Webinar: Restraint, Seclusion, Ligature & Suicide Risks: Complying with the CMS CoPs & TJC

Thursday, May 13, 2021 10:00 AM - 12:00 PM   iCalendar

Restraint, Seclusion, Ligature & Suicide Risks: Complying with the CMS CoPs & TJC Requirements

This educational activity is jointly provided by AXIS Medical Education and the
North Carolina Healthcare Association
This webinar is being offered in cooperation with the Georgia Hospital Association

The Centers for Medicaid and Medicare Services (CMS) and the Joint Commission (TJC) require hospital staff to be educated on restraint and seclusion, and these topics continue to be a major concern for both CMS and TJC.  The leading area of deficiencies in the CMS Conditions of Participation is regarding restraints. CMS and TJC have also promulgated requirements for hospitals to prevent ligature risk and self-harm from patients who are suicidal. 
Resources to aid hospital staff in achieving compliance of the CMS and TJC requirements regarding restraint and seclusion will be provided in this session. Tools to assess a facility’s ability to meet safety requirements and assess patients for risks of self-harm and suicide will also be included in the presentation.

Target audience:  
CEO's, CFO's, COO's, CMO's, CNO's, Physicians, Compliance Officer, Joint Commission Coordinator, Quality Improvement personnel, Risk Manager and Legal Counsel.

Learning Objectives: At the conclusion of this webinar, participants should be able to:

  • Define the CMS requirements for a patient in restraint and/or seclusion, including reporting requirements and an internal log when a patient dies while in restraints.
  • Recall that CMS requires that all physicians and others who order restraints must be educated on the hospital policy.
  • Describe specific items CMS requires to be documented in the medical record for the one-hour face to face evaluation on patients who are violent and or self-destructive.
  • Recall that CMS has requirements to prevent ligature and suicide risks for patients with suicidal ideations.
  • Identify the Joint Commission requirements for hospitals to follow to prevent patients from self-harm, including hanging or strangulation.

NEW pricing structure for multiple registrants! 
Select your registration option and receive a link to share with your hospital or facility staff.
$175 for up to 6 participants
$225 for 7-12 participants
* Members of The Quality Center PSO (TQCPSO) receive a 10% discount. Use the promotion code TQCPSO10.

CE's included for all paid registrants. Instructions to obtain credit will be shared throught the program evaluation. You must attend LIVE to be eligible for credit. 
Registration fees must be paid at time of registration. 


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Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and North Carolina Healthcare Association. AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation for Nursing
AXIS Medical Education designates this continuing nursing education activity for 2.0 contact hours.
Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

AXIS Contact Information 
For information about the accreditation of this program please contact AXIS at info@axismeded.org.

Disclosure of Conflicts of Interest 
AXIS Medical Education requires faculty, instructors, authors, planners, directors, managers, reviewers and other individuals who are in a position to control the content of this activity to disclose all real or apparent conflicts of interest they may have with ineligible companies. An ineligible entity is any organization whose primary business is t producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All relevant conflicts of interest are identified and mitigated prior to initiation of the planning phase for an activity.  

AXIS has mitigated and disclosed to learners all relevant conflicts of interest disclosed by  staff, planners, faculty/authors, peer reviewers, or others in control of content for this activity. Disclosure of a relationship is not intended to suggest or condone bias in any presentation but is made to provide participants with information that might be of potential importance to their evaluation of a presentation or activity. Disclosure information for faculty, authors, course directors, planners, peer reviewers, and/or relevant staff is provided with this activity. 

The faculty, Laura Dixon, BS, JD, RN, CPHRM reported no relevant financial relationships or relationships she has with ineligible companies of any amount during the past 24 months. 

The directors, planners, managers and reviewers reported the following financial relationships they have with any ineligible company of any amount during the past 24 months: 

Name of Planner/Manager    Reported Financial Relationship
James Hayes, PMP - Nothing to Disclose
Holly M. Hampe, D.Sc., RN, MHA, MRM - Nothing to Disclose
Dee Morgillo, MEd., MT (ASCP), CHCP - Nothing to Disclose

Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Requirements for credit:  

  • Attend/participate in the educational activity and review all course materials. 
  • Complete the CE Declaration form online by 11:59 pm ET June 11, 2021. Instructions will be provided at the conclusion of each Webinar.  If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation. 
  • Upon successful completion of the online form, your statement of completion will be presented to you to print