Harmony Healthcare Blog

CMS Requirements of Participation: Top 9 Things to Know

Posted by The Harmony Team on Tue, Oct 04, 2016

Edited by Kris Mastrangelo


Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

regulations.jpgOn 9/28/16, CMS finalized enhancements in care, safety, and consumer protections for long-term care facility residents.

CMS summarized the 700 plus pages with the following nuggets: 

  1. Effective date: These regulations are effective on November 28, 2016.
  2. Implementation date:
    • The regulations included in Phase 1 must be implemented by November 28, 2016
    • The regulations included in Phase 2 must be implemented by November 28, 2017
    • The regulations included in Phase 3 must be implemented by November 28, 2019
  3. Strengthening the rights of long-term care facility residents, including prohibiting the use of pre-dispute binding arbitration agreements.
  4. Ensuring that long-term care facility staff members are properly trained on caring for residents with dementia and in preventing elder abuse.
  5. Ensuring that long-term care facilities take into consideration the health of residents when making decisions on the kinds and levels of staffing a facility needs to properly take care of its residents.
  6. Ensuring that staff members have the right skill sets and competencies to provide person-centered care to residents. The care plans developed for residents will take into consideration their goals of care and preferences.HHI Interdisciplinary Team Meeting Form
  7. Improving care planning, including discharge planning for all residents with involvement of the facility’s interdisciplinary team and consideration of the caregiver’s capacity, giving residents information they need for follow-up after discharge, and ensuring that instructions are transmitted to any receiving facilities or services.
  8. Allowing dietitians and therapy providers the authority to write orders in their areas of expertise when a physician delegates the responsibility and state licensing laws allow.
  9. Updating the long-term care facility’s infection prevention and control program, including requiring an infection prevention and control officer and an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use.

We hope this blog post helps you and your staff with understanding the CMS Requirements of Participation.  We will be discussing this topic at harmony16: Our Annual LTPAC Interdisciplinary Symposium, November 4-5 2016 at Foxwoods Resort in Ledyard, CT.

Harmony Healthcare International (HHI) is available to provide onsite analysis and associated medical record reviews to help you improve your Quality Measure Scores.  Please contact Harmony Healthcare International by clicking here or calling our office at 1.800.530.4413. 
 Join us November 4th and 5th at Foxwoods Resort for the
5th Annual LTPAC Symposium
Click Here to Review Agenda and Register

Tags: Requirements of Participation

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