CMS Conditions of Participation

Survey readiness

March 16, 2023, 12:00 - 1:30 p.m.


Hospitals must be prepared top to bottom for a survey from Centers for Medicare & Medicaid Services, the state survey agency or even Joint Commission or Det Norske Veritas, Inc. (DNV) at any day or time. These surveys can occur for a variety of reasons including recertification surveys, validation survey of deemed hospitals or critical access hospitals, complaint investigations, abuse investigations, EMTALA investigations or other self-reported event investigations. Proper preparation can help hospitals avoid and minimize adverse findings discovered during a governmental or accrediting organization survey. This webinar will assist hospitals to best prepare and manage these unannounced surveys. 


  • Describe what the hospital should do upon notification of surveyors at the door
  • Discuss how to prepare frontline staff for surveyor questions and observations
  • Review examples of how the hospital can keep current on changes in regulations
  • Discuss methods of how to be your own watchdog


Nancy Ruzicka, BS, RPh, MBA, MJ, CHC has experience teaching and assisting hospitals and other health care facilities in understanding applicable federal and state laws, rules, regulations, and interpretative guidelines. Her experience also encompasses teaching all levels of health care staff in understanding compliance and HIPAA requirements.

Nancy’s previous experiences include director of integrity and compliance and privacy official, director of regulatory compliance and over twenty years of experience with Iowa Department of Inspections and Appeals. Nancy received her Master of Jurisprudence (MJ) in Health Law, Master of Business Administration, and Bachelor of Science in Pharmacy from Drake University, Des Moines. She is certified in Healthcare Compliance (CHC) and maintains her Iowa pharmacy license.

Recommended to attend

This program is intended for all hospitals including general acute hospitals, critical access hospitals and anyone involved with compliance regulations and standards, including but not limited to chief executive officers, chief medical officers, chief nursing officers, physicians, nurses, quality improvement staff, risk managers, compliance officers and legal counsel, Joint Commission liaisons, safety officers, department directors, and other interested staff.

Continuing Education

This program has been designed to meet the Minnesota Board of Nursing continuing education requirements for a total of 1.5 contact hours.

Nursing Home Administrators: The content of this conference is being reviewed by the Board of Examiners for Nursing Home Administrators for clock hours. The quantitative value assigned will be indicated on the certificate of attendance awarded to participants who attend sessions. 


  • $45 per person for MHA member hospital and health systems
  • $45 per person for MHA associate members
  • $60 per person for nonmembers 

Registration deadline

Please register by noon on the day before the webinar to ensure timely delivery of access instructions.

Approximately four business days before the web conference, you will receive an email containing instructions on connecting. Advance registration is required to ensure the delivery of instructional materials.

If you do not receive an email prior to the program with web conference details, please connect with our events and education through Contact Us.

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When and Where
  • 3/16/2023 12:00 PM CDT
  • 3/16/2023 1:30 PM CDT
  • Zoom Webinar