Critical Access Hospital (CAH) Conditions of Participation 2024

Part 1

Wednesday, April 24, 2024
12:00 PM-2:00 PM



Program Description

Critical Access Hospitals (CAHs) must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation located in Appendix W in the manual. This four-part webinar will cover the entire CAH CoP manual. The regulations and interpretive guidelines serve as the basis for determining compliance.
There were multiple changes and new regulations for CAHs in 2020, including a change to all the tag numbers. Most of the new Tag numbers do not include Interpretive Guidelines or Survey Procedures. Other changes included twenty-five new tag numbers in infection prevention and control and antibiotic stewardship and ten new tag numbers in QAPI. As for Swing Bed changes – the regulations are limited to Appendix W, but the interpretive guidelines and survey procedures are in Appendix PP.
This seminar will help CAHs comply with specific CoP problem areas, such as nursing care plans, necessary policies and procedures, medication carts and drug storage, informed consent, and medication administration to name a few.

This 4 part series will be held on April 24, May 1, May 8 and May 30

Program Objectives

Part 1 Objectives:

  • Describe that CMS requires the Board enter into a written agreement for telemedicine services.
  • Recall CMS 3 worksheets which a CAH can utilize as a self-assessment tool to enhance compliance.
  • Describe that CMS has a list of emergency drugs and equipment every CAN must have.
  • Recall that all CAH must comply with EMTALA requirements.
  • Recall that the average length of stay in a CAH should not exceed 96 hours on annual basis.

Who Should Attend

CEOs, COOs, CFOs, Nurse Executives (CNO), Accreditation and Regulation Director, Nurse Managers, Pharmacists, Pharmacist Compliance Officers, Health information management, Nurses, Nurse Educators, Nursing Supervisors, Quality Managers, Risk Managers, Healthcare Attorneys, Health Information Management Personnel, Social Workers, Patient safety officer, Infection preventionist, Radiology director, Emergency Department Directors, Outpatient Director, Medication Team, Ethicist, Director of Rehab: OT, PT, speech pathology, and audiology, CRNA, Anesthesia providers, Radiology staff, QAPI staff, Policy and Procedure Committee, Dietician, Activities Director of swing bed patients, and Infection Control Committee Members.


$800/Hospital for entire 4 part series