Sue Dill Calloway
President , Patient Safety and Healthcare Consulting and Education
Sue is president of Patient Safety and Healthcare Consulting and Education company with focus on medical legal education especially Joint Commission and the CMS hospital CoPs regulatory compliance. She also lectures on legal, risk management and patient safety issues. 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 was a medical malpractice defense attorney for ten years. She has 3 nursing degrees in addition to a law degree.

She is a well known lecturer and the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program. She has written 102 books and thousands of articles.
Upcoming Webinar
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Recorded Webinar
Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements
Every hospital needs to attend this webinar. It is now a hot area and there is a lot of survey activity around prevention of suicidal patients from harm or strangulation. The Joint Commission announced that this is one of the four top areas of focus. The Centers for Medicare and Medicaid Services (CMS) has promulgated requirements for hospitals to prevent ligature risk and self harm from patients that are suicidal. A 13 page memo was issued and the hospital manual was amended on December 29, 2017 to implement these changes. Any hospital that received Medicare, which includes most hospitals in America, must implement these changes for all patients.
Recorded Session Get life time access for one participant with download option!

Medical Record Standards: What Hospitals Should Know about the CMS Hospital CoPs & Proposed Changes in 2018
If a CMS surveyor showed up at your door tomorrow would you know what to do? Are you up to date on all the recent CMS hospital CoP changes? Did you know that all the medical records standards (health information management) apply to all departments including lab and x-ray?
Recorded Session Get life time access for one participant with download option!

2018 CMS Nursing CoP Standards for Hospitals: Proposed Changes and Updates
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV Healthcare must also follow these regulations.
Recorded Session Get life time access for one participant with download option!

Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements
The Centers for Medicare and Medicaid Services (CMS) has promulgated requirements for hospitals to prevent ligature risk and self harm from patients that are suicidal. A 13 page memo was issued and the hospital manual was amended on December 29, 2017 to implement these changes. Any hospital that received Medicare, which is most hospitals in America, must implement these changes for all patients.
Recorded Session Get life time access for one participant with download option!

Discharge Planning Worksheet and Standards: Ensuring Compliance with the 2018 CMS Hospital CoPs and Proposed Changes
This program will discuss the final surveyor worksheet for assessing compliance with the CMS hospital Conditions of Participation (CoPs) for discharge planning. This worksheet is used by State and Federal surveyors on all survey activity in hospitals assessing compliance with the discharge planning standards. The worksheet will be revised to reflect the proposed discharged planning guidelines when finalized. This webinar will discuss what has changed based on the IMPACT Act and the proposed discharge planning standards which are significant.
Recorded Session Get life time access for one participant with download option!

CMS 2018 Dietary, Food and Nutrition Services: Meeting the CMS Hospital and CAH CoPs, DNV Healthcare and TJC Requirements
Come learn about the CMS hospital CoPs on dietary, food, and nutrition services. CMS previously made 3 changes to the dietary guidelines for hospitals and rewrote all the dietary guidelines for critical access hospitals that went into effect April 1, 2015. Some hospitals are still working to ensure compliance.
Recorded Session Get life time access for one participant with download option!

The CMS Hospital Infection Control Worksheet and Proposed Changes and Antibiotic Stewardship Program
The Centers for Medicare and Medicaid Services (CMS) has finalized the surveyor worksheet for assessing compliance with the infection control Conditions of Participation (CoPs). The worksheets are used by State and Federal surveyors when assessing compliance with the infection control standards. Infection control is hit hard during the survey and every hospital should have a working familiarity with this important document. This is the first time CMS has ever had tracers. Hospitals should develop tracer tools to match this worksheet. Accreditation organizations may also ask similar questions since all four must apply for deemed status from CMS.
Recorded Session Get life time access for one participant with download option!

Confidentiality of Substance Use Disorder Patient Records; Complying with the New Federal Law 42 CFR Part 2
This webinar will cover the new law on confidentiality of substance use disorder patient records under 42 CFR Part 2. This law was previously known as the confidentiality of drug abuse and alcohol abuse records. The new law was effective in 2017. Anyone or any facility that is subject to these requirements needs to attend this webinar.
Recorded Session Get life time access for one participant with download option!

Nursing: CMS CoP Standards for Hospitals and Proposed Changes: 2017 Update
This session by expert speaker Sue Dill Calloway, RN, MSN, JD, is a must attend for any clinical nurse or nurse leader or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing. There has been an increase in surveillance and scrutiny in recent times to ensure that every hospital is in compliance with the hospital CoPs. Don't take chance and put your hospital's reimbursement at stake.
Recorded Session Get life time access for one participant with download option!

2017 CMS Proposed Changes to the Discharge Planning Standards and the IMPACT Act
CMS penalized 2,597 hospitals in FY2017 on account of unnecessary readmissions. This year the CMS under HRRP will withhold $528 million in payments in 2017, an all-time high and an increase of about $108 million from FY 2016. New evidence-based research is coming out every day on recommendations to help reduce unnecessary readmissions. But what can a hospital do to prevent unnecessary readmissions?
Recorded Session Get life time access for one participant with download option!

CMS Hospital Improvement Act Proposed Changes: Nursing, Medical Records, Infection Control, Antibiotic Stewardship Program, Restraints, QAPI and much more!
CMS has proposed some significant changes to the hospital conditions of participation (CoPs) that every hospital should know including critical access hospitals. This includes changes to nursing, medical records, infection control, QAPI, patient rights and restraint and seclusion. It will also require all hospitals to have an antibiotic stewardship program and what the program should include. It will include a prohibition on discrimination which must be given to patients in writing.
Recorded Session Get life time access for one participant with download option!

Medical Record Standards: What Hospitals Should Know About the CMS Hospital CoPs
This program will cover in detail the CMS regulations and interpretive guidelines for medical records. This is an extremely important section and includes hot issues like verbal orders, history and physicals, organization of the department, standing orders, discharge summaries, medication orders, and more.
Recorded Session Get life time access for one participant with download option!

2016 New CMS CoP Regulations for Managing Grievances and Complaints: What Hospitals Should Know about the CMS and Joint Commission and DNV Standards
Most of the hospitals in the US that accept Medicare or Medicaid reimbursement must be in compliance with the CMS Conditions of Participation (CoPs). This program will cover in detail the CMS requirements for hospitals to help prevent the hospital from being found out of compliance with the grievance regulations.
Recorded Session Get life time access for one participant with download option!

CMS Proposed Changes to the Discharge Planning Standards and the IMPACT Act
This program will discuss two issues that are of extreme importance to all hospitals including critical access hospitals. It relates to a federal law that has been passed called the IMPACT Act. The second topic to be covered is the CMS hospital proposed changes to the discharge planning standards.
Recorded Session Get life time access for one participant with download option!

CMS Nursing CoP Standards for Hospitals: 2016 Update
Did you know there were fifteen recent memos of importance to nursing in the recent past? Did you know there have been many changes nursing chapter in the past two years including 2016 changes? Did you know that CMS has issued deficiency reports which includes which are the most problematic standards for hospitals? This is a must attend program for any clinical nurse or nurse leader or person interested in ensuring compliance with the CMS hospital conditions of participation in nursing.
Recorded Session Get life time access for one participant with download option!

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