Harmony Healthcare Blog

Survey Update: Immediate Jeopardy and Immediate Imposition of Federal Remedies

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Thu, Jul 19, 2018


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

On June 15th, 2018 CMS released a memo revising the policies for the Immediate Imposition of Federal Remedies.  

Highlights include: 

  1. When the current survey identifies Immediate Jeopardy (IJ) that does not result in serious injury, harm, impairment or death, the CMS Regional Offices may determine the most appropriate remedy.
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Topics: Survey

Health Inspection: Five Star Impact

Posted by Kris Mastrangelo, OTR/L, LNHA, MBA on Tue, Oct 17, 2017


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

The Health Inspection Star Rating is calculated using the results of the last 3 years of onsite inspections and includes both standard surveys and any complaint surveys.  The most recent survey findings are weighted more than the prior two years.  Points are assigned to individual health deficiencies per their scope and severity. CMS assigns more points to facilities with deficiencies of greater scope or severity and recent surveys are weighted more heavily. 

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Topics: Five-Star, Survey

Ready to Exit? CMS Issues Survey & Certification Memo

Posted by The Harmony Team on Fri, Apr 01, 2016
On March 11, 2016 the Centers for Medicare and Medicaid Services (CMS) issued Survey and Certification Memo 16-11-ALL to the State Survey Agency Directors.  This memo was made public to providers, and it clarifies guidance to surveyors regarding the procedure for conducting the Exit Conference of a survey.  The memo was issued due to many questions to the CMS regarding the level of specificity that surveyors should give during the Exit Conference regarding the deficiencies found during the conduct of federal surveys.  The policy will affect all Surveyors conducting Federal surveys and for all types of Federal Surveyors.  The CMS has revised the State Operations Manual (SOM), Chapters 2 and 5, and Appendix P to reflect these changes.
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Topics: Survey, Exit Conference, Deficiencies

CMS Initiates Pilot of Infection Assessment & Prevention Improvement Surveys

Posted by The Harmony Team on Mon, Feb 29, 2016

With a heightened focus on the growing issues with infection, specifically the Ebola Virus, The Centers for Medicare and Medicaid Services has teamed up with the Centers for Disease Control and Prevention (CDC) to begin a process of providing surveys and education across the healthcare continuum.  The intent of this process is to assist the industry with identifying issues with infection control practices and develop procedures to assist with prevention of cross contamination and the spread of disease. The initial primary focus of this plan will be nursing facilities and hospitals. CMS offered the following summary in a recent press release.

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Topics: CMS, Survey, Infection Prevention, Infections

Long-Term Care Regulations & Policy in the Face of Health Care Reform: 2015 and Beyond

Posted by The Harmony Team on Mon, Dec 29, 2014

There’s no doubt that 2014 introduced a number of substantial regulatory and policy changes to the long-term care industry, many of which are an evolution of what’s to come under the Affordable Care Act.  Health care reform initiatives will undoubtedly continue to drive sweeping changes to providers across the care continuum, particularly as it relates to improving the patient experience, improving health of populations and reducing the cost of health care (otherwise known as “The Triple Aim”).  

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Topics: MDS Coding, F-Tags, Health Care Reform, Survey, Long-term Care Regulations, Affordable Care Act

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