The CMS Hospital Infection Prevention, Control, and Antibiotic Stewardship Program - CMS Compliance Requirements 2023 - Part B refers to a specific aspect of regulatory requirements in the healthcare industry. In this context: "CMS" stands for the Centers for Medicare & Medicaid Services, a federal agency that administers various healthcare programs and sets compliance standards for healthcare providers. "Hospital Infection Prevention & Control" pertains to measures and protocols aimed at preventing and controlling the spread of infections within hospital settings. "Part B" likely indicates a specific section or aspect of the compliance guidelines for infection prevention and control in hospitals. This topic suggests that healthcare providers, particularly hospitals, need to navigate and comply with the updated regulations and guidelines related to infection prevention and control set forth by CMS in 2023. Compliance is crucial for ensuring patient safety and maintaining eligibility for Medicare and Medicaid reimbursements. Register, https://conferencepanel.com/conference/the-cms-hospital-infection-prevention-and-control-and-antibiotic-stewardship-program-cms-compliance-requirements-2023

1. CDC Infection Control
Resources, Information for
Professionals and Training

2. CDC Information for Professionals
▪ Widely read and changing sections is on using
personal protective equipment (PPE)
▪ Eye protection
▪ Gowns
▪ Facemasks and N95 respirators
▪ Elastomeric respirators
▪ Powered air purifying respirators
▪ Ventilators
▪ It has a section on infection control guidance
▪ Section on hand hygiene
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3. CDC Section on Infection Control
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https://www.cdc.gov/infectioncontrol/guidelines/core-practices/index.html

4. Excellent CDC IP Training - Free
▪ Is nursing home infection preventionist training
▪ Many of the same issues apply to hospitals
▪ It has 24 modules
▪ Includes
▪ Water management >Linen management
▪ TB prevention >Infection surveillance,
▪ Injection safety >Infection control plan
▪ Point of care testing >Hand hygiene
▪ Outbreak management >Cough etiquette, etc.
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5. CDC IP Training
▪ https://www.train.org/cdctrain/training_plan/3814.
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6. CDC Core Elements of an ASP
▪ Updated November 2019
▪ Provides examples of leadership commitment to the
ASP
▪ Highlights the priority interventions and process
measures
▪ Emphasizes the key role of the pharmacists and
nurse in improving antibiotic use
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7. CMS Memos Related to Infection
Control
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8. Memo on Safe Injection Practices*
▪ Discusses the safe use of single dose medication to
prevent healthcare associated infections (HAI)
▪ Notes an exception – important especially in medications
shortages
▪ General rule: single dose vial (SDV) can only be used
on one patient
▪ Will allow SDV to be used on multiple patients
▪ If prepared by pharmacist
▪ Under laminar hood following USP 797 guidelines
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9. Legionellae and Water Borne Pathogens:
Joint Commission Standards
and CMS Memos
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10. Legionnaires’ Disease (LD)*
▪ The bacterium can cause a serious type of
pneumonia called LD as well as Pontiac fever
▪ Grows in parts of hospital water systems that are
continuously wet
▪ Water heaters and filters, fountains, shower heads and
hoses, water storage tanks, eyewash stations, ice
machines, etc.
▪ Conduct a facility risk assessment - determined if it
could spread in your facility water system and
implement a P&P
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11. ISMP Guidelines on IV Push
Medication
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12. CDC Vaccine Storage and
Handling
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13. CDC Health Update
Review Procedures for Cleaning,
Disinfecting and Sterilizing
Reusable Medical Devices
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14. CMS Infection Control
Worksheet

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The End
▪Laura A. Dixon, Esq.
▪ BS, JD, RN, CPHRM
▪ President, Healthcare Risk
Education and Consulting, LLC
▪ 303-955-8104
▪ ldesq@comcast.net
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