Speaker: Kim Maryniak
Speaker Designation: PhD, MSN, BN, RNC-NIC, NEA-BC
This course will provide an overview of areas of focus for accreditation surveyors, such as those associated with the Centers for Medicare & Medicaid Services (CMS), The Joint Commission (TJC), Det Norske Veritas (DNV), and other accreditation agencies. These topics are based on National Patient Safety goals. Hot topics include medication management and administration, blood administration, nurse staffing, use of care plans, and discharge planning. Other topics include infection prevention and control, antibiotic stewardship, Emergency Medical Treatment and Labor Act (EMTALA), restraints and seclusion, and suicide prevention. The topics will be reviewed based on potential deficiencies.
Hospitals must follow the Centers for Medicare & Medicaid Services (CMS) conditions of participation (CoP) for all patients to receive Medicare and Medicaid reimbursement. Specific requirements must be upheld to address patient safety needs and services provided within a facility. Facilities included are acute care facilities, critical access hospitals, and health systems. Facilities that are accredited by the Joint Commission (TJC), Healthcare Facilities Accreditation Program (HFAP), Center for Improvement in Healthcare Quality (CIHQ), or Det Norske Veritas (DNV) Healthcare must follow regulations and requirements.
This training will provide insight into components of accreditation surveys that may be at risk for citations or deficiencies. Attending this course would be beneficial for anyone working in healthcare, especially those involved in accreditation and surveying processes. The session will provide valuable knowledge that can help you positively contribute to your organization and improve patient outcomes.
After completion of this program, the participant will be able to:
The following individuals or disciplines will benefit from attending this Webinar:
Kim Maryniak, PhD, RNC-NIC, NEA-BC has over 33 years of nursing experience in medical/surgical, psychiatry, pediatrics, progressive care, long-term care, and adult and neonatal intensive care. She has been a staff nurse, charge nurse, educator, instructor, manager, director, and chief nursing officer.
Kim graduated with a nursing diploma from Foothills Hospital School of Nursing in Calgary, Alberta in 1989. She achieved her Bachelor in Nursing through Athabasca University, Alberta in 2000, her Master of Science in Nursing through University of Phoenix in 2005, and her PhD in Nursing through University of Phoenix in 2018.
Kim is certified in Neonatal Intensive Care Nursing and as a Nurse Executive, Advanced. She is active in the American Nurses Association and American Organization of Nurse Leaders. Her current and previous roles include nursing leadership, research utilization, nursing peer review and advancement, education, use of simulation, quality, process improvement, professional development, infection control, patient throughput, nursing operations, professional practice, and curriculum development.
