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By AADNS - Aug 22, 2017
By CMS - Aug 21, 2017
CMS has identified two issues with the SNF Review and Correct Report.
On Aug. 15, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule to reduce the number of mandatory geographic areas participating in the Center for Medicare and Medicaid Innovation’s (Innovation Center) Comprehensive Care for Joint Replacement (CJR) model from 67 to 34. In addition, CMS proposes to allow CJR participants in the 33 remaining areas to participate on a voluntary basis. In this rule, CMS also proposes to make participation in the CJR model voluntary for all low volume and rural hospitals in all of the CJR geographic areas.
By Caralyn Davis, Staff Writer - Aug 21, 2017
Effective Nov. 28, 2017, all Medicare- and Medicaid-certified nursing homes must have an antibiotic stewardship program that includes antibiotic-use protocols and a system to monitor antibiotic use as part of their infection prevention and control program (IPCP), according to §483.80 (Infection Control) of the Code of Federal Regulations. The antibiotic stewardship program is a component of the Phase 2 rollout of the Reform of Requirements for Long-term Care Facilities, and surveyors will assess compliance with this new requirement of participation under F-tag 881 during the Infection Control Facility Task that is a mandatory part of the new survey process. Note: The F881 interpretive guidance can be found in the advance copy of Appendix PP, “Guidance to Surveyors for Long-term Care Facilities,” of the State Operations Manual.
Hundreds of pages of new or revised interpretive guidance for surveyors will go into effect on Nov. 28, 2017, in conjunction with the Phase 2 roll-out of the Reform of Requirements for Long-term Care Facilities and the implementation of the new survey process. The interpretive guidance can be found in the advance copy of Appendix PP, “Guidance to Surveyors for Long-term Care Facilities,” of the State Operations Manual. Officials with the Centers for Medicare & Medicaid Services (CMS) took providers on a “greatest hits” tour of important changes to Appendix PP during the July 25 MLN National Provider Call on the Revised Interpretive Guidance for Nursing Homes and New Survey Process. (Access the call slides, as well as the transcription and recording when available, here.)
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