When: 1:00–2:30 p.m. EST, Wednesday, February 24, 2016
What: CMS has increased the frequency of its hospital surveys, and many healthcare facilities are finding themselves unprepared for the bump in federal scrutiny. This webcast will arm attendees with the preparatory steps and strategies needed to survive a CMS survey. Attendees will also examine a real-life case study for specific examples of survey citations and how to respond to them.
- Utilize a compliance plan to develop an organization-specific, comprehensive approach to accreditation and compliance readiness
- Identify at least three sources of information to review changes in the Conditions of Participation/survey process
- Implement a gap analysis of your organization’s compliance readiness
Who: Victoria Fennel, PhD, RN-BC, CPHQ, is the director of accreditation and clinical compliance for Compass Clinical Consulting and has 20 years of healthcare leadership experience. She has spent the majority of her career in nursing leadership roles and brings expertise in evidence-based practice, nursing education, quality management, performance improvement, accreditation, risk management, patient safety, and patient-centered care.
Julie Campbell, MHA, BSN, NE-BC, HACP, is the Baylor Scott & White Health North Texas Division vice president and has than 25 years of nursing leadership experience. Campbell assists in survey preparation, development of corporate policies and procedures, communications on revisions to regulations/standards, and recommendations of regulatory changes to various system councils to maintain continuous readiness.
There’s still time to join the December webcast on CMS and Joint Commission hot spots for 2016.
Join Bud Pate, REHS, and Lisa Eddy, RN, CPHQ, on Wednesday, December 16 at 1 p.m. ET as they examine current survey focuses and point out where CMS and The Joint Commission will concentrate their efforts during your next survey.
In just 90 minutes, find out how to prepare for your next accreditation survey and comply with the most troublesome CMS and Joint Commission requirements. Pate and Eddy will provide strategies for preparing your staff for survey and give you valuable tips about what surveyors will expect when they arrive at your facility.
For more information and to register for the webcast, call HCPro customer service at 800-650-6787 or visit the HCPro Marketplace.
CMS is asking Medicare patients or their family members to help them develop a new patient-satisfaction survey of long-term, acute-care facilities. The comments will help CMS decide what sorts of information the survey will need to collect. Some of the suggested topics areas include:
• Communication with providers
• Mechanical ventilation
• Therapy services
• Wound care
• Pain management/control or non-pain symptom management
• Rehabilitation services
• Medical and nursing care
• Interdisciplinary team goal setting and care planning
• Family training
• Discharge planning
The survey will also be used in Medicare’s quality reporting program, meaning facilities that fail to deliver data could get a 2% reduction in their payment updates. CMS is accepting comments until 5 p.m. on Jan. 19.
Briefings on The Joint Commission has a new name: Briefings on Accreditation and Quality!
For the last few years, in addition to covering the latest Joint Commission happenings, we’ve also included a broad focus on CMS compliance and quality improvement. We think our new name better reflects the quality content we strive to bring you each month. You’ll still be able to access prior issues of Briefings on The Joint Commission on our website.
We’re excited about this change and hope you will be too. If there are any topics you would like to see covered in upcoming editions of Briefings on Accreditation and Quality, please email me at email@example.com.
Four major healthcare organizations have asked CMS to postpone implementation of the severe sepsis and septic shock management bundle measurement that is scheduled to go into effect October 1, 2015. The measure as currently written, calls for the use of broad spectrum antibiotics to treat severe sepsis and septic shock.
The group consisting of the American Health Association (AHA), America’s Essential Hospitals, AAMC, and the Federation of American Hospitals, is urging CMS to refine the measure so that it more closely aligns with the antimicrobial stewardship put forth by the CDC and the White House earlier this summer.
“By encouraging the use of broad spectrum antibiotics when more targeted ones will suffice, this measure promotes the overuse of the antibiotics that are our last line of defense against drug-resistant bacteria,” the group wrote in a letter to CMS.
Read the full letter here.
When CMS shared the findings of the 2015 Physician Quality Reporting System (PQRS) payment system, they also released the publication of the Physician Quality Reporting Programs Strategic Vision, or “Strategic Vision”.
The Strategic Vision is part of a long-term quality measurement plan for healthcare providers and public reporting programs and how those can be enhanced to support better decision-making from physicians, consumers, and everyone involved in healthcare.
For more information about the plan, click here.
Last Friday, CMS posted the annual update for the 2014 electronic clinic quality measure (eCQMs) for eligible hospitals and professionals. Providers should use these measures to report 2016 quality data for CMS reporting programs, including the Physician Quality Reporting System (PQRS), Inpatient Quality Reporting Program (IQR), and the EHR Incentive Programs.
CMS updated 29 measures for eligible hospitals and 64 measures for eligible professionals.
Read the updated measures here.
Yesterday, CMS officially unveiled the star ratings on its Hospital Compare website in an effort to make it easier for consumers to choose a hospital and understand the quality of care each delivers.
After the new rating system went into effect, only 251 out of approximately 3,300 hospitals have all five stars. The Hospital Compare site notes that a hospital with a one-star rating doesn’t indicate a consumer will receive poor care and encourages consumers to consider multiple factors when choosing hospitals, rather than focusing solely on the star rating.
The CMS has fined 12 Medicare Advantage plans nearly $4 million in civil money penalties (CMP) since the beginning of the year. Nearly all of the plans were cited for failing to comply with contract requirements, such as incorrect prescription information or coverage disputes.
CMPs are the lowest enforcement penalty the CMS orders, although the financial penalties can be steep. Penalties issued so far range from approximately $21,000 to $1 million. The highest penalty is plan termination.
Additionally, CMS ordered one plan to suspend enrollment and three plans were released from sanctions after correcting deficiencies.
The Centers for Medicare & Medicaid Services (CMS) will add the five-star quality rating to its Hospital Compare website later this month. The five-star quality rating is already used on the Nursing Home Compare and Physician Compare sites.
CMS will add twelve HCAHPS Star Ratings to the Hospital Compare; one for each of the 11 publicly reported measures, plus an overall Summary Star Rating that represents a weighted average of the individual HCAHPS Star Ratings.
According to CMS, the star ratings will make it easier for consumers to use the information on the Compare websites and spotlight excellence in healthcare quality.