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T141205 - 12-05-14 - CMS Requirements on Order Sets ...

Friday, December 5th, 2014 CMS Requirements on Order Sets, Protocols, Preprinted and Standing Orders2 Speaker Sue Dill Calloway RN, Esq. CPHRM, CCMSCP AD, BA, BSN, MSN, JD President of Patient Safety and Education Consulting Board Member Emergency Medicine Patient Safety Foundation 614 791-1468 Recall hospital compliance Requirements with the CMS Explain the CMS Requirements for standing orders and Explain new and revised standards, regulations, and laws put forth by CMS, TJC and the federal Evaluate compliance Requirements and ObjectivesYou Don t Want One of These45 Many revisions since 1986 Hospital CoP Manual updated June 6, 2014 First regulations are published in the Federal Registerthen CMS publishes the Interpretive Guidelines and some have survey procedures 2 Hospitals should check this website once a month for changes1 Conditions of Participation (CoPs)CMS Issues Final Regulation CMS publishes 165 page final regulations changing the CMS CoP a

However, in the March 15, 2013 memo CMS says nurses and other staff may administer drugs in accordance with pre-printed and electronic standing orders, orders and protocols which are collectively referred to as “standing orders” and effective June 2013 These must address well defined clinical scenarios involving medication administration

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