Patient Safety Forum: Navigating the CMS Patient Safety Structural Measure

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The Centers for Medicare & Medicaid Services (CMS) has introduced a structural measure that directly ties hospital quality reporting to an organization’s commitment to patient safety infrastructure. This new requirement goes beyond individual events, and calls for formalized leadership structures, proactive safety strategies, and robust learning systems that reflect a mature safety culture.

In this practical, actionable webinar, a regulatory expert will walk participants through the CMS Patient Safety Structural Measure specifications, unpack common points of confusion, and provide step-by-step guidance to help your organization demonstrate compliance.
You’ll leave with a clearer understanding of what CMS is asking for and the tools to take measurable steps toward meeting it. Whether you’re preparing your first report or refining an existing program, this session will help you align your internal efforts with national expectations.

Layla Naumann, RN, MSN, MHA, HACP, CJCP, CHC, CPPS

Director of Regulatory Affairs

UMMC Midtown Campus

Layla Naumann has been working in the field of Regulatory, Quality, and Safety for over 10 years. Layla is currently the Director of Regulatory Affairs at the University of Maryland Medical Center’s Midtown campus. She is responsible for all activities relating to accreditation and standards compliance. Layla has held various leadership positions throughout her 28-year nursing career. Originally from Great Britain, the majority of her nursing career was spent within the Peri-operative department and Nursing Quality Division of Children’s National Medical Center in Washington D.C. Subsequent to this Layla held leadership positions as Director of Education and Training, Audit and Monitoring for the University of Maryland Medical System’s Corporate Compliance department, and Regulatory affairs at Wellspan York Hospital in Pennsylvania. Layla has a passion for education and has created several published education initiatives focused on regulatory education for healthcare personnel.

Maggie Kane, MS, BNS RN, CPPS

Sr. Director Patient Safety

University of Maryland Medical Center

As Senior Director of Patient Safety Ms. Kane, oversees, plans, implements and evaluates a comprehensive program to minimize patient harm and promote a culture of safety for patients, family and staff across both campuses.  Her responsibilities include oversight of the patient safety team to successfully drive safety initiatives and surveillance throughout the organization, utilizing High-Reliability methodologies and tools to ensure and sustain patient safety in organizational and local strategic initiatives, driving towards zero harm. 

Prior to moving into the role of Senior Director in 2023, Maggie served as the Director of Quality, Safety, PI for UMMC Midtown campus where she was integral to Midtown achieving primary stroke certification, successful Joint Commission site visit, adopting Vizient database, developing multiple Quality/Safety review committees. She was active in developing bi-campus integration structure for the quality and safety departments. 

Before joining the University of Maryland Medical Center in 2020, Ms. Kane served in leadership roles as System Director for Patient Safety and Accreditation at INTEGRIS Health in Oklahoma and the Director of Patient Safety/Risk Management at WakeMed Health and Hospitals in Raleigh, North Carolina. 

Maggie earned her Bachelor’s Degree in Nursing at Arizona State University, a Masters of Science in Healthcare Administration at Oklahoma State University and is a Certified Professional in Patient Safety (CPPS). 

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Patient Safety Forum: Navigating the CMS Patient Safety Structural Measure
12/17/2025 at 12:00 PM (EST)  |  Recorded On: 12/17/2025  |  80 minutes
12/17/2025 at 12:00 PM (EST)  |  Recorded On: 12/17/2025  |  80 minutes The Centers for Medicare & Medicaid Services (CMS) has introduced a structural measure that directly ties hospital quality reporting to an organization’s commitment to patient safety infrastructure. This new requirement goes beyond individual events, and calls for formalized leadership structures, proactive safety strategies, and robust learning systems that reflect a mature safety culture. In this practical, actionable webinar, a regulatory expert will walk participants through the CMS Patient Safety Structural Measure specifications, unpack common points of confusion, and provide step-by-step guidance to help your organization demonstrate compliance. You’ll leave with a clearer understanding of what CMS is asking for and the tools to take measurable steps toward meeting it. Whether you’re preparing your first report or refining an existing program, this session will help you align your internal efforts with national expectations.
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