Informed Consent Update: Maneuvering the Maze for CMS Compliance
Date: 9/9/25
9:00 – 10:30 a.m. Central time
Audience:
Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.
Overview:
The Centers for Medicare & Medicaid Services (CMS) and accrediting organizations have certain elements required for informed consent. All hospitals that receive Medicare and Medicaid reimbursement must comply with these regulations and the interpretive guidelines. This program will discuss the CMS requirements for hospitals and critical access hospitals. Healthcare providers must also be aware of their specific state law on informed consent. Many professional organizations also have guidelines or position statements on informed consent.
Learning Objectives:
– Recall that the CMS hospital CoPs regulations have three separate sections on informed consent.
– Describe the six minimum requirements that are mandatory on any informed consent form for surgery completed at a Medicare-certified hospital.
– Discuss the CMS standards applicable to your facility, which should be reflected in your hospital’s policies and procedures.
– Identify that the medical staff must have a list of procedures and tests that will require informed consent under federal regulations.
Speaker:
Laura A. Dixon served as the director of risk management and patient safety for the Colorado Region of Kaiser Permanente. Prior to joining Kaiser, she served as the director, facility patient safety and risk management and operations for COPIC from 2014 to 2020. In her role, she provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Dixon has more than 20 years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the director, Western region, patient safety and risk management for The Doctors Company in Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States As a registered nurse and attorney, Dixon holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.
This speaker has no real or perceived conflicts of interest that relate to this presentation.
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