CMS Hospital CoPs Made Easy: Medical Staff, Quality Improvement and Facilities - March 20

Time: 9:00 AM


Webinar Series - #4 of 5


IHA Members: $195 per webinar connection
Non-IHA Members: $250 per webinar connection

*Please note: The registration fee is for one phone line and one internet connection only. Any additional line/connection using your registration information will incur an additional registration charge.

15% series registration discount available – visit the registration page below for additional information.

Register Online

Given the current environment, it’s never too soon to improve your knowledge of the Centers for Medicare & Medicaid Services (CMS) Hospital Conditions of Participation (CoP) manual.

Take advantage of this fast-paced five-part webinar series with accreditation expert Sue Dill Calloway, RN, MSN, JD. Explore challenging standards, identify proposed and updated standards and guidelines, and learn practical compliance strategies to help you comply with the CoPs in 2019.

The fourth webinar in the series will focus on:

  • Medical staff role and responsibilities;
  • Hospital quality assessment and performance improvement (QAPI) requirements;
  • Radiological services;
  • Laboratory services and the Look-Back Program;
  • Food and dietetic services;
  • Utilization review; and
  • Physical environment and maintenance.

For more information, including a detailed content outline, please visit the registration page.


At the conclusion of this program, participants will be able to:

  • Identify the problematic standards within the Quality Assurance and Performance Improvement (QAPI) section of the CoP manual.
  • Outline CMS-required radiology policies, including the requirements for radiology safety and qualified staff.
  • Specify that a hospital can credential a dietician to order patient diets if allowed by the state.

Who Should Attend

This webinar series is designed for anyone involved with CoP compliance. This may include leaders and professionals in:

  • Administration
  • Operations
  • Finance
  • Clinical care
  • Compliance
  • Legal affairs
  • Quality improvement/Risk management
  • Facilities management
  • Board members
  • Government relations

Nursing Continuing Education
The Illinois Health and Hospital Association (IHA) is authorized by the State of Illinois Department of Financial and Professional Regulation (license number 236.000109) to award up to 2.0 hours of nurse continuing education credit for this program.


Sue Dill Calloway, RN, MSN, JD, has been a nurse attorney and consultant for more than 30 years. She is president of Patient Safety and Healthcare Education and Consulting and was previously the chief learning officer at the Emergency Medicine Patient Safety Foundation and a director of patient safety and risk management for The Doctors Company. Calloway is an author of 102 books and thousands of articles, is a frequent speaker and is well-known across the county in the areas of healthcare law, CMS, risk management and patient safety. She has no real or perceived conflicts of interest that relate to this presentation.