Risk Management. 1 M0410 Incident Reporting System ( (1)(e); 59A (2)(a-b)
|
|
- Patrick Byrd
- 5 years ago
- Views:
Transcription
1 2019 Florida Society of Ambulatory Surgical Centers Quality and Risk Management Conference: Regulatory Update & Most Cited Deficiencies April 11, 2019 Kimberly R. Smoak, MSH, QIDP Chief of Field Operations/State Survey Agency Director Division of Health Quality Assurance Agency for Health Care Administration Florida Objectives Overview of the Most Frequently Cited State Risk Management Deficiencies from Calendar Year Overview of Federal Emergency Preparedness Rule and Calendar Year 2018 Most Frequently Cited Deficiencies. Transparency and Balance Billing. Briefly discuss Revised Risk Management Survey Process. 1
2 Risk Management Rank Tag Requirement 1 M0410 Incident Reporting System ( (1)(e); 59A (2)(a-b) 2 M0426 Patient Safety Officer And Committee ( (2), F.S.) 3 M0412 Incident Reporting System - Reports (59A (2)(c)-(e), F.A.C.) 4 M0404 Incident Reporting Training ( (1)(b)1, {59A (1)} 5 M0405 Approp. Measure Recovery Room Prohibition ( (1)(b)(2)) 3 #1-M0410 The development and implementation of an incident reporting system based upon the affirmative duty of all health care providers and all agents and employees of the licensed health care facility to report adverse incidents to the risk manager, or to his or her designee, within 3 business days after their occurrence. 4 2
3 M0410 Reports Must Include: The patient's name, locating information, admission diagnosis, admission date, age and sex; A clear and concise description of the incident including time, date, exact location; and elements as needed for the annual report. 5 #2-M0426 Each licensed facility shall appoint a patient safety officer and a patient safety committee, which shall include at least one person who is neither employed by nor practicing in the facility, for the purpose of promoting the health and safety of patients, reviewing and evaluating the quality of patient safety measures used by the facility, and assisting in the implementation of the facility patient safety plan. 6 3
4 #3-M0412 Incident Report Must Include: Whether or not a physician was called; and if so, a brief statement of said physician s recommendations as to medical treatment, if any; A listing of all persons then known to be involved directly in the incident, including witnesses, along with locating information for each; The name, signature and position of the person completing the reports, along with date and time that the report was completed. 7 #4-M0404 Risk management and risk prevention education and training of all non physician personnel as follows: Such education and training of all non physician personnel as part of their initial orientation; and At least 1 hour of such education and training annually for all personnel of the licensed facility working in clinical areas and providing patient care, except those persons licensed as health care practitioners who are required to complete continuing education coursework pursuant to chapter 456 or the respective practice act. 8 4
5 # A prohibition, except when emergency circumstances require otherwise, against a staff member of the licensed facility attending a patient in the recovery room, unless the staff member is authorized to attend the patient in the recovery room and is in the company of at least one other person. However, a licensed facility is exempt from the two-person requirement if it has: Live visual observation; Electronic observation; or Any other reasonable measure taken to ensure patient protection and privacy. 9 Federal Emergency Preparedness 10 5
6 Emergency Preparedness In November 2017, the Survey Agencies commenced surveying for the federal emergency preparedness rule. There are four core elements to the rule: An emergency plan Policies and procedures A communication plan A training and testing plan 11 Emergency Preparedness Let s review the citations identified in Florida Ambulatory Surgical Centers in calendar year
7 Plan E-0006-Emeregency Plan. The ASC must develop and maintain and emergency preparedness plan that must be reviewed, and updated at least annually. The plan must: Be based on and include a documented, facility based and community based risk assessment, utilizing an all-hazards approach. 13 Work with local Emergency Management Officials E-0004 The emergency plan must be reviewed and updated annually The plan supports the ASC s ability to work with local emergency management officials plan considers particular hazards most likely to occur in surrounding area, including natural/ man made or facility based disasters 14 7
8 Policy & Procedures E The ASC must develop and implement emergency preparedness policies and procedures, based on the emergency plan set, risk assessment, and the communication plan. The policies and procedures must be reviewed and updated at least annually. 15 Policy & Procedures E0013-The ASC must develop and implement emergency preparedness policies and procedures, based on the emergency plan set forth in paragraph (a) of this section, risk assessment at paragraph (a)(1) of this section, and the communication plan at paragraph (c) of this section. The policies and procedures must be reviewed and updated at least annually. 16 8
9 Tracking E-0018-The ASC must develop a system to track the location of on-duty staff and sheltered patients in the ASC s care during an emergency. *If an ASC is able to cancel surgeries and close (meaning there are no patients or staff in the ASC), this requirement of tracking patients and staff would no longer be applicable. If an emergency was imminent and able to be predicted (i.e. inclement weather conditions, etc.) CMS would expect that ASCs cancel surgeries and cease operations, which would eliminate the need to track patients and staff. 17 Reminder: Transparency and Balance Billing 18 9
10 Price Transparency & Patient Billing Section , Florida Statutes Applies to hospitals and ambulatory surgical centers, excluding state-owned hospitals Must have a transparency website Must provide a general or personalized estimate upon request Must provide an itemized bill upon request 19 Price Transparency & Patient Billing Requirements for facility websites: Link to AHCA s transparency and service bundles website Information about requesting personalized estimates Information about financial assistance, billing and collections policies Information about providers who may bill separately and may be out of the consumer s health insurance network Information about and links to insurance plans for which the facility is a participating network provider 20 10
11 Revised Risk Management Survey Process 21 Tasks Survey Process Off-Site Preparation Entrance Conference Tours and Floor Visits Sample Selection Information Gathering Decision Making and Analysis of Findings Exit Conference Post Survey Activities 22 11
12 Off-Site Prep Review ASC compliance history Review ASC website for price transparency Make team member assignments 23 Entrance Conference Conduct meeting with ASC administrator/risk manager or designee Provide entrance conference checklist Explain purpose of the visit 24 12
13 Tour Objective of this task is to visit areas of the ASC where areas of concern have been identified to determine compliance with the risk management regulations. This is intended to be a brief task. 25 Sample Selection The surveyor will select up to ten incident/adverse reports to review. The sample size can be expanded depending on the ASC s volume and/or other factors
14 Information Gathering Observations Staff Interviews Patient and Family Interviews Patient Record Reviews Grievance and Incident Review Personnel Records 27 Decision Making and Analysis of Findings The objective of this task is to integrate findings, review and analyze information collected from observations, interviews, and record reviews, and to determine whether the ASC meets compliance as outlined in the rules and regulations
15 Exit Conference The objective of this task is to inform the ASC of the team s findings. The exit conference provides an opportunity for the surveyor to discuss areas of concern with the administrator and/or staff in charge. Tag numbers are not provided. 29 Post Survey Activities The general objective of this task is to complete the survey requirements, in accordance with the regulations and Agency protocols. The team members and coordinator are responsible for meeting the timeliness for completing and submitting the survey
16 Contact Information ahca.myflorida.com ( contact us ) Kimberly Smoak Kimberly.Smoak@ahca.myflorida.com 31 16
Agency for Health Care Administration
Page 1 of 13 ST - P0000 - Initial Comments Title Initial Comments Statute or Rule Type Memo Tag ST - P0102 - Registration Changes Title Registration Changes Statute or Rule 400.980(2) FS; 59A-27.002(1)
More informationHOSPITALS STATUTE RULE CRITERIA. Page 1 of 13
HOSPITALS STATUTE RULE CRITERIA Page 1 of 13 Hospitals and.ambulatory Surgical Centers Statutory Reference' 395.1055 (1)(c), Florida Statutes Rules and Enforcement. (1) The agency shall adopt rules pursuant
More informationRe: Transparency in Health Care Legislation Effective July 1, 2016
RICK SCOTT GOVERNOR ELIZABETH DUDEK SECRETARY May 24, 2016 Re: Transparency in Health Care Legislation Effective July 1, 2016 Governor Scott has signed into law House Bill 1175 regarding Transparency in
More informationCEMP Criteria for Ambulatory Surgery Centers Emergency Management
CEMP Criteria for Ambulatory Surgery Centers Lee County Emergency Management The following criteria are to be used when developing Comprehensive Emergency Management Plans (CEMP) for all ambulatory surgical
More informationRecommendations from Florida Assisted Living Association
Recommendations from Florida Assisted Living Association Alzheimer s Secured Units Require assisted living facilities that advertise that they provide specialized Alzheimer s disease or other related disorders,regardless
More informationAmbulatory Surgical Center Requirements CMS Emergency Preparedness Final Rule
Ambulatory Surgical Center Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid
More informationEMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES
OCTOBER, 1995 EMERGENCY MANAGEMENT PLANNING CRITERIA FOR ASSISTED LIVING FACILITIES The following minimum criteria are to be used when Comprehensive Emergency Management Plans (CEMP) for all Residential
More informationASSISTED LIVING FACILITIES STATUE RULE CRITERIA
ASSISTED LIVING FACILITIES STATUE RULE CRITERIA Page 1 of 14 Assisted Living Facilities Statutory Reference' 400.441 (1)(b), Florida Statutes Rules establishing standards (b) The preparation and annual
More informationJeffrey N. Gregg, Bureau Chief Anne Menard, Home Care Unit Manager Bureau of Health Facility Regulation Agency for Health Care Administration July 30
HOME HEALTH AGENCY STATE LAW CHANGES Jeffrey N. Gregg, Bureau Chief Anne Menard, Home Care Unit Manager Bureau of Health Facility Regulation Agency for Health Care Administration July 30 & 31, 2008 Copies
More informationPrograms of All-Inclusive Care for the Elderly Requirements CMS Emergency Preparedness Final Rule
Programs of All-Inclusive Care for the Elderly Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare
More informationFLORIDA LICENSURE SURVEY PREP
FLORIDA LICENSURE SURVEY PREP This information is intended to provide an abbreviated version of the Florida licensure requirements in preparation for an ACHC licensure survey. For a complete listing of
More informationCEMP Criteria for Adult Day Care Centers Emergency Management
CEMP Criteria for Adult Day Care Centers Lee County Emergency Management The following criteria are to be used for the development of Comprehensive Emergency Management Plans (CEMP) for Adult Day Care
More information1 What is an AAAHC/Medicare Deemed Status survey? 2 What are the Medicare Conditions for Coverage (CfC)?
FREQUENTLY ASKED QUESTIONS ABOUT MEDICARE DEEMED STATUS SURVEYS 1 What is an AAAHC/Medicare Deemed Status survey? The Centers for Medicare and Medicaid Services (CMS) accepts AAAHC s recommendation for
More informationEMERGENCY MANAGEMENT PLANNING CRITERIA FOR HOSPITALS
EMERGENCY MANAGEMENT PLANNING CRITERIA FOR HOSPITALS The following minimum criteria are to be used when developing Comprehensive Emergency Management Plans (CEMP) for all hospitals. These criteria will
More informationPROVIDER TRANSMITTAL. Assistive Living Facilities and Adult Family Care Home
PROVIDER TRANSMITTAL Transmittal Number: Provider Type: Subject: 2015-01-28-QM Assistive Living Facilities and Adult Family Care Home SMMC-MMA Assistive Living Facility ( ALF ) and Adult Family Care Home
More informationFacility Name/CCN: Survey Date: Preceptor Name: Surveyor Name: New Surveyor Observational Survey Guidelines Long-Term Care
Directions: This document is intended to be used as a list of reminders for a preceptor when preparing a new surveyor for a survey, while on a survey, or serving as a preceptor. Place a check mark in the
More informationNEW JERSEY TRANSIT POLICE DEPARTMENT
NEW JERSEY TRANSIT POLICE DEPARTMENT 2014 EMERGENCY OPERATIONS ANNEX Version 2 RECORD OF CHANGES Changes listed below have been made to the New Jersey Transit Police Department Emergency Operations Annex
More informationIntermediate Care Facilities for the Developmentally Disabled Florida Statutes Chapter 393, Section 067(h)
Intermediate Care Facilities for the Developmentally Disabled Florida Statutes Chapter 393, Section 067(h) (8) The department shall promulgate rules establishing minimum standards for licensure of residential
More informationExcerpts of the Code of Federal Regulations Referenced in Proposed Rule CMS 1403 P
Excerpts of the Code of Federal Regulations Referenced in Proposed Rule CMS 1403 P The document below reflects the sections of the regulations currently in effect for Independent Diagnostic Testing Facilities
More informationFlorida Medicaid. Ambulatory Surgical Center Services Coverage Policy. Agency for Health Care Administration
Florida Medicaid Ambulatory Surgical Center Services Coverage Policy Agency for Health Care Administration Table of Contents 1.0 Introduction... 1 1.1 Florida Medicaid Policies..1 1.2 Statewide Medicaid
More informationObjectives. Objectives 2/13/ Assisted Living Facility Joint Training. Agency for Health Care Administration Updates
2015 Assisted Living Facility Joint Training Agency for Health Care Administration Updates Presented by: Division of Health Quality Assurance Representatives Objectives Review Most Frequently Cited Tags
More information2016 Final CMS Rules vs. Joint Commission Requirements
Healthcare Association of New York State, October 2016 2016 Final CMS Rules vs. Joint Commission Requirements Final CMS Rules Current CMS Rules Joint Commission Requirements Emergency Plan (a) Emergency
More informationSutton Place Behavioral Health, Inc. POLICY NO. CLM-19 EFFECTIVE DATE:
Sutton Place Behavioral Health, Inc. POLICY NO. CLM-19 EFFECTIVE DATE: 03-17-04 HEALTH CARE ADVANCE DIRECTIVES ATTACHMENTS: Living Will Designation of Health Care Surrogate Wallet card Advance Directives
More informationMary Massey, BSN, MA, CHEP California Hospital Association
CMS Final Rule: Conditions of Participation Establishing Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Mary Massey, BSN, MA, CHEP California Hospital
More informationReview of F323 Related to Falls. Marilyn Hirsch Region V December 16, 2015
Review of F323 Related to Falls Marilyn Hirsch Region V December 16, 2015 Objectives Describe Region V F323 Project Review F323 Regulation Review and discuss citations History At our meeting two years
More informationFlorida Medicaid. Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy
Florida Medicaid Intermediate Care Facility for Individuals with Intellectual Disabilities Services Coverage Policy Agency for Health Care Administration July 2016 Florida Medicaid Table of Contents 1.0
More information4/3/2018. Nursing Facility Changes to Conditions of Participation (& Enforcement): What You Need to Know. Revisions to State Operations Manual
DAVIS, BROWN, KOEHN, SHORS & ROBERTS, 1P.C. Nursing Facility Changes to Conditions of Participation (& Enforcement): What You Need to Know Lynn Böes and Ken Watkins 2 Revisions to State Operations Manual
More informationAgency for Health Care Administration
Page 57 of 174 requirements of an administrator pursuant to paragraph (1)(a) of this rule. Managers who attended the core training program prior to July 1, 1997, are not required to take the competency
More informationRHC COMPLIANCE AND REGULATIONS
RHC COMPLIANCE AND REGULATIONS ROBIN VELTKAMP HEALTH SERVICES ASSOCIATES OBJECTIVES Participants will gain an understanding of the basic Federal RHC Regulations. Participants will gain an understanding
More informationEMERGENCY MANAGEMENT PLANNING CRITERIA FOR ADULT DAY CARE FACILITIES
The following criteria are to be used for the development of Comprehensive Emergency Management Plans (CEMP) for Adult Day Care (ADC). The criteria will serve as a recommended plan format for the CEMP,
More informationAgency for Health Care Administration
Page 1 of 64 ST - M0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - M0001 - Definitions Title
More informationAgency for Health Care Administration
Page 1 of 103 ST - R0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - R0001 - LICENSURE PROCEDURE
More information244 CMR: BOARD OF REGISTRATION IN NURSING
244 CMR 4.00: THE PRACTICE OF NURSING IN THE EXPANDED ROLE Section 4.01: Authority 4.02: Purpose 4.03: Citation 4.04: Scope 4.05: Definitions 4.06: Gender of Pronouns 4.07: Number (4.08 through 4.10: Reserved)
More informationReadiness Tool: Medicare Survey Preparation
MEDICARE SURVEY READINESS: LOGISTICS Arrival Surveyor Work Area Office Appearance Communication EMR º Greeting º Check IDs º Sign in º Notification of point person or designee º Designated area away from
More informationMedicare Conditions for Coverage 2009 Crosswalk
Medicare Conditions for Coverage 2009 Crosswalk By Dawn Q. McLane RN, MSA, CASC, CNOR Note: Changes between CfC prior to 2009 and CfC 2009 are denoted in red. Medicare CfC prior to 2009 42 CFR Public Health
More informationTHE CMS EMERGENCY PREPARDNESS RULE HOSPITAL EDITION
THE CMS EMERGENCY PREPARDNESS RULE HOSPITAL EDITION THIS IS WHY Best Practices from across the industry CMS / AHJ Requirements Research of Response THIS IS HOW! AGENDA Publication of the CMS Final Rule
More informationMedical Director Requirements for Nursing Facilities Advance Issuance of Revised Survey Guidance HIGHLIGHTS
Medical Director Requirements for Nursing Facilities Advance Issuance of Revised Survey Guidance HIGHLIGHTS On April 9, 2005 the Centers for Medicare and Medicaid Services (CMS) released revised interpretive
More informationEXHIBIT A SPECIAL PROVISIONS
EXHIBIT A SPECIAL PROVISIONS The following provisions supplement or modify the provisions of Items 1 through 9 of the Integrated Standard Contract, as provided herein: A-1. ENGAGEMENT, TERM AND CONTRACT
More informationFlorida Medicaid. State Mental Health Hospital Services Coverage Policy. Agency for Health Care Administration. January 2018
Florida Medicaid State Mental Health Hospital Services Coverage Policy Agency for Health Care Administration Table of Contents 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions...
More informationAssisted Living Facility Resource Manual
Assisted Living Facility Resource Manual August 2015 Assisted Living Facility Resource Manual August 2015 Table of Contents Survey Process... 1 ALF Resident Centered Survey Process... 1 LNS & ECC Monitoring...
More information(1) SHORT TITLE.--This section may be cited as the "Florida Patient's Bill of Rights and Responsibilities."
1 of 5 7/17/2008 3:37 PM Division of Medical Quality Assurance 381.026 Florida Patient's Bill of Rights and Responsibilities.-- (1) SHORT TITLE.--This section may be cited as the "Florida Patient's Bill
More informationAAAHC Standards Compliance & CMS s Final Rule on Emergency Preparedness for ASCs
AAAHC Standards Compliance & CMS s Final Rule on Emergency Preparedness for ASCs GSASC / SCASCA Semi-Annual Conference David Shapiro, M.D. 4 Common Themes The Standard deficiencies in Surgical Care settings
More information2017 Healthcare Emergency Preparedness Requirements
2017 Healthcare Emergency Preparedness Requirements PART 494.62 - CONDITIONS OF PARTICIPATION FOR END-STAGE RENAL DISEASE FACILITIES (ESRD) - DIALYSIS CENTERS Are you prepared for the changes? November
More informationState Operations Manual. Appendix M - Guidance to Surveyors: Hospice - (Rev. 1, )
State Operations Manual Appendix M - Guidance to Surveyors: Hospice - (Rev. 1, 05-21-04) Part I Investigative Procedures I - Introduction A - Initial Certification Surveys B - Recertification Survey of
More informationEMERGENCY PREPAREDNESS Hospice
Hospice LISA MEADOWS, MSW Clinical Compliance Educator Home Health, Hospice & Private Duty 2 OBJECTIVES Review the final rule for the new Emergency Preparedness Condition of Participation Identify the
More informationPost Acute Care. Kyle Devine, M.S.W. Bureau Chief
Post Acute Care Kyle Devine, M.S.W. Bureau Chief 1 Acute Care: Acute care is health care where a patient receives active but short-term treatment for a severe injury or episode of illness, or surgery for
More informationThe QIS was designed to achieve several objectives:
CMS Quality Indicator Survey, ASE-Q The Quality Indicator Survey CMS is implementing the Quality Indicator Survey (QIS) which is a computer assisted long term care survey process used by selected State
More informationSENATE BILL No. 323 AMENDED IN SENATE MARCH 26, Introduced by Senator Hernandez (Principal coauthor: Assembly Member Eggman) February 23, 2015
AMENDED IN SENATE MARCH 26, 2015 SENATE BILL No. 323 Introduced by Senator Hernandez (Principal coauthor: Assembly Member Eggman) February 23, 2015 An act to amend Section 2835.7 of the Business and Professions
More informationAHCA Home Health Regulatory Update: Going Forward with Knowledge
AHCA Home Health Regulatory Update: Going Forward with Knowledge Anne Menard Home Care Unit Bureau of Health Facility Regulation Agency for Health Care Administration July 23, 2013 1 Licensed as of July
More informationHome Health Agency Requirements CMS Emergency Preparedness Final Rule
Home Health Agency Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More informationCMHC Conditions of Participation
CMHC Conditions of Participation Mary Rossi-Coajou Center for Clinical Standards and Quality/Clinical Standards Group The Centers for Medicare and Medicare Services March 4,2014 Key Themes The CMHC NPRM
More informationMedicare Conditions for Coverage Washington State Licensure Requirements Crosswalk. By Emily R. Studebaker, Esq.
Medicare Conditions Washington State Licensure Crosswalk By Emily R. Studebaker, Esq. Medicare Conditions Washington State Licensure Crosswalk By Emily R. Studebaker, Esq. Table of Contents Basis and Scope...
More informationRULE REVISIONS to CHAPTER 59A-8 HOME HEALTH AGENCY, FLORIDA ADMINISTRATIVE CODE
RULE S to CHAPTER 59A-8 HOME HEALTH AGENCY, FLORIDA ADMINISTRATIVE CODE There were changes made to the regulatory rules for Home Health agencies effective July 11, 2013. Recently the Agency for Health
More informationUniversity of Florida Career Resource Center Third Party Employment Services POLICY STATEMENT
POLICY STATEMENT (TPES) typically include agencies, organizations, or individuals who recruit candidates for employment other than for their own needs. The following guidelines govern the manner in which
More informationCHAPTER 59B-9 PATIENT DATA COLLECTION, AMBULATORY SURGERY AND EMERGENCY DEPARTMENT
CHAPTER 59B-9 PATIENT DATA COLLECTION, AMBULATORY SURGERY AND EMERGENCY DEPARTMENT 59B-9.030 59B-9.031 59B-9.032 59B-9.033 59B-9.034 59B-9.035 59B-9.036 59B-9.037 59B-9.038 59B-9.039 Purpose of Ambulatory
More informationSurvey Protocol for Long Term Care Facilities
Attachment B Survey Protocol for Long Term Care Facilities The provision of home dialysis treatments in a Long Term Care (LTC) facility place an increased burden on the LTC facility staff and may place
More informationChapter 400 Nursing Homes and Related Health Care Facilities
Chapter 400 Nursing Homes and Related Health Care Facilities 400.23 Rules; evaluation and deficiencies; licensure status. (1) It is the intent of the Legislature that rules published and enforced pursuant
More informationThe University Hospital Medical Staff. Rules And Regulations
The University Hospital Medical Staff Rules And Regulations - 1 - UNIVERSITY HOSPITAL MEDICAL STAFF RULES AND REGULATIONS The Medical Staff shall adopt Rules and Regulations as may be necessary to implement
More informationPrepublication Requirements
Prepublication Requirements Standards Revisions for Emergency Management Final Rule in Ambulatory Health Care The Joint Commission has approved the following revisions for prepublication. While revised
More informationClinics, Rehabilitation Agencies, and Public Health Agency Requirements CMS Emergency Preparedness Final Rule
Clinics, Rehabilitation Agencies, and Public Health Agency Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements
More informationMHA Survey Manual: Review and Q&A
MHA Survey Manual: Review and Q&A Sharon Burnett, VP of Clinical and Regulatory Affairs, MHA Donya Lowrie, Chief, DHSS Bureau of Hospital Standards Kathie Thomas, Assistant Chief, DHSS Bureau of Hospital
More information[Second Reprint] SENATE, No. 278 STATE OF NEW JERSEY. 217th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2016 SESSION
[Second Reprint] SENATE, No. STATE OF NEW JERSEY th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 0 SESSION Sponsored by: Senator JOSEPH F. VITALE District (Middlesex) SYNOPSIS Requires surgical practices
More informationLong Term Care Requirements CMS Emergency Preparedness Final Rule
Long Term Care Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More informationHospital (and Transplant Center) Requirements as Written in the Final Rule
Hospital (and Transplant Center) Requirements CMS Emergency Preparedness Final Rule The for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating
More information9/8/2017. Making the Connection: Linking the Facility Assessment and QAPI Plan. Cindy Mason VP Provider Services. Final Rule. Providigm, LLC,
Making the Connection: Linking the Facility Assessment and QAPI Plan Cindy Mason VP Provider Services Final Rule Providigm, LLC, 2017 1 Final Rule Effective Date These regulations are effective as of November
More informationFlorida Job Growth Grant Fund Public Infrastructure Grant Proposal
Florida Job Growth Grant Fund Public Infrastructure Grant Proposal Proposal Instructions: The Florida Job Growth Grant Fund Proposal (this document) must be completed by the governmental entity applying
More informationAgency for Health Care Administration
Page 1 of 50 FED - J0000 - INITIAL COMMENTS Title INITIAL COMMENTS CFR Type Memo Tag FED - J0003 - COMPLIANCE WITH FED,STATE,& LOCAL LAWS Title COMPLIANCE WITH FED,STATE,& LOCAL LAWS CFR 491.4 Type Condition
More informationEmergency Management for Ambulatory Surgical Centers
Emergency Management for Ambulatory Surgical Centers Chapter 15 2018 Edition Presented by: Brad Keyes, CHSP Jamie Crouch, BSBM, MHA Welcome... Today s webinar will focus on the new requirements for Emergency
More informationEmergency Preparedness
Emergency Preparedness Emergency Preparedness On September 16, 2016 the final rule on Emergency Preparedness requirements for Medicare and Medicaid participating providers and suppliers was published.
More informationREQUEST FOR INFORMATION STAFF AUGMENTATION/IT CONSULTING RFI NO.: DOEA 14/15-001
REQUEST FOR INFORMATION STAFF AUGMENTATION/IT CONSULTING RFI NO.: DOEA 14/15-001 I. INTRODUCTION The Florida Department of Elder Affairs (DOEA) hereby issues this Request for Information (RFI) to all interested
More informationWhWwhaht. SNF CMS, RoP, Survey, and Regulatory Update October /25/2017. The New and Improved Survey Process
303 Cleveland Avenue SE Suite 206 Tumwater, WA 98501 Tel 800 562 6170 www.whca.org SNF CMS, RoP, Survey, and Regulatory Update October 2017 Elena Madrid Director of Regulatory Affairs The New and Improved
More informationRisk Management in the ASC
1 Risk Management in the ASC Sandra Jones CASC, LHRM, CHCQM, FHFMA sjones@aboutascs.com IMPROVING HEALTH CARE QUALITY THROUGH ACCREDITATION 2014 Accreditation Association for Conflict of Interest Disclosure
More informationHighlights of the New LTCSP and Regulations
Highlights of the New LTCSP and Regulations New York State Department of Health Division of Nursing Homes and ICF/IID Surveillance November 15, 2017 November 15, 2017 2 Resources https://www.cms.gov/medicare/provider-enrollment-andcertification/guidanceforlawsandregulations/nursinghomes.html
More informationState Operations Manual. Appendix V Interpretive Guidelines Responsibilities of Medicare Participating Hospitals In Emergency Cases
State Operations Manual Appendix V Interpretive Guidelines Responsibilities of Medicare Participating Hospitals In Emergency Cases PART I- Investigative Procedures I. General Information II. Principal
More informationBLACK BUSINESS LOAN PROGRAM SUMMARY RECOMMENDATION FORM
BLACK BUSINESS LOAN PROGRAM SUMMARY RECOMMENDATION FORM Form OTTED 7102-3 (5/10) - Page 1 of 5 Instructions for Use Use this form to summarize and communicate the evaluation of applications for certification
More informationAdult Family Care Home Top Ten Health Deficiency Citations Statewide October 8, 2009 Year Date Range: January 1, 2008 through December 31, 2008
Rank Tag Count Description Adult Family Care Home 1 F0401 182 Personnel records must include verification of freedom from communicable disease for the AFCH provider, each relief person, each adult household
More informationEmergency Management. 1 of 8 Updated: June 20, 2014 Hospice with Residential Facilities
CEMP Criteria for Hospice Lee County Emergency Management The following criteria are to be used when developing Comprehensive Emergency Management Plans (CEMP) for all hospices. The criteria also serve
More informationCaledonia Park Playground Equipment
Request for Proposals Caledonia Park Playground Equipment Issued: Monday, March 12, 2018 Prepared By: City of Cleveland Heights Parks and Recreation Department Cleveland Heights, Ohio Joseph McRae, Parks
More informationCHAPTER Committee Substitute for Committee Substitute for House Bill No. 1411
CHAPTER 2016-150 Committee Substitute for Committee Substitute for House Bill No. 1411 An act relating to termination of pregnancies; amending s. 390.011, F.S.; defining the term gestation and revising
More informationRFI /17. State of Florida Agency for Persons with Disabilities Request for Information
RFI 001-16/17 State of Florida Agency for Persons with Disabilities Request for Information Intermediate Care Facilities for Individuals with Intellectual Disabilities Utilization & Continued Stay Review
More informationCommack School District District-Wide. Emergency Response Plan
Commack School District District-Wide Emergency Response Plan 2016-2017 Date of Acceptance/Revision: Introduction 1.1 Purpose The purpose of this plan is to provide emergency preparedness and response
More informationNO TALLAHASSEE, November 4, Mental Health/Substance Abuse VIOLENCE RISK ASSESSMENT PROCEDURE IN STATE MENTAL HEALTH TREATMENT FACILITIES
CFOP 155-35 STATE OF FLORIDA DEPARTMENT OF CF OPERATING PROCEDURE CHILDREN AND FAMILIES NO. 155-35 TALLAHASSEE, November 4, 2016 Mental Health/Substance Abuse VIOLENCE RISK ASSESSMENT PROCEDURE IN STATE
More information(PLEASE PRINT) Sex M F Age Birthdate Single Married Widowed Separated Divorced. Business Address Business Phone Cell Phone
(PLEASE PRINT) Emma Warner, MSW, LCSW, ACSW Tulsa, OK 74105 (918) 749-6935 Personal Information Name Address Last Name First Name Initial Home Phone Soc. Sec. # City State Zip Sex M F Age Birthdate Single
More informationNEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017
NEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017 Disclaimer: The information contained in this presentation is representative of the current information provided
More informationAmbulatory Surgical Centers and Recovery Care Centers
Ambulatory Surgical Centers and Recovery Care Centers A presentation to the House Health Innovation Subcommittee Megan Smernoff Senior Legislative Analyst January 25, 2017 Summary Overview of ambulatory
More informationTrends in Nursing Facility Standard Health Survey Citations
Trends in Nursing Facility Standard Health Survey Citations Prepared by Research Department American Health Care Association March 2015 Trends in Nursing Facilities Standard Health Survey Citations TABLE
More informationSurvey Analysis for Evaluating Risk (SAFER ) Insights July 13, 2017
Survey Analysis for Evaluating Risk (SAFER ) Insights July 13, 2017 Caroline Heskett, MPH The Joint Commission, Accreditation & Certification Operations Project Manager, Business Transformation Objectives
More informationProgram Summary. Understanding the Fiscal Year 2019 Hospital Value-Based Purchasing Program. Page 1 of 8 July Overview
Overview This program summary highlights the major elements of the fiscal year (FY) 2019 Hospital Value-Based Purchasing (VBP) Program administered by the Centers for Medicare & Medicaid Services (CMS).
More informationEmergency Support Function 5. Emergency Management. Iowa County Emergency Management Agency. Iowa County Emergency Management Agency
Emergency Support Function 5 Emergency Management ESF Coordinator: Primary Agency: Iowa County Emergency Management Agency Iowa County Emergency Management Agency Support Agencies: Iowa County Departments
More informationACCOMPANYING REGULATION OPERATIONAL PROCEDURES FOR EMERGENCY SCHOOL CLOSING
1. School Closings 1.1. The division superintendent or designee may order the closing, delay in opening or the early dismissal of any or all Fauquier County public schools in order to protect the safety
More information11/16/17. Annual Survey Watch Report. Surveyors. Keeping you in the know in the ASC industry CMS. Accreditation
Keeping you in the know in the ASC industry Annual Survey Watch Report Crissy Benze, MSN, BSN, RN Progressive Surgical Huddle November 20, 2017 Surveyors CMS Accreditation 1 Governance Governing Body failed
More informationHEALTH INSURANCE (APPROVED PRESCRIBING PRACTITIONERS MIDWIVES AND NURSES) (JERSEY) ORDER 2018
Arrangement HEALTH INSURANCE (APPROVED PRESCRIBING PRACTITIONERS MIDWIVES AND NURSES) (JERSEY) ORDER 2018 Arrangement Article 1 Interpretation... 3 2 Conditions and process for approval of non-medical
More informationN.J.A.C. 5: New Jersey Register, Vol. 49 No. 12, June 19, 2017
-1.1 SUBCHAPTER 1. GENERAL PROVISIONS 5:12-1.1 Title and citation This regulation shall be known and may be cited as N.J.A.C. 5:12, Ski Lifts. Page 2 of 30 N.J.A.C. 5:12-1.2 SUBCHAPTER 1. GENERAL PROVISIONS
More informationPUBLIC SCHOOL FACILITIES ELEMENT:
PUBLIC SCHOOL FACILITIES ELEMENT: Goals, Objectives and Policies Goal 1: Public School Concurrency. It is a GOAL of the Town of Jupiter to provide for future availability of public school facilities consistent
More informationComprehensive Outpatient Rehabilitation Facility Requirements CMS Emergency Preparedness Final Rule
Comprehensive Outpatient Rehabilitation Facility Requirements CMS Emergency Preparedness Final Rule The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for
More informationState of Florida Department of Health. Board of Osteopathic Medicine. Application for Registration as an Osteopathic Physician in Training
State of Florida Department of Health Board of Osteopathic Medicine Application for Registration as an Osteopathic Physician in Training Board of Osteopathic Medicine 4052 Bald Cypress Way, #C-06 Tallahassee,
More informationThe CMS. Survey. Coordinator s. Handbook. Jeffrey T. Coleman
The CMS Survey Coordinator s Handbook Jeffrey T. Coleman Table of contents About the author... iv Introduction... v Chapter 1: Know your surveyor... 1 Chapter 2: Know your survey... 5 Chapter 3: Know the
More informationHealthcare Facility Regulation
Healthcare Facility Regulation October 21, 2016 Presented by Melanie Simon Division Chief 0 Our Mission HFR is committed to protecting Georgia s health care consumers and ensuring the quality of health
More informationEmergency Preparedness, Are You Ready?
Emergency Preparedness, Are You Ready? Dr. Anna Fisher Copyright Hillcrest Health Services Objectives Understand that emergency preparedness involves a cycle of planning, capability development, training,
More informationBOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES
TOWN OF KILLINGWORTH BOARD OF FINANCE REQUEST FOR PROPOSALS FOR PROFESSIONAL AUDITING SERVICES DATE: February 14, 2018 1 I. INTRODUCTION A. General Information The Town of Killingworth is requesting proposals
More information