Survey, Certification and Operations
We at LeadingAge advocate for a healthy, ethical and affordable oversight system for the nation's nursing homes. We provide updates on regulatory activity issued by the Centers for Medicare and Medicaid Services (CMS) and other federal agencies. Check here often for the latest on regulations, guidance and initiatives, including the CMS Five-Star Nursing Home Rating System, to help you understand
In 2011, the Centers of Medicare and Medicaid Services (CMS) created the National Partnership to Improve Dementia Care. Last week, CMS announced that it had met its initial goal of a 15% reduction. The agency reported the prevalence use rate (in long-stay residents) went from 23.8% to 20.2% over the past 18 months. Our Dr. Cheryl Phillips explores.
With all of the federal regulatory activity involving nursing homes, it can be difficult to keep up with all of the new rules and regulations coming at you. Here is a quick snapshot of the regulations we are tracking right now on QIS surveys, the proposed sprinkler extension rule, agreements between nursing homes and hospice, personal alarms, survey deficiency remedies and Quality Assurance and Performance Improvement (QAPI) plans.
The Agency for Healthcare Research and Quality (AHRQ) is now accepting voluntary data submissions for the Nursing Home Survey on Patient Safety Culture Comparative Database, a central repository for survey data from nursing homes that have administered the AHRQ nursing home survey instrument. One of the purposes of the database is to produce comparative results to help nursing homes identify strengths and opportunities for improvement in their patient safety culture. Comparative results are reported in the aggregate and do not include any information identifying participating nursing homes. Data submission is open until April 21, 2014.
The Centers for Medicare and Medicaid Services (CMS) has issued a new Survey and Certification Letter revising Chapter 7 of the State Operations Manual, Nursing Home Survey and Enforcement, to incorporate provisions of the Affordable Care Act (ACA). Chapter 7 has been revised to include provisions of Section 6111 addressing IIDR, the independent informal dispute resolution process available when a civil money penalty (CMP) is imposed, and the placement of all collected CMP funds in escrow pending completion of any formal appeal.
Jennifer Hilliard, LeadingAge's public policy attorney, has compiled and summarized recent and pending federal regulatory activity applicable to nursing homes. Topics include regulations on facility closures, life safety code, emergency preparedness, automatic sprinklers, cardiopulmonary resuscitation, escrow and independent informal dispute resolution, and the release of a 3-year study of the Centers for Medicare and Medicaid Services (CMS) 5-star quality rating system.