Home Events The CMS Hospital Infection Control and Antibiotic Stewardship Program: CMS Compliance Requirements for 2022

The CMS Hospital Infection Control and Antibiotic Stewardship Program: CMS Compliance Requirements for 2022

NDHA is an approved provider of continuing education by the North Dakota Board of Examiners for Nursing Home Administrators.

Date: 6/7/22

9:00  – 11:00 AM Central time


Registration fees:       $175 per NDHA member  |  $225 per non-member


Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.


This program will discuss the many changes to the infection control standards that went into effect in November 2019, including a new a requirement to have an antibiotic stewardship program.

This webinar will cover the Centers for Medicare and Medicaid Services (CMS) infection control worksheet used to assess compliance with the infection control hospital Conditions of Participation. The surveyor’s worksheet covers issues that are not addressed in the standards.Therefore, it is important for the hospital to comply with what is in the 49-page worksheet and to be aware of the proposed changes.

In addition, this webinar will also cover the Centers for Disease Control and Prevention (CDC) vaccine storage and handling toolkit as well as the CDC procedures for cleaning and disinfecting reusable medical devices.

Finally, infection control issues related to COVID-19 will be discussed, including the CMS targeted infection control surveys and self-assessment. The CDC also has many resources and recommendations on COVID-19 that will be addressed.


At the conclusion of this session, participants should be able to:

  • Discuss that CMS has a final infection control worksheet.
  • Recall that the infection control worksheet has a tracer on indwelling urinary catheters.
  • Describe what CMS requires for safe injection practices and sharps safety.
  • Recite that the infection control worksheet has a section on hand hygiene tracer.



Susan Seeley has over 40 years of experience in the health care industry, both as a nurse leader and as a clinical consultant with a focus on patient care services and regulatory compliance. She is experienced in conducting mock surveys and improving client hospitals’ accreditation survey preparedness through on-site education. Susan has helped organizations achieve continuous survey readiness and assists organizations with writing and implementing successful Plans of Corrections for survey deficiencies. She has also assessed quality programs, clinical operations, the structure and function of medical staff committees, and the implementation of peer review quality plans.

Prior to becoming a consultant, Susan spent 19 years as the chief nursing officer for a rural Florida hospital while working part time for the parent company as a clinical consultant for their more than 200 hospitals. She earned her Master of Science in Nursing Administration

and her Bachelor of Science in Nursing from Barry University in Miami Shores, Florida. She is a registered nurse and holds an Advanced Nurse Administrator certification through the American Nurses Association.

This speaker has no real or perceived conflicts of interest that relate to this presentation.


Jun 07 2022


9:00 am - 11:00 am

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