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Quality Reporting Program Submission Deadline is May 17

The submission deadline for the Inpatient Rehabilitation Facility (IRF), Long-Term Care Hospital (LTCH), and Skilled Nursing Facility (SNF) Quality Reporting Programs (QRP) is approaching.

  • Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) and LTCH CARE Data Set assessment data and data submitted to the Centers for Medicare and Medicaid Services (CMS) via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) October 1 – December 31 (Q4) of calendar year (CY) 2020 are due with this submission deadline.
  • For IRFs and LTCHs, the annual NHSN Influenza Vaccination among Healthcare Personnel measure is also due with this deadline.
  • Minimum Data Set (MDS) data for October 1 – December 31 (Q4) of calendar year (CY) 2020 are due with this submission deadline.

All data must be submitted no later than 11:59 p.m. on May 17, 2021.

The list of measures required for this deadline is found on the CMS QRP websites:

As a reminder, it is recommended that providers run applicable internet Certification and Survey Provider Enhanced Reports/Quality Improvement and Evaluation System/National Healthcare Safety Network (CASPER/iQIES/NHSN) analysis reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.

CMS has issued guidance related to COVID-19 and its impact on providers. Please visit the CMS Current Emergencies page at for more information.

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Events This Month

june

15jun12:00 pm2:00 pmEMTALA 2 Part Series2-Part Series12:00 pm - 2:00 pm Event Type :Education Events,Webinar

15jun3:00 pm4:00 pmCovid's Impact on Trust in Health CareWebinar3:00 pm - 4:00 pm Event Type :Webinar

16jun10:00 am12:00 pmSDAHO District II Summer MeetingWebster, SD10:00 am - 12:00 pm Event Type :District Meeting

16jun1:00 pm2:00 pmMedical Marijuana and SD Department of HealthWebinar1:00 pm - 2:00 pm Event Type :Education Events,Webinar

17jun12:30 pm1:30 pmEmbracing High Reliability to Build Our New NormalWebinar Series12:30 pm - 1:30 pm Event Type :Education Events,Webinar

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June 15 at Noon - 2pm CST

This program will cover the following (Part 1 of 2):

  • OIG changes that every hospital should be aware of
  • Two-day visit with immediate jeopardy
  • Common deficiency report by CMS
  • Basic concept of EMTALA
  • Revised manual
  • New survey memos
  • How to locate copy of the EMTALA regulations
  • OCR memo and EMTALA investigations
  • OIG advisory opinions on EMTALA
  • Compliance program
  • CMS Survey memos regarding EMTALA
  • Impact of COVID-19 on EMTALA
  • EMTALA definitions and requirements
  • The Joint Commission standards
  • EMTALA sign requirements
  • To whom EMTALA applies
  • Reasonable registration process
  • Financial questions from patients
  • Patients who sign out AMA
  • Specialized capability
  • Policies and procedures required
  • Hospital recommendations

 

July 20 at Noon to 2pm CST

This program will cover the following (Part 2 of 2):

  • On-call physician issues
  • Dedicated emergency department
  • Central log
  • Special responsibilities
  • Meaning of “comes to the ED”
  • Definition of hospital property
  • EMTALA and outpatients
  • Capacity
  • Dedicated emergency department
  • Inpatients and observation patients
  • Medical screening exam
  • Certification of false labor
  • Born alive law and EMTALA
  • Minor child request for treatment
  • Telemetry
  • When diversion is allowed
  • Parking of patients
  • Helipad
  • State plans and EMTALA
  • Who can be a QMP
  • Waiver of sanctions
  • Requests for medications
  • Blood alcohol tests
  • Emergency medical condition
  • Stabilization
  • OB patients
  • Born-Alive Infant Protection Act and MLN clarification
  • Transfer and transfer forms
  • Behavioral health patients
  • QIO role with EMTALA