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Providers may soon have a little more room to maneuver in their Quality Assurance and Performance Improvement (QAPI) programs thanks to the recently published Requirements for Long-Term Care Facilities: Regulatory Provisions to Promote Efficiency and Transparency Proposed Rule. However, the Centers for Medicare & Medicaid Services (CMS) doesn’t seek to change the core regulations that lay out required performance improvement activities, including performance improvement projects (PIPs). The bottom line: PIPs are here to stay, and directors of nursing services (DNSs) need to make sure their teams optimize them, says Linda Winston, RN, MSN, BS, QCP-MT, DNS-MT, RAC-CT, a nurse consultant based in Norwich, NY.
What CMS wants to change
CMS proposes to again revise the Medicare/Medicaid conditions of participation (CoPs) by removing a significant chunk of the prescriptive requirements (i.e., the subparts) in the Phase 3 QAPI regulations that the agency originally designated for implementation this November 28.
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