Education Calendar

NJHA's Ed Power!




The information Blocking Rule complaince deadline is April 5, 2021. Therefore, hospitals and most other types of healthcare providers are prohibited from "interfering with" access, exchange, or use of electronic health information (EHI). ONC has made it clear that it will apply a broad interpretation of what might constitute impermissible interference, even including any delay in the release of EHI when requested. There are eight (8) exceptions to this general rule. Of these the "Preventing Harm Exception" is likely the most complex exception to understand, interpret and apply.

Over the cours of an hour, attorney Helen Oscislawski will unpack the Information Blocking "Preventong Harm Exception" in detail, and suggest practical approaches on how to implement its requirements in the healthcare settings.

Objectives: Participants will walk away from this webinar with a stronger understanding of the following:

  • What the minimum requirements are to meet the "Preventing Harm Exceptions."

  • What are the two ways a "Risk" of harm can arise under this exception.

  • What the two "Harm" standards are.

  • What are the differences between applying the "preventing harm" standard under the Information Blocking versus under HIPAA, and how can these differences be reconciled and applied?

  • How is implement and apply the Preventing Harm Exception when a request comes from an adult patient, a personal or legal representative of the patient, a parent of a minor or a person when there are concerns of abuse or neglect.

Wed. 4/14
Wed. 7/14
Wed. 10/13
Wed. 12/15


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 Click Here to Register for the Bundle of all 4 Sessions 


Program Objectives:

  • To afford participants an overview of the most current issue of Coding Clinic

  • To offer a platform to ensure that coders are aware of the most up to date advice

  • Offer an opportunity for discussion and questions related to the quarterly update


Fri. 4/16


Advance Care Planning (ACP) is a process of understanding, reflecting on and discussing experiences, values and beliefs in an effort to identify how someone wants to live if faced with a serious or life-limiting illness. It also may include identifying the care someone would want at the end of your life. It's also important to choose an individual to speak on one's behalf if they are unable to make their own decisions, and take comfort in knowing that person will convey their wishes. Individuals also can decide if they want to complete an ACP document, often referred to as an advance directive. Finally, it is important to communicate one's wishes to family, friends, clergy, other advisors, physicians and other healthare professionals to help ensure these wishes are honored.


  • Explore thoughts and feelings about advance care planning

  • Discuss advance care planning concepts with loved ones

  • Utilize resources to complete advance care planning



This five-part webinar series will cover the entire CMS Hospital Conditions of Participation (CoP) manual. It is a great way to educate everyone in the hospital on all the sections in the CMS hospital manual, especially ones that apply to their department. Hospitals had seen a significant increase in survey activity by CMS until COVID-19 hit. However, CMS is still conducting limited surveys, especially when there has been a compliant or indication of immediate jeopardy. This program will discuss the most problematic standards and how the hospital can do a gap analysis to assist in compliance with the CoPs.


April 7th:

  • Describe that a history and physical for a patient undergoing an elective surgery must not be older than 30 days and updated the day of surgery.

  • Discuss that verbal orders must be signed off by the physician along with a date and time

  • Explain the implications for non-compliance with COVID-19 reporting.

April 14th:

  • Recall that CMS has restraint standards that hospitals must follow

  • Describe that the patient has a right to file a grievance and the hospital must have a grievance policy and procedure in place

  • Discuss that the term licensed independent practitioner or LIP has been changed to licensed practitioner or LP to allow physician assistants to order restraints

April 21st:

  • Describe that medications must be given timely and within one of three blocks of time

  • Recall that a nursing care plan must be in writing, starting soon after admission and maintained in the medical record

  • Recall that the hospital must have a safe opioid policy approved by the MEC and staff must be educated on the policy

April 28th

  • Recall that CMS has patient safety requirements in the QAPI section that are problematic standards

  • Describe that CMS requires many radiology policies include one on radiology safety and to make sure all staff are qualified

  • Review related COVID-19 reporting requirements

May 5th

  • Discuss that CMS requires many policies in the area of infection control

  • Describe that all staff must be trained in the hospital's policy on organ donation

  • Understand that CMS has specific things that are required be documented in the medical record regarding the post-anesthesia assessment




The EMTALA manual was updtaed in July 2019. There were seven recent documents or survey memos that have been promulgated by CMS related to EMTALA. Although the OIG regulations are not contained in the CMS EMTALA CoP manual, they are important for all hospitals to be aware of those regulations.

EMTALA is a hot topic and should now be on every hospital's radar. There has been a recent increase in the number of deficiencies and CMS and OIG activity. It is important or hospitals to be prepared should a CMS surveyor walk into your hospital today to investigate an EMTALA compliant.


August 4th:

  • Recognize EMTALA as a frequently cited deficiency for hospitals

  • Recall that CMS has a manual on EMTALA that all hospitals that accept Medicare must follow

August 11th:

  • Describe that the hospital must maintain a central log

  • Discuss the hospital's requirement to maintain a list of the specific names of physicians who are on call to evaluate emergency department patients

  • Describe the CMS requirements on what must be in the EMTALA sign

August 18th:

  • Describe the hospital's requirements regarding a minor who is brought to the ED by the babysitter for a medical screening exam

  • Discuss when the hospital must complete a certification of false labor

4/29, 6/3, 6/17, 7/15 & 8/19


This is a five-part series of one hour educational webinars, developed with and for hospital and health system leaders and clinicians. The series will include five areas that leaders and clinicians should be looking at in 2021 as healthcare moves past the first year of COVID-19.

Topics will include: Telemedicine and hospital at home; diversity and inclusion; supply chain and materials management; and working as teams and culture.

Session 1: April 29, 2021 @ 12 p.m. - Telemedicine Post COVID-19, Hospital at Home & Expansion of Technology with speaker Daniel Kraft, MD

Session 2: June 3, 2021 @ 12 p.m. - Diversity & Inclusion with speaker Kim Blue, MSOP, SHRM-CP

Session 3: June 17, 2021 @ 12 p.m. - Supply Chain Excellence in the Post-Pandemic World with speaker Mark Graban, MSME, MBA

Session 4: July 15, 2021 @ 12 p.m. - The Emotional Impack of COVID-19; Leading Your Team & Culture Past the Collective COVID PTSD to an Emotionally Healthy Workplace with speaker Nicole Lipkin, PSY-D, MBA

Session 5: August 19, 2021 @12 p.m. - A Path Forward: Thriving in Rural Healthcare after COVID-19 with Speaker Benjamin Anderson, MBA, MHCDS

Target Audience: Hospital and healthcare system senior leadership, clinical leadership and other healthcare leaders.

Credits Offered: 1.0 CME, 1.0 Nursing, 1.0 LNHA/CALA, 1.0 ACHE