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Primer on the Medicare Hospital Conditions of Participations (CoPs): Medical staff leadership in hospital matters
The Hospital Medicare Conditions of Participations (CoPs) define the minimum requirements of hospitals to participate in the Medicare and Medicaid programs. More specifically, the CoPs codify Medicare’s expectations of hospital governance and the medical staff. On May 10, 2012, the Centers for Medicare & Medicaid Services (CMS) published its final rule on revisions to the Medicare CoPs. As a direct result of AMA advocacy, the final rule, which took effect July 16, 2012, made a number of improvements over the draft rule proposed in October 2011, which include: the proposed concept of a single medical staff for a multi-hospital system has been removed; the proposed concept of the privileging of physicians without appointment to the medical staff has been removed; the proposed concept of credentialing for medical staff membership in accordance with hospital policies and procedures has been removed. The final rule defers to state law and medical staff bylaws, rules and regulations. The final rule also required that a hospital’s governing body include at least one medical staff member; however, CMS has postponed the enforcement of this rule until it can further review a number of legal challenges raised by other organizations after the publication of the final rule. This program will provide specific information on the CoPs requirements regarding governance, medical staff and leadership. Participants will also gain knowledge on how physician influence and medical staff involvement can improve patient safety and quality of care. Should you have technical questions, please contact the AMA Unified Service Center at 800-621-8335. Should you have any questions regarding the content, please contact Katie Pajak at kathryn.pajak@ama-assn.org or 1-312-464-5450.
Primer on the Medicare Hospital Conditions of Participations (CoPs): Medical staff leadership in hospital matters 
Release Date: April 1, 2013
Expiration Date: April 1, 2016

Objectives

At the end of this activity, physicians should be able to:

  1. Summarize the Medicare CoPs.  
  2. Define Medicare's expectations of the medical staff. 
  3. Evaluate the significance of the CoPs and their influence on accreditation program standards.  

Target Audience
This activity is designed for medical staff leaders (Chief of Staffs, Medical Staff Presidents, Medical Directors and Medical Staff members), medical staff service professionals and medical staff legal counsel.  

Statement of Need
There is a need to provide education on the Medicare Hospital CoPs in order to explain the specific information on the revised CoPs requirements regarding governance, medical staff and leadership. Participants will gain explore information on how physician influence and medical staff involvement can improve patient safety and quality of care.  

Statement of Competency
This activity is designed to address the following ABMS/ACGME competencies: patient care; and systems-based practice

Accreditation Statement
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement
The American Medical Association designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


Receiving Your CME Credit
To claim AMA PRA Category 1 Credit™, you must; 1) view the webinar in its entirety, 2) successfully complete the quiz by answering 3 out of 4 questions correctly and 3) complete the evaluation. 

CME Activity Planning Committee
Hoyt Burdick, MD - OMSS Representative/AMA
James DeNuccio, MBA - Director of Physicians in Practice/AMA
Jay Gregory, MD - OMSS Governing Council Immediate Past Chair/AMA

Gale Hazen, MD - OMSS Governing Council Member-at-Large B/AMA

Mary Kelly - CME Program Committee/AMA
Raj Lal, MD - OMSS Representative/AMA
Arthur D. Snow, Jr, MD - OMSS Governing Council Chair/AMA
Katie Pajak, MEd - Program Development Administrator/AMA
David J. Welsh, MD - OMSS Governing Council Vice Chair/AMA
Lambert Wu, MD - OMSS Representative/AMA

Faculty
David Hilgers, JD - Attorney, Brown and McCarroll

Disclosure Statement
The content of this activity does not relate to any product of a commercial interest as defined by the ACCME; therefore, there are no relevant financial relationships to disclose for the planners or faculty.  

Hardware/software Requirements
Screen resolution of 800X600 or higher.
Web Browser: MS Internet Explorer 8.0 or higher, Firefox, Opera, Safari, etc.
Browser Plug-in: Adobe Flash Player
PDF Adobe Reader 5.0 or higher.

Audio speakers or headphones

Should you have any questions regarding the content of the activity, please contact Katie Pajak at kathryn.pajak@ama-assn.org or 312-464-5450. 

Should you have any technical questions, please contact the AMA Unified Service Center at 800-621-8335.



Type:     Internet Activity (Enduring Material)
FREE
Member Price
$30.00
Non-Member Price
10 Registered Users
Credits
1 Credits> AMA> AMA PRA Category 1 Credit

0 Credits> AMA> Certificate of Participation for Non-Physicians