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CMS memo dated 12/23/2016: Revised to remove the requirements for, and all references to, hospital specialty units to ensure that hospitals are able to meet the unique security needs for justice involved individuals receiving treatment
*** Surveyor Guidance: The Centers for Medicare & Medicaid Services (CMS) are clarifying requirements for providing services to justice involved individuals in skilled nursing facilities (SNFs), nursing facilities (NFs), hospitals, psychiatric hospitals, critical access hospitals (CAHs), and intermediate care facilities for individuals with intellectual disabilities (ICFs/IID).
Specifically, this guidance seeks to assure high quality care that is consistent with essential patient rights and safety for all individuals. (This policy memorandum replaces memo published 5/3/2016)
Per CMS memo dated 12/16/2016
The Centers for Medicare & Medicaid Services (CMS) has adopted the 2012 Life Safety Code (LSC) and the 2012 Health Care Facilities Code (HCFC) through regulation (see 81 FR 26872, 5/4/16), effective July 5, 2016.
FSES Edition to be Used To Meet Fire Safety Requirements: If the FSES is being used to demonstrate compliance with the fire safety requirements, the version of the FSES for Health Care Occupancies and Board and Care Occupancies found in the 2013 edition of the Guide on Alternative Approaches to Life Safety, NFPA 101A must be used. A facility that achieves a passing score on the 2013 edition of the FSES will be considered to meet the fire safety requirements for certification and recertification with the Medicare and Medicaid programs.
Survey Start Date: CMS began surveying for compliance with the 2012 LSC and HCFC on November 1, 2016. Facilities may now use the 2013 edition of the FSES. * Time Limited Waiver for Corrective Action: Long Term Care (LTC) facilities using the FSES may be granted a time limited waiver to correct certain deficiencies.
Per CMS memo dated 12/15/2016
Sprinkler Requirement for Long Term Care Facilities:
On May 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs: Fire Safety Requirements for Certain Health Care Facilities (81 FR 26872). This regulation adopted the 2012 Life Safety Code (LSC), and the 2012 Health Care Facilities Code (HCFC). The 2012 LSC requires all existing and newly constructed health care facilities including long term care facilities to be equipped with a supervised automatic sprinkler system. This regulation requires compliance with the 2010 edition of National Fire Protection Association (NFPA) 13, Installation of Sprinkler Systems.
Sprinkler Installation Requirements for Attics containing Fire Retardant Treated Wood (FRTW): The use of FRTW is allowed to be installed in a facility in concealed or attic space without the installation of an automatic sprinkler system, provided that it meets certain conditions related to access, construction type, storage and fuel fired equipment. This is a change, because FRTW was not discussed clearly with regards to concealed spaces in the 2000 edition of the LSC or the 1999 edition of NFPA 13.
The Centers for Medicare & Medicaid Services (CMS) will not enforce the new rule prohibiting skilled nursing facilities, nursing facilities and dually-certified facilities from using pre-dispute binding arbitration agreements while there is a court-ordered injunction in place prohibiting enforcement of this provision.
Project Overview: The Centers for Medicare & Medicaid Services (CMS) is in the second year of a three year pilot project to improve assessment of infection control and prevention regulations in Long Term Care (LTC) facilities, hospitals, and during transitions of care. All surveys during the pilot will be educational surveys (no citations will be issued) and will be conducted by a national contractor.
Second Year Activities: Using draft surveyor Infection Control Worksheets (ICWS) based on the new Long Term Care regulation as well as a revised hospital surveyor ICWS, 40 hospital surveys will be paired with surveys of LTC facilities, in order to provide an opportunity to assess infection prevention during transitions of care. In addition, CMS will pilot technical assistance opportunities for facilities in efforts to improve their infection control programs to meet these new regulations. The draft ICWSs are attached to provide transparency of CMS pilot expectations.
See the link to the DHHS website (TRACIE) to use as a resource for the CMS Emergency Preparedness Rule effective November 2017
A revised CMS memo (10/28/2016) re Infection Control Breaches that require public health referrals
Save the Date Training for Phase 1 Implementation of New Nursing Home Regulations
Need for Training: The Centers for Medicare and Medicaid Services (CMS) is developing an online training for Regional Offices (RO), State Survey Agencies (SA), providers and other stakeholders on the new Nursing Home Regulations. – Training Content and Availability: The online training will include information about Phase 1 of new Nursing Home Regulations, and will be available to all parties starting November 18, 2016. – Mandatory Requirement: All Long Term Care (LTC) surveyors are required to complete this training in order to be able to conduct any LTC surveys after November 28, 2016.
This is a reminder that the annual Long Term Care survey is currently underway. LTC surveys this year are due on October 28, 2016. Completion of these online surveys is mandatory. You should have been contacted multiple times with your log-in information by email from the Department (sent to the Administrator). If you did not receive these communications, or if you have any questions, please notify the Division of Health Informatics at email@example.com or call 717-547-3660.
Along with the PAHAN bulletin, as distributed earlier, PADOH has placed this specific message on the message board:
The Pennsylvania Department of Health (PADOH), in collaboration with the Centers for Disease Control and Prevention (CDC), U.S. Food and Drug Administration (FDA), and other state health departments, is currently investigating an outbreak of Burkholderia cepacia bloodstream infections. While the investigation is still in its early stages, contaminated prefilled saline flush syringes manufactured by Nurse Assist, Haltom City, Texas have been implicated as the source. The PADOH Bureau of Laboratories performed testing of Nurse Assist 10-milliliter saline flush syringes that were obtained from a Pennsylvania long-term care facility with reported cases; all unopened syringes tested were found to have been contaminated with B. cepacia.
PADOH recommends that any health care facilities, providers, or anyone else who have received Nurse Assist prepackaged three-, five- and 10-milliliter syringes of saline flush immediately discontinue using and sequester these saline products until further notice. At this time, DO NOT discard/destroy the products. DO NOT send flushes back to suppliers. All products should be placed together in a locked office. Guidance on the sequestered saline flush syringes will be forthcoming.
A Summary for Clinicians 2016
This transmittal became effective 9/23/16
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