Hospitals must comply with the Centers for Medicare and Medicaid Services (CMS) conditions of participation. According to CMS and accrediting organizations such as DNV GL Healthcare and the Joint Commission, the category of patient rights and responsibilities is one of the most-cited condition-level deficiencies. Regulations and interpretative guidelines account for more than 50% of the patient rights and responsibilities condition.

Learning objectives

  • Describe the CMS definitions of restraints and seclusion.
  • Describe the internal log requirements for restraint deaths.
  • Describe which restraint regulations are at greatest risk for citation and how to prevent a citation.
  • Explain requirements to use restraints.
  • Identify which deaths while in restraints must be reported to CMS


Nancy Ruzicka, consultant, state and federal rules, regulations and interpretive guidelines

Nancy 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, all from Drake University. She is certified in health care compliance and maintains her Iowa pharmacy license.

Who should attend

Accreditation specialists, behavioral health staff, compliance officers, emergency department staff, facility directors, nurse executives, patient safety officers, performance improvement professionals, risk managers and quality managers.

Continuing education

The program has been designed to meet the Minnesota Board of Nursing continuing education requirements for a total of 2 contact hours.


  • $200 per session for MHA member hospitals
  • $300 per session per organization for nonmembers

In order to allow for social distancing, pricing is set up per hospital rather than per connection. Please register just one person from your facility and have that person share the access information with others within your facility who wish to participate. Each hospital within a system must register separately.

Registration deadline

Please register by 5 p.m. on Dec. 7 to ensure timely delivery of access instructions. Once the deadline has passed, we will no longer be able to accept registrations.

Prior to the program you will receive an email that contains instructions on how to connect to the web conference. Advance registration is required to ensure delivery of instructional materials.

If you do not receive an email from Christy Hammer prior to the program with web conference details, please contact to confirm your registration.

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When and Where
  • 12/9/2020 10:00 AM CST
  • 12/9/2020 12:00 PM CST
  • Web Conference