Education Events

Critical Access Hospital (CAH) Conditions of Participation Series

Part 3 - Emergency Services, Staffing and Responsibilities, Provision of Services, Emergency Procedures and EMTALA

Critical Access Hospitals (CAHs) must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation located in Appendix W in the manual. This nine-part webinar series will cover the CAH CoP manual.  Included is a 2-hour program on Patient Rights – one of the most cited segments of the Manual. The CAH Manual does not include a specific section on Patient Rights as does the Acute manual; but hospitals must provide a safe environment for patients and method to ensure all patient rights are met. 

There were changes and new regulations for CAHs in 2020, including a change to all the tag numbers, some which do not include Interpretive Guidelines or Survey Procedures. Changes include infection prevention and control and antibiotic stewardship, QAPI and Swing Bed changes.

This seminar will help CAHs comply with specific CoP problem areas, such as nursing care plans, necessary policies and procedures, medication administration and drug storage, and informed consent to name a few.

Learning Objectives:

• Describe staffing requirements and supervision
• Recall the required14 emergency department written policies that must be present
• Describe that CMS has a list of emergency drugs and equipment every CAH must have
• Recall that a CAH must comply with EMTALA requirements
  
   

 

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Beyond Basics of Case Mgt Series

Part Five

Having a foundation for effective case management is critical. This five-part series will cover
solutions for many of the challenges faced by case managers today.
The series will first discuss key stakeholders and their integral role in the rounding process.
Next, attendees will learn how to incorporate case management at all access points to your
hospital or health system. This will be followed by the often-challenging subject of how best to
collaborate with physicians, especially high-volume ones such as hospitalists and emergency
department physicians. The series will then review how to remain forward looking in your
practice. Finally, the series will discuss how to measure and how to report case management
outcomes.

Learning Objectives

• Describe contemporary outcome measures for case management.
• Develop the key performance indicators (KPIs) to measure case management outcomes.
• Create a workable case management report card.
• Understand how benchmarks can be applied to your case management report card.

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 4 - Physical Plant & Environment, Emergency Preparedness

Critical Access Hospitals (CAHs) must comply with the Centers for Medicare & Medicaid Services’ Conditions of Participation located in Appendix W in the manual. This nine-part webinar series will cover the CAH CoP manual.  Included is a 2-hour program on Patient Rights – one of the most cited segments of the Manual. The CAH Manual does not include a specific section on Patient Rights as does the Acute manual; but hospitals must provide a safe environment for patients and method to ensure all patient rights are met. 

There were changes and new regulations for CAHs in 2020, including a change to all the tag numbers, some which do not include Interpretive Guidelines or Survey Procedures. Changes include infection prevention and control and antibiotic stewardship, QAPI and Swing Bed changes.

This seminar will help CAHs comply with specific CoP problem areas, such as nursing care plans, necessary policies and procedures, medication administration and drug storage, and informed consent to name a few.

Learning Objectives:

• Describe expectations for a safe environment for patient care
• Recall the requirements for equipment maintenance and an alternative management program
• Explain the importance of maintaining ventilation, temperature, and lighting within a CAH
• Describe the mandatory training and exercises for an emergency preparedness plan
   

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Governing Body and Medical Staff Conditions of Participation

Over the last several years, regulators and accrediting organizations have been increasingly scrutinizing the hospital governing body's role in its compliance with the conditions of participation. This presentation will examine the regulatory requirements for hospital boards and describe situations in which the governing body has been cited at the condition level.

Learning objectives include: 

• Describe the governing board's responsibilities and specific responsibilities for patient rights, quality improvement, and medical staff credentialing.
• Describe minimum requirements for medical staff bylaws, rules and regulations and governing body oversight.
• Explain the differences in medical staff credentialing regulations for telemedicine and onsite providers.
• Describe hospital responsibilities for credentialing nonphysician staff in the hospital

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 5 - Governing Board, Agreements and Contracted Services, QAPI, Discharge Planning

Learning Objectives:

•   Describe that CMS requires the Board enter into a written agreement for telemedicine services
•   Describe requirements for contract management for a CAH
•    Describe the essential elements of a QAPI program and Board responsibilities
•    Recall the requirement for when a discharge evaluation must be completed

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2025 WHA Workforce Forum

Join us for the annual Workforce Forum being held on May 14 in Stevens Point.

WHA has assembled an expert team who will create the framework for the current and future state of Wisconsin’s health care workforce. Participants will leave with an improved understanding of how their organization, their valued partners, health care stakeholders and state and federal policymakers can work together to recruit and retain the new talent needed to sustain Wisconsin’s high-quality and high-value health care.  This is all while managing a shrinking available workforce and growing health care demand. 
 

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 6 - Pharmacy, Infection Prevention and Control and Antibiotic Stewardship

Learning Objectives:

•   Explain the responsibilities of the pharmacists that include developing, supervising, and   coordinating activities of the pharmacy.
•   Recall the requirements for security and storage of medications, medication carts and     anesthesia carts
•   Describe the responsibilities of the infection preventionist
•   Describe the responsibilities of the leader of the antibiotic stewardship program

 

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 7 - Nursing, Clinical Records

Learning Objectives:

• Discuss nursing service and leadership requirements
• Recall the requirements for medication orders
• Discuss that CMS requires that a plan of care be done
• Recall requirements for contents of clinical records
• Discuss security requirements for clinical records and when “blocking” for access can occur

 

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How to Implement a Near Miss Program

This educational event is designed to equip healthcare professionals with the knowledge and tools required to develop and sustain a near miss reporting program within their organizations. The educational session will cover key aspects such as the steps to start a near miss program, strategies for incentivizing staff participation, and the importance of a non-punitive reporting culture. Expert insights will be provided on setting up a comprehensive system that engages all stakeholders and effectively uses collected data for continuous improvement. By the end of the webinar, participants will be able to apply these practices to improve patient and employee safety, and meet higher standards of care in all types of healthcare settings.

This webinar is facilitated by new WHA Corporate Member, Performance Health Partners. 
 

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 8 - Radiology, Laboratory, Surgical Services, Anesthesia, Organ Procurement

Learning Objectives:

• Discuss compliance requirements for radiology and laboratory services
• List what must be contained in the operative report
• Discuss the required content for informed consent
• Discuss the requirements for pre-and post-anesthesia assessment
• Discuss what the CAH must do to comply with the requirements for notification of the organ procurement (OPO) agency

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Critical Access Hospital (CAH) Conditions of Participation Series

Part 9 - Rehab, Dietary, Visitation, Swing Beds

Learning Objectives:

• Recall the requirement for an order for rehabilitation
• Discuss the requirement for dietary to meet the nutritional needs of patients and requirements of a dietitian
• Recall the requirement for nondiscrimination in visitation policies and practices
• Recall that CMS patient rights are in Swing Beds section
• Discuss the reporting requirements for allegations of abuse or neglect of swing bed patients

 

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2025 Wisconsin Rural Health Conference

The annual Wisconsin Rural Health Conference is the statewide forum designed to highlight public policy and operations issues affecting rural health care, identify how the delivery of and access to rural health care are changing and identify ways in which data, technology and people processes are improving care and access for rural populations.

This activity has been designed to meet the educational needs of CEOs, administrators, chief financial officers, controllers, nurse executives, chief medical officers, medical directors, marketing/public relations directors, quality managers, risk managers, public health officials, and hospital board of director members of rural health care organizations.

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