Ligature Risks: Ensuring Compliance with the CMS Hospital CoPs and TJC Requirements

Why Should You Attend:

CMS amends tag numbers 144 in patient rights and tag 701 in facility services. This webinar will discuss what units need to be ligature resistant. It covers what patient assessments must be done and what should be in the environmental assessments. It discusses education and policy and procedure requirements.

Joint Commission has 13 requirements to ensure compliance with their standards. These will be discussed in detail and include psych hospital, behavior health units, general acute care inpatient units, outpatient units and emergency departments. The zero suicide campaign will be discussed. The TJC sentinel event alerts on suicide, NPSH 15, and Frequently Asked Question (FAQ) on ligature risk will be covered.

Who Will Benefit:

• All staff, nurses, physicians and providers on the hospital behavioral health unit
• All staff, nurses, physicians and providers at Psychiatric hospitals
• All staff, nurses, physicians, and providers in hospital emergency departments
• All staff, nurses, physicians and providers on hospital units where suicidal patients are taken care of such as ICU, medical-surgical units, OB and post-partum, and outpatient areas
• All hospital risk managers
• Hospital legal counsel
• Patient safety officer
• CEO, COO, CNO, and nurse supervisors
• Chief medical officers
• Director of maintenance and facility services
• Biomedical engineering
• Materials management
• Environmental Services
• Security
• Director in charge of environment of care requirements and staff
• Quality improvement coordinator
• Compliance officer
• Director of Regulatory Affairs
• Board members
• Nurse educator
• Clinic and outpatient managers
• All department directors/nurse managers such as ED, ICU, CCU, Med-surg managers, outpatient, etc.
• Anyone who is responsible to ensure compliance with the CMS hospital conditions of participation and the Joint Commission standards

Areas Covered in the Webinar:

Sue Dill Calloway
chief learning officer, Emergency Medicine Patient Safety Foundation

Sue Dill Calloway is a nurse attorney, a medical legal consultant and the past chief learning officer for the Emergency Medicine Patient Safety Foundation. She is the immediate past director of Hospital Patient Safety and Risk Management for The Doctors Company. She is currently president of Patient Safety and Health Care Education and Consulting. She was a medical malpractice defense attorney for many years and a past director of risk management for the Ohio Hospital Association. She was in-house legal counsel for a hospital in addition to being the privacy officer and compliance officer. She has done many educational programs for nurses, physicians, and other health care providers. She has authored over 102 books and numerous articles. She is a frequent speaker and is well known across the country in the area of healthcare law, risk management, and patient safety. She has taught many educational programs and written many articles on compliance with the CMS and Joint Commission restraint standards.

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