Critical Access Hospital CoPs Made Easy: Surveys, Regulations and Guidelines - March 1

Time: 9:00 AM


Webinar Series - #1 of 4


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

Start your year off right by exploring Critical Access Hospital (CAH) Conditions of Participation (CoPs) with accreditation expert Sue Dill Calloway, RN, MSN, JD. This four-part webinar series will explore challenging standards of the CAH CoPs and will discuss practical compliance strategies for your organization. Be prepared the next time a surveyor arrives at your facility!

The first webinar will focus on:

  • A brief overview of the Centers for Medicare & Medicaid Services (CMS) websites and resources;
  • Survey protocol; and
  • CAH CoPs regulations and interpretive guidelines, including the following “hot topics:”
    • CAH licensure;
    • Advanced directives;
    • The Emergency Medical Treatment and Labor Act;
    • Length of stay/observation stay (the “two-midnight rule”);
    • And swing beds/the number of beds.

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


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

  • Describe the CMS requirement in which the board must enter into a written agreement if the hospital wants to enter into telemedicine services.
  • Discuss the CMS list of emergency drugs and emergency equipment, which every CAH must have.
  • Explain how the length of stay in a CAH should not exceed 96 hours on an annual average basis.
  • Discuss recommendations to do a gap analysis to ensure compliance with all the hospital CoPs.

Who Should Attend

This program is designed for professionals involved with Critical Access Hospital CoP compliance. This includes:

  • Administration
  • Finance
  • Operations
  • Clinical care: medicine, nursing, pharmacy, dietary, etc
  • Compliance
  • Quality improvement/Risk management
  • Legal affairs
  • Facilities management
  • Board members
  • Safety officers
  • Behavioral health
  • Case managers

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.