CMS Hospital CoPs Made Easy - Nursing and Pharmacy: July 12

Time: 12:00 PM




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

A 15 percent series registration discount is available. Click the registration link below for additional details.

Register Online

If a surveyor from the Centers for Medicare & Medicaid Services (CMS) showed up at your hospital tomorrow, would you be prepared?

Take part in a five-session webinar series focused on the current CMS hospital Conditions of Participation (CoP) manual, interpretative guidelines and compliance resources. In each session, nurse attorney Sue Dill Calloway will explore CMS survey processes and areas of focus, along with compliance strategies to help you prepare.

The third webinar will explore challenging standards, interpretive guidelines, proposed changes, and compliance strategies related to the Nursing and Pharmaceutical Services chapters. Topics include:

  • CMS hospital Deficiency Reports data identifying challenging standards;
  • Recent regulatory modifications to areas such as safe use of opioids, compounding and antibiotic stewardship;
  • The 2018 implementation of the USP chapter “Hazardous Drugs – Handling in Healthcare Settings;” and
  • Providing patient and worker safety protections for safe handling of NIOSH-identified hazardous and potentially hazardous drugs.

Take advantage of this opportunity to train your entire team for the cost of one registration. An unlimited number of staff may participate using one phone line and internet connection. Attend the webinar with your colleagues and use the program as a springboard to discuss your organization’s implementation strategies.


The third webinar in the series will cover:

  • Nursing Services
    • Top 2017 Centers for Medicare & Medicaid Services (CMS) nursing deficiencies in hospitals
    • CMS hospital nursing requirements for the director of nursing and the nursing care plan
    • Nurse staffing resources and recommendations
    • CMS requirements, timeliness and patient safety concerns regarding verbal and standing orders
    • Medication administration CoP modifications for safe opioid use, compounding, safe injection practices, blood transfusions, IVs, and antibiotic stewardship
  • Pharmaceutical Services
    • Regulatory changes, including significant pharmacy tag rewrites, the addition of tag 490 and the 2018 implementation of USP chapter 800, “Hazardous Drugs – Handling in Healthcare Settings”
    • Hospital pharmacy service requirements, including pharmacy director qualifications, adequate staffing, storage and security of medications, and safe dispensing practices
    • Standards and strategies to minimize drug errors, expected response to drug shortages and recalls, and outdated or mislabeled drugs
    • Considerations for pediatric patients
    • Medication compounding
    • Addressing adverse drug events like drug incapabilities, medication errors with no harm, and drug administration errors, abuses and losses


Upon completion of this program, participants will be able to:

  • Compare your organization’s challenges to those included in Centers for Medicare & Medicaid Services (CMS) Deficiency Reports, and discuss possible compliance strategies.
  • Outline CMS requirements for verbal and standing orders.
  • List recent regulatory changes to the Pharmacy Services CoPs.
  • Discuss strategies to minimize drug errors.

Who this is for

This webinar series is designed for anyone involved with or interested in regulatory compliance, including leaders and professionals in:

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


Sue Dill Calloway, RN, MSN, JD, President, Patient Safety and Healthcare Consulting and Education

Sue has been a medico-legal consultant for over 30 years and is a long-time educator for healthcare providers. A frequent speaker, she is a nationally recognized expert on Centers for Medicare & Medicaid Services hospital CoP issues and well-known in the areas of healthcare law, risk management and patient safety. She has authored over 100 books and hundreds of articles.

Sue earned her Associate Degree in Nursing from Central Ohio Technical College and her Bachelor of the Arts, Bachelors of Science in Nursing, Master of Science in Nursing (summa cum laude), and Juris Doctorate (with honors) from Capital University.