Course Curriculum
For several years, there has been increasing scrutiny by regulators and accrediting organizations about the hospital’s governing body role in the hospital’s compliance with conditions of participation. This presentation will examine the regulatory requirements for hospital boards and describe situations where the governing body has been cited.

Intended Audience:
CEOs, Chief Medical Officers, Chief Nursing Officers, Compliance Personnel, Physicians, Safety Officers, Governing Board Members, and Legal Counsels.

Learning Objectives:
At the conclusion of this session, participants should be able to:
• Describe governing-board responsibilities and specific responsibilities for patient rights, quality improvement and medical staff credentialing.
• Describe minimum requirements for medical staff bylaws, rules, regulations and governing body oversight.
• Describe hospital responsibilities for credentialing nonphysician staff in the hospital.
• Explain the differences between medical staff credentialing regulations for telemedicine providers and onsite providers.

Speaker Bios:
Nancy Ruzicka is a consultant on state and federal rules, regulations and interpretative guidelines. Ruzicka previously worked as director of integrity and compliance and privacy official at MercyOne Des Moines and director of regulatory compliance at UnityPoint Health-Des Moines. She also has more than 20 years of experience with the Iowa Department of Inspections and Appeals. Ruzicka holds master’s degrees in health law and business administration and a bachelor’s degree in pharmacy from Drake University. She is certified in health care compliance and maintains her Iowa pharmacy license.

Cost: $195 to NHA members (per hospital, no charge for additional lines, recordings available up to 60 days after the webinar)