face=3D=22Verdana=22 size=3D=223=22>Following national recognized standa=
rds and best practices</font></li>=0D=0A<li><font color=3D=22=23000000=22=
 face=3D=22Verdana=22 size=3D=223=22>Infection control hospital wide QAPI=
 program</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Ver=
dana=22 size=3D=223=22>Infection control program and policies requirement=
s</font></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22=
 size=3D=223=22>Qualified infection preventionist</font></li>=0D=0A<li><f=
ont color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Requireme=
nts for the antibiotic stewardship program</font>=0D=0A<ul>=0D=0A<li><fon=
t color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Qualified l=
ead=26egrave;r who must be appointed by the board</font></li>=0D=0A<li><f=
ont color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Active pr=
ogram and evidenced-based use of antibiotics</font></li>=0D=0A<li><font c=
olor=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>Document impro=
vements and reduction of CDI</font></li>=0D=0A<li><font color=3D=22=23000=
000=22 face=3D=22Verdana=22 size=3D=223=22>Board responsibilities</font><=
/li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=22=
3=22>Responsibilities of lead=26egrave;r of antibiotic stewardship progra=
m</font></li>=0D=0A</ul>=0D=0A</li>=0D=0A<li><font color=3D=22=23000000=22=
 face=3D=22Verdana=22 size=3D=223=22>Antibiotic stewardship policies</fon=
t></li>=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=
=223=22>Tracking all infections</font></li>=0D=0A<li><font color=3D=22=23=
000000=22 face=3D=22Verdana=22 size=3D=223=22>QAPI leadership</font></li>=
=0D=0A<li><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22=
>Competency based staff training</font></li>=0D=0A</ul>=0D=0A</li>=0D=0A<=
li><a href=3D=22http://incoming=2Esaveastamp=2Eca/linktracker2=2Easpx?=7B=
0=7EJOHN=40TRANSOCEAN=2ECOM=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=7B=
=7D=7Bhttps=253a=252f=252fwww=2Eaudioeducator=2Ecom=252fhospitals-and-hea=
lth-systems=252fcms-hospital-improvement-act=2Ehtml=253futm_medium=253dEm=
ail=2526amp=253butm_source=253dCalloway_122717_SA=2526amp=253butm_campaig=
n=253dEHOSMZ01_SA=7D=7B=7D=7B=7D=22 style=3D=22color: =230283ab; text-dec=
oration: none;=22><font color=3D=22=230283ab=22 face=3D=22Verdana=22 size=
=3D=223=22><strong>And more</strong></font></a></li>=0D=0A</ul>=0D=0A</td=
>=0D=0A</tr>=0D=0A<tr>=0D=0A<td>=0D=0A<table align=3D=22center=22 bgcolor=
=3D=22=230283ab=22>=0D=0A<tbody>=0D=0A<tr>=0D=0A<td align=3D=22center=22 =
height=3D=2230=22 style=3D=22background-color: =230283ab;=22><font color=3D=
=22=23ffffff=22 face=3D=22Verdana=22 size=3D=223=22><a href=3D=22http://i=
ncoming=2Esaveastamp=2Eca/linktracker2=2Easpx?=7B0=7EJOHN=40TRANSOCEAN=2E=
COM=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=7B=7D=7Bhttps=253a=252f=25=
2fwww=2Eaudioeducator=2Ecom=252fhospitals-and-health-systems=252fcms-hosp=
ital-improvement-act=2Ehtml=253futm_medium=253dEmail=2526amp=253butm_sour=
ce=253dCalloway_122717_SA=2526amp=253butm_campaign=253dEHOSMZ01_SA=7D=7B=7D=
=7B=7D=22 style=3D=22text-decoration: none; color: =23ffffff; padding: 8p=
x; display: block;=22> =26nbsp; <strong>CLICK HERE TO REGISTER</strong> =26=
nbsp;</a></font></td>=0D=0A</tr>=0D=0A</tbody>=0D=0A</table>=0D=0A</td>=0D=
=0A</tr>=0D=0A<tr>=0D=0A<td align=3D=22center=22 style=3D=22padding: 10px=
;=22><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=222=22><s=
trong>Get answers to your questions in the Q=26amp;A directly from the sp=
eaker</strong></font></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td align=3D=22cente=
r=22 bgcolor=3D=22=23C62020=22 style=3D=22padding: 10px;=22><font color=3D=
=22=23ffffff=22 face=3D=22Verdana=22 size=3D=223=22>Sav=26egrave; upto <s=
trong>90=25</strong> with <strong>AudioEducator=26rsquo;s Annual License<=
/strong><br> <a href=3D=22http://incoming=2Esaveastamp=2Eca/linktracker2=2E=
aspx?=7B0=7EJOHN=40TRANSOCEAN=2ECOM=7D=7B93d47645-6498-4605-862f-7794f085=
fff5=7D=7B=7D=7Bhttps=253a=252f=252fwww=2Eaudioeducator=2Ecom=252fspecial=
-offers=252fpacks=2Ehtml=253futm_source=253dEHOSMZ01_SA=2523focus-top10=7D=
=7B=7D=7B=7D=22 style=3D=22color: =23fffc00;=22><strong>Know More=21</str=
ong></a></font></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td align=3D=22center=22 b=
gcolor=3D=22=230283AB=22 style=3D=22padding: 10px;=22><font color=3D=22=23=
ffffff=22 face=3D=22Verdana=22 size=3D=223=22> =E2=9C=86 Call now at <str=
ong>1-866-458-2965</strong> or email at <a href=3D=22mailto:customerservi=
ce=40audioeducator=2Ecom=22 style=3D=22color: =23ffffff; text-decoration:=
 underline;=22>customerservice=40audioeducator=2Ecom</a> (Reference cod=26=
egrave;: EHOSMZ01_SA)</font></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td align=3D=22=
center=22 bgcolor=3D=22=23e1e1e1=22 style=3D=22padding: 10px;=22><font co=
lor=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22>About Our Speak=
er</font></td>=0D=0A</tr>=0D=0A<tr>=0D=0A<td style=3D=22padding: 10px;=22=
><font color=3D=22=23000000=22 face=3D=22Verdana=22 size=3D=223=22><stron=
g>Sue Dill Calloway, RN, MSN, JD</strong>, is the president of Patient Sa=
fety and Healthcare Consulting and Educat=26igrave;on company with a focu=
s on medical-legal educat=26igrave;on especially Joint Commission and the=
 CMS hospital CoPs regulatory compliance=2E </font><a href=3D=22http://in=
coming=2Esaveastamp=2Eca/linktracker2=2Easpx?=7B0=7EJOHN=40TRANSOCEAN=2EC=
OM=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=7B=7D=7Bhttps=253a=252f=25=
2fwww=2Eaudioeducator=2Ecom=252fspeakers=252fsue-dill-calloway=7D=7B=7D=7B=
=7D=22 style=3D=22color: =230283ab; text-decoration: none;=22><font color=
=3D=22=230283ab=22 face=3D=22Verdana=22 size=3D=223=22><strong>Read more<=
/strong></font></a></td>=0D=0A</tr>=0D=0A</tbody>=0D=0A</table>=0D=0A</td=
>=0D=0A</tr>=0D=0A</tbody>=0D=0A</table>=0D=0A<p align=3D=22center=22><fo=
nt color=3D=22=23000000=22 face=3D=22Arial=22 size=3D=221=22>We hope you =
found this message to be useful=2E<br>If you don=26rsquo;t wish to receiv=
e any further communication, please click the unsubscribe link below=2E Y=
our request will be processed within 10 days=2E <br> Audio Educator =7C 2=
222 Sedwick Rd, Durham NC 27713 =7C 866-458-2965 <br> This message has be=
en sent by Audio Educator=2E</font></p>=0D=0A</td></tr><tr><td><table ali=
gn=3D=22left=22 border=3D=220=22 cellspacing=3D=220=22 cellpadding=3D=220=
=22 width=3D=22100=25=22>=0D=0A<tr><td><div align=3D=22left=22><table cel=
lpadding=3D=220=22 cellspacing=3D=220=22 border=3D=220=22 width=3D=22100=25=
=22 style=3D=22font-family:arial;color:=23808080;font-size:10px;=22>=0D=0A=
</table>=0D=0A</div></td></tr><tr><td height=3D=2226=22><font face=3D=22a=
rial=22 color=3D=22=23808080=22 size=3D=221=22>=26nbsp;=26nbsp;=26nbsp;=26=
nbsp;<div align=3D=22left=22><table cellpadding=3D=220=22 cellspacing=3D=22=
0=22 border=3D=220=22 width=3D=22100=25=22 style=3D=22font-family:arial;c=
olor:=23808080;font-size:10px;=22>=0D=0A<tr>=0D=0A<td height=3D=2226=22 a=
lign=3D=22left=22>This message is intended for JOHN=40TRANSOCEAN=2ECOM=2E=
 If you do not wish to receive future emails, please <a href=3D=22http://=
incoming=2Esaveastamp=2Eca/unsubstracker=2Easpx?=7B0=7D=7BJOHN=40TRANSOCE=
AN=2ECOM=7D=7B93d47645-6498-4605-862f-7794f085fff5=7D=22>unsubscribe</a>=2E=
</td>=0D=0A</tr>=0D=0A</table>=0D=0A</div></font></td></tr>=0D=0A<tr><td>=
<img alt=3D=22=22 src=3D=22http://incoming=2Esaveastamp=2Eca/opentracker=2E=
aspx?=7B0=7D=7B62fc3119-fadb-411c-b1cd-b00148180560=7D=7B62fc3119-fadb-41=
1c-b1cd-b00148180560=7D=7BJOHN=40TRANSOCEAN=2ECOM=7D=7B93d47645-6498-4605=
-862f-7794f085fff5=7D=7B=7D=7B=7D=22></td></tr>=0D=0A</table>=0D=0A</td><=
/tr></table></body>=0D=0A</html>

--_=aspNetEmail=_598adf6e40974101bcb3631fdd4f6d4a--