CMS Surveys: Preparing With Confidence

Presented by:
Victoria Fennel, PhD, RN-BC, CPHQ
Julie Campbell, MHA, BSN, NE-BC, HACP

Presented On:
Monday, December 05, 2016
1:00–2:30 p.m. Eastern

Barriers impacting the efficiency and effectiveness of peer review programs

CMS has increased the frequency of its hospital surveys, and many healthcare facilities are finding themselves unprepared for the bump in federal scrutiny.

Join expert speakers Victoria Fennel, PhD, RN-BC, CPHQ, and Julie Campbell, MHA, BSN, NE-BC, HACP, for this impactful program. In addition to arming attendees with preparatory steps and strategies, Fennel and Campbell will examine a real-life case study to provide specific examples of survey citations and responses.

Agenda

• What happens during a CMS survey
  • Increased CMS hospital scrutiny: More validation and complaint surveys
  • What to expect on survey day: Survey protocol
  • 2567 (Statement of Deficiencies)
  • Responding to survey findings: The Plan of Correction
  • Severe consequences: Condition-level findings, immediate jeopardy, termination of services
  • Differences in the CMS and Joint Commission survey processes
• The importance of being prepared for CMS surveys
  • Compliance process plan
  • Gap analysis
• Case study
  • Baylor Medical Center’s recent survey
  • What the surveyor found
  • How Baylor responded
  • Lessons learned and sustainability
• Q&A

Meet the Speakers

Victoria Fennel, PhD, RN-BC, CPHQ, has more than 20 years of healthcare leadership experience. She has spent the majority of her career in nursing leadership roles and brings expertise in evidence-based practice, nursing education, quality management, performance improvement, accreditation, risk management, patient safety, and patient-centered care. 

Julie Campbell, MHA, BSN, NE-BC, HACP, has more than 25 years of nursing leadership experience. She has spent the majority of her career in various nursing management roles of a midsized hospital within Baylor Scott & White Health (BSWH). During the past six years, she has provided accreditation oversight of the North Texas BSWH hospitals, encompassing 12 hospitals of varying sizes. 

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