CMS intends to revise the nursing facility survey process, with the goal of moving to a uniform national system that blends traditional survey processes with the Quality Indicator Survey (QIS) process. CMS has indicated the revised process will continue to be computer-based and will use QIS critical element pathways.
Issued in late 2013, this proposed federal rule establishes emergency preparedness requirements for Medicare and Medicaid providers. The goal is for providers to prepare to meet the needs of patients, residents, clients, and participants during disasters and emergency situations.
The IMPACT Act mandates a quality reporting program for skilled nursing facilities. For federal fiscal year 2018 (FY18), SNFs that do not report required quality data to CMS will have their market basket updates reduced by two percent.
The U.S. Department of Health and Human Services, Office of Civil Rights, has finalized a regulation that implements nondiscrimination provisions enacted as part of the Affordable Care Act of 2010. Those provisions state that an individual shall not be discriminated against on the basis of race, color, national origin, sex, age or disability.
In April 2016, the Centers for Medicare & Medicaid Services (CMS) began posting data for six new quality measures on Nursing Home Compare. There are four new short stay measures and two new long-stay measures.
In April 2016, CMS added six new quality measures (QMs) to Nursing Home Compare (see above). On July 27, 2016, CMS added the first five of those QMs to the Five Star Nursing Home Quality Rating System.
CMS has issued a proposed rule that would require hospitals to assist patients in selecting a post-acute care provider by using and sharing SNF quality measures data.
CMS has adopted the National Fire Protection Association’s (NFPA) 2012 edition of the Life Safety Code (LSC) as well as provisions of the NFPA’s 2012 edition of the Health Care Facilities Code. The 2012 LSC includes important changes from the 2000 edition of the LSC.
Effective July 1, 2016, care centers must electronically submit to CMS complete and accurate direct care staffing information, including information for agency and contract staff, based on payroll and other auditable data according to specifications established by CMS. This new system is called Payroll-Based Journal (PBJ).
The U.S. Department of Labor (DOL) has issued a final rule that affects overtime pay for executive, administrative, professional, outside sales and computer employees (the "white collar" exemption). It's currently on hold due to a preliminary injunction.
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