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Survey Team Composition and Investigation of Complaints: On July 31, 2017, the Federal Register issued the final rule Medicare Program: Prospective Payment - System and Consolidated Billing for Skilled Nursing Facilities (SNF) for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020. These regulations are effective on October 1, 2017.
Older adults tend to be more at risk for adverse events because of challenges with health literacy, according to the Cumulative Index to Nursing and Allied Health Literature Nursing Guide.
With the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) claims-based quality measure, Discharge to Community–Post Acute Care, which links successful discharge to payment, and the new publicly reported quality measure, Successful Discharge to the Community, ensuring residents’ health literacy is more important than ever for SNFs.
Read more of AADNS curriculum development specialist Amy Stewart's article in Provider magazine.
“Quite a bit” of the regulatory requirements for survey won’t change with the Nov. 28, 2017, rollout of Phase 2 of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule), say officials with the Division of Nursing Homes in the Survey and Certification Group at the Centers for Medicare & Medicaid Services (CMS) during the video Appendix PP: Overview of Revised Interpretive Guidance.
“Most of the minimum quality standards that were in the regulation remain,” they explain. “There are still strong resident rights, use of the Minimum Data Set to do assessment and care planning based on the residents’ goals and preferences, and the input of the interdisciplinary team. There are still requirements for a medical director, a full-time licensed nurse, and requirements for medication review.”
Ten F-tags will address §483.12 (Freedom From Abuse, Neglect, and Exploitation) in the Code of Federal Regulations for the new survey process that rolls out Nov. 28, 2017. Some tags include both regulatory changes and updated interpretive guidance for surveyors in the advance copy of Appendix PP, “Guidance to Surveyors for Long-term Care Facilities,” in the State Operations Manual. However, other tags don’t have regulatory changes but still have revised interpretive guidance at the request of surveyors, say officials with the Centers for Medicare & Medicaid Services (CMS) during the surveyor training video Freedom From Abuse, Neglect, and Exploitation.
Here are highlights of key changes for the “right to be free” tags F602 – F605:
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