History and Physicals: Understanding the CMS and Joint Commission Standards for Hospitals 2022

Lena Browning
From: Jul 15, 2022 - To: Dec 31, 2022
Recorded Webinar


The Centers for Medicare & Medicaid Services (CMS) made a change effective Nov. 29, 2021, indicating that healthy outpatients may not be required to have a history and physical (H&P). This webinar will outline policy, medical staff and board approval, revised medical staff bylaws, and more. Attendees will learn what is required to be in the H&Ps and how to comply with both the CMS hospital conditions of participation and with the Joint Commission standards. CMS has five separate tag numbers and has also issued a deficiency memo. Information will be presented on how many hospitals received deficiencies in these areas of discussion. This presentation will also include the standards for critical access hospitals.  
The Joint Commission has many frequently asked questions on H&Ps that will be discussed including delegation of H&P, H&P for outpatient procedures, medical students doing H&Ps, podiatrists or dentists doing H&P, prenatal assessment, and updated requirements of the H&P, and authentication of H&Ps.

Learning Objectives:-

After this session, participants should be able to:

  • Recall that CMS has five H&P requirements in the hospital conditions of participation that all hospitals that accept Medicare must follow.
  • Recite the Joint Commission standards on H&P. 
  • Identify that CMS issued clarification changes for hospitals on H&Ps in a CMS survey and certification memo
  • Describe that the hospital must have medical staff by-laws and policies that include the requirements for H&Ps
  • Discuss what hospitals must do to implement the new rule that H&Ps do not need to be done on healthy outpatients

Who Should Attend:-

Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.

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