Critical Access Hospital (CAH) Conditions of Participation 2024

Part 3

Wednesday, May 8, 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 3 Objectives:

  • Recall that the infection preventionist must be appointed by the board.
  • Discuss that insulin pens can only be used on one patient.
  • Describe that an order is needed to allow the patient to self-administer medications.
  • Explain the three-time frames in which to administer medications.
  • Discuss that CMS requires that a plan of care be done.

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