CMS Hospital CoPs Made Easy: Nursing and Pharmacy - March 13

Time: 9:00 AM


Webinar Series - #3 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

Is your hospital fully equipped to comply with the Centers for Medicare & Medicaid Services (CMS) Hospital Conditions of Participation (CoP) manual?

This fast-paced five-part webinar series with accreditation expert Sue Dill Calloway, RN, MSN, JD, will boost your knowledge of requirements for nursing and pharmacy. 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 third webinar will explore:

  • Challenging standards;
  • Interpretive guidelines;
  • Proposed changes; and
  • Compliance strategies from the Nursing and Pharmaceutical Services CoP chapters.

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


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

  • Compare your organization’s challenges with those of the CMS Deficiency Reports and identify potential compliance strategies.
  • Recall that all protocols should be approved by the Medical Staff and have an approved order entered into the medical record.
  • Outline CMS requirement for a nursing care plan to be in writing, started soon after admissions and maintained in the medical record.
  • Describe pharmacy policies required by CMS.
  • Identify the three blocks of time that medications must be given within.
  • Outline components of a safe opioid policy and include approval by the Medical Staff and staff education.

Who Should Attend

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

  • Administration
  • Nursing, including CNOs/Nurse Managers/Nurse Supervisors and all nurses with direct patient care
  • Pharmacy
  • 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.