CMS Hospital Restraints & Seclusion: Standards & Changes

WHO SHOULD PARTICIPATE: CMOs, CNOs, compliance officers, emergency department personnel, joint commission coordinators, medical records staff, quality improvement personnel, risk managers, legal counsel, and anyone else interested in the subject matter

Restraint and Seclusion, a hot topic with the Centers for Medicare & Medicaid Services (CMS) and The Joint Commission (TJC), is an area in which hospitals are commonly cited for being out of compliance. This webinar will cover the most problematic standards in the CMS Conditions of Participation (CoPs) restraint section.  Any physician or provider who orders restraint must be trained in the hospital’s policy. Both CMS and TJC require hospital staff to be educated on restraint and seclusion interpretive guidelines on an annual basis. CMS also requires restraint training to be ongoing, meaning it should be provided at orientation, as well as through a recurring training program. CMS has 50 pages of interpretive guidelines on restraint and seclusions for hospitals. Every hospital that accepts Medicare patients must comply with the interpretive guidelines even if the hospital is accredited by TJC, HFAP, CIHQ, or DNV Healthcare.  Also, the webinar will briefly cover The Joint Commission standards on restraint and seclusion, many which closely align with CMS CoPs. 

Recall that CMS requires all physicians and others who order restraints to be educated on

        the hospital policy;

Describe that CMS has restraint education requirements for staff;
Discuss that CMS has specific things that need to be documented in the medical record

        for the one-hour face-to-face evaluation on patients who are violent and or

        self-destructive; and 

Define the CMS restraint requirement of what a hospital must document in the internal log

        if a patient dies within 24 hours of having two soft wrist restraints on.

MEET YOUR FACULTY: Laura A. Dixon, JD, RN, CPHRM; Speaker Bio
Up to 2.0 contact hours will be awarded for this offering by the Louisiana Hospital Association for complete attendance and evaluation of the program. The LHA is approved by the Louisiana State Board of Nursing – CE Provider #39. 

Participants will receive, upon completion of this program and evaluation, a certificate documenting the completed continuing education/clock hours.

6/11/2024 9:00 AM - 11:00 AM
Central Daylight Time
Registration not available.

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VIRTUAL OFFERING: Access information for the webinar will be provided to each registered participant in advance of the event. To prevent emails from going into your junk or spam folders, have your IT staff whitelist the email address [email protected] and any emails coming from Access information and program materials are not meant to be shared with anyone other than registered participants. Program materials are the intellectual property of the speakers and are intended only for those who register and participate in the webinar. Sharing this information with others within your organization will result in being charged an additional registration fee.

REGISTRATION: Registrations are accepted online only. VISA, Master Card, Discover, and American Express are accepted. Email confirmations will be sent to registrants upon completion of registration. To ensure timely delivery of instructions and handouts, and inclusion on the attendee list, registrations should be completed online one week prior to the event.  

CANCELLATION POLICY: Individuals who cancel more than seven business days prior to a scheduled event will be charged a cancellation fee of $40 per person unless the webinar is complimentary. Written notice of the cancellation must be emailed to [email protected]. No refunds will be issued for cancellations received within seven business days of the event or for no-shows. 

SUBSTITUTION POLICY: Registrants who are unable to participate in an LHA educational event are permitted and encouraged to have an eligible substitute; however, written notice of the substitution must be emailed to [email protected] at least seven business days in advance of the event. The substitution option is not available if written notification is received by the LHA less than seven business days before the scheduled program. 

ACCOMMODATIONS: Please contact the LHA if you have a disability that may require special accommodations for this educational opportunity. The LHA is committed to ensuring full accessibility for all registrants.