Ligature Risks: Ensuring Compliance with CMS Hospital CoPs and TJC Requirements
This program will focus on the requirements for hospitals to prevent ligature risk and self‐harm from patients that are suicidal. Any hospital that received Medicare must implement these changes for all patients.
Sue Dill Calloway will share tools and resources to help facilities identify the CMS and the Joint Commission (TJC) updates that hospitals should make sure are implemented. For CMS updates, this includes what units need to ligature resistant, what patient and environmental assessments needs to be completed and the policy and procedure requirements. For TJC requirements, standards compliance includes psych hospitals, behavioral health units, general acute care inpatient units, outpatient units and emergency departments. Sue will also discuss the Zero Suicide Campaign and the TJC Sentinel Event Alerts on suicide.