October 2, 2017 THE NEW RULE OF PARTICIPATION is not really “new.” Rather, it represents a culmination of society’s growing expectations for eldercare, and the evolving changes in what is known and can be done in settings outside the acute hospital. While this may...read more
LONG TERM/POST-ACUTE CARE PROVIDERS may be thinking of the facility assessment as just another paper regulation that detracts from the day-to-day business of providing care to the increasingly frail and acute population. Alternatively, providers can approach it as an...read more
At the core of changes to the quality of care regulations are two central themes: 1.) the need to care for more severely ill and frail elders, either during the post-acute period or during long term stays in nursing centers; and 2.) the Centers for Medicare &...read more
The addition of the word “prevention” into the previous regulation for a nursing center’s infection control program signals an important evolution in the regulations aimed at the new challenges nursing centers face in reducing morbidity and mortality from infection....read more
This month's column builds on the December Quality Forum about the new Centers for Medicare & Medicaid Services (CMS) Rules for Participation in Medicare and Medicaid, which is currently in the first of three phases of implementation. Having spent much of my career...read more
I have seen articles calling the industry’s response to the new CMS rule ‘fearmongering‘ and ‘hype… don’t buy it.’ Shouldn’t I be concerned?
I have also seen both vendors and conference speakers downplay the new final rule, “Medicare and Medicaid Programs: Reform of Requirements for Long-Term Care Facilities,” and the changes in regulations that the Centers for Medicare & Medicaid Services (CMS) is rolling...read more
By the time this column is published, the new survey and certification rule, including the Quality Assurance & Performance Improvement (QAPI) regulation, may already be published in the Federal Register. is new QAPI regulation represents a major transformation of...read more
The concept of narrowing the network of skilled nursing facilities (SNFs) to which a hospital will refer has gained momentum in some market areas. More open, it involves Medicare discharges for SNF care, related in large part to the increasing penalties in the...read more
It's easy to think that the problems we face in providing high-quality care to frail elders is a challenge that is unique to health care in the United States. We are not alone. You only have to look across our border to the province of Ontario, Canada, to see evidence...read more
What is CMS planning for the standard survey process, with both the traditional and QIS processes currently in use?
What I know about revisions to the standard survey comes from the October 2015 Government Accounting Office (GAO) report, “Nursing Home Quality: CMS Should Continue to Improve Data and Oversight” (GAO-16-33). GAO highlighted the following issues: ■ Trends of increased...read more