Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements - Webinar

  • ID: 4557698
  • Webinar
  • 120 Minutes
  • Compliance Online
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This webinar will discuss the CMS requirements(tag numbers 144 in patient rights and tag 701 in facility services) for hospitals to prevent ligature risk and self-harm from patients that are suicidal.

Why Should You Attend:

CMS amends tag numbers 144 in patient rights and tag 701 in facility services. This webinar will discusses what units need to be ligature resistant. It covers what patient assessments must be done and what should be in the environmental assessments. It discusses education and policy and procedure requirements.

Joint Commission has 13 requirements to ensure compliance with their standards. These will be discussed in detail and include psych hospital, behavior health units, general acute care inpatient units, outpatient units and emergency departments. The zero suicide campaign will be discussed. The TJC sentinel event alerts on suicide, NPSH 15, and Frequently Asked Question (FAQ) on ligature risk will be covered.

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  • Sue Dill Calloway Sue Dill Calloway ,
    President ,
    Patient Safety and Healthcare Consulting and Education


    Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a board member. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal, patient safety, and risk management issues and writes numerous publications.

    Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other health care providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, emergency department patient safety and risk, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year. She was the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program.

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  • All staff, nurses, physicians and providers on the hospital behavioral health unit
  • All staff, nurses, physicians and providers at Psychiatric hospitals
  • All staff, nurses, physicians, and providers in hospital emergency departments
  • All staff, nurses, physicians and providers on hospital units where suicidal patients are taken care of such as ICU, medical-surgical units, OB and post-partum, and outpatient areas
  • All hospital risk managers
  • Hospital legal counsel
  • Patient safety officer
  • CEO, COO, CNO, and nurse supervisors
  • Chief medical officers
  • Director of maintenance and facility services
  • Biomedical engineering
  • Materials management
  • Environmental Services
  • Security
  • Director in charge of environment of care requirements and staff
  • Quality improvement coordinator
  • Compliance officer
  • Director of Regulatory Affairs
  • Board members
  • Nurse educator
  • Clinic and outpatient managers
  • All department directors/nurse managers such as ED, ICU, CCU, Med-surg managers, outpatient, etc.
  • Anyone who is responsible to ensure compliance with the CMS hospital conditions of participation and the Joint Commission standards
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