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CMS Revised Hospital CoP Dietary, CAH Dietary, DNV Healthcare & TJC Standards
CMS Food and Dietetic Services CoP Topics
- Final regulations on credentialing and privileging qualified dieticians and qualified nutritional specialist
- How to obtain current copy of CoP manual
- Proposed changes rea dieticians ordering patient diet
- Ways to keep up with CMS changes
- Starts at tag number 618
- 3 tag numbers changes and one deleted (Tag 628, 929, and 630)
- Organized dietary services
- Director and qualified dietary staff required
- Must meet nutritional needs of patients
- Policies required
- Same standards whether or not by contracted services
- Director who is full time and qualified
- Policies and procedures include
- Survey procedure questions
- Diets and menus to meet the needs of patients
- Therapeutic dies and guidelines
- Nutritional needs in accordance with recognized dietary practices
- Current therapeutic diet manual approved by MS and dietician
- CMS third revised hospital worksheet on infection control
- Infection control important in dietary
TJC Provision of Care Standards related to Dietary
- Nutritional Screen
- Time frame for screens
- Food and nutrition
- Person responsible for food and nutrition services
- Proper sanitation, temperature, etc of food and nutrition
- What to do if patient refuses food
- Accommodation of special diets
- Accommodation of ethnic food and nutrition preferences
- Storage of food and nutrition
- Therapeutic diet manual
- Patient education on nutritional interventions, diets, supplements
Topics Discussed Throughout the Patient Tracer Activity
- Assessment, care planning
- Instructions by qualified staff
- Identification and nutrition risk
- Nutrition screening criteria
- Time frames for nutrition assessment and re-evaluation
- Measuring food consumption
- Special population needs such as NPO, on vents, in isolation, getting hyperalimentation
- Procedure to follow if patient refuses meals
- Discharge education and referrals
- Communications between dietician and food services
Dietary and food services day to day operation information
- Director of dietary qualifications
- Responsibilities of dietary and food services leaders
- Emergency/disaster plans
- Hospital diets and menus
- Food preparation and storage
- Safe food handling and health of food service staff
- Contracts for services, food, nutrition support supplies and formulas
- Sanitation and infection control (pest control, chemicals)
- Quality improvement activities etc.
DNV Healthcare Standards
CAH Dietary Standards (revised April 7, 2015)
Overview of the webinar
Come learn about the CMS hospital CoPs on dietary, food, and nutrition services. CMS previously made 3 changes to the dietary guidelines for hospitals and rewrote all the dietary guidelines for critical access hospitals that went into effect April 1, 2015. Some hospitals are still working to ensure compliance.
CMS will now permit the Medical Staff and Board to credential and privilege qualified dieticians and qualified nutritional specialist to order the patient’s diet. This includes therapeutic diet, supplemental feeding and enteral nutrition. CMS has provided additional information about the C&P process for dieticians and this issue will be discussed in detail.
This program will discuss the CMS hospital conditions of participation requirements for dietary and food and nutrition services. It is an important part of the CMS survey and this area has received increased scrutiny of their standards especially in the area of Infection control. CMS has issue a deficiency report. This program will cover the common deficiencies received by hospitals from CMS in this area. Do you know which ones are the top problematic standards?
This program will also cover the Joint Commission provision of care chapter standards related to dietary and the TJC dietary tracer information. The tracer is used to assess and determine the degree of compliance with standards and elements of performance related to nutrition care. The tracer used through dietetic and food services covers some of the same issues discussed during the CMS survey.
This webinar will discuss the DNV Healthcare dietary standards.
Who should attend?
- Dieticians
- Director of Dietary
- Dietary Staff
- Joint Commission Liaison or Accreditation Director DNV Healthcare
- CMS or Regulatory Staff
- Compliance Officer
- Chief Operating Officer
- Chief Nursing Officer
- Nurses and Nurse Managers
- Nurse Educator
- Chief Medical Officer
- Medical Staff and MS Department Staff
- Anyone Responsible for Complying with the CMS, DNV Healthcare or Joint Commission Standards that affect Dietary and Nutrition Services
Why should you attend?
- Discuss that the Joint Commission has a tracer for food and dietetic services
- Describe that CMS has a section on food and nutrition services in the hospital condition of participation standards
- Recall that the Joint Commission provision of care chapter has several standards on dietetic services
Faculty - Ms.Sue Dill Calloway
Sue Dill Calloway, R.N., M.S.N, J.D. is a nurse attorney and President of Patient Safety and Healthcare Consulting and Education. She is also the past Chief Learning Officer for the Emergency Medicine Patient Safety Foundation and a board member. She was a director for risk management and patient safety for five years for the Doctors Company. She was the past VP of Legal Services at a community hospital in addition to being the Privacy Officer and the Compliance Officer. She worked for over 8 years as the Director of Risk Management and Health Policy for the Ohio Hospital Association. She was also the immediate past director of hospital patient safety and risk management for The Doctors Insurance Company in Columbus area for five years. She does frequent lectures on legal, patient safety, and risk management issues and writes numerous publications.
Sue has been a medico-legal consultant for over 30 years. She has done many educational programs for nurses, physicians, and other healthcare providers on topics such as nursing law, ethics and nursing, malpractice prevention, HIPAA medical record confidentiality, emergency department patient safety and risk, EMTALA anti-dumping law, Joint Commission issues, CMS issues, documentation, medication errors, medical errors, documentation, pain management, federal laws for nursing, sentinel events, MRI Safety, Legal Issues in Surgery, patient safety and other similar topics. She is a leading expert in the country on CMS hospital CoPs issues and does over 250 educational programs per year. She was the first one in the country to be a certified professional in CMS. She also teaches the course for the CMS certification program.