CMS Critical Access Hospital (CAH) Swing Bed Requirements And Changes

HEALTHCARE Mar 26, 2021 120 minutes
01:00 PM EST 12:00 PM CST 11:00 AM MST 10:00 AM PST

Description:-

Hospitals had seen a significant increase in survey activity by CMS along with an increasing number of deficiencies pre-COVID-19. This webinar will focus on the protocol changes and the swing bed changes that were promulgated by CMS on October 12, 2018, and amended on November 29, 2019. CMS completely rewrote all the swing bed regulations and rewrote the Tag numbers. The swing bed interpretive guidelines and survey procedures are now under Appendix PP. Many CAHs are not aware of these changes or are struggling to comply. With the COVID-19 pandemic, waivers were issued that affect Swing Beds. It is challenging to figure out the interpretive guidelines and survey procedure as there is there was no crosswalk between Appendix W – for CAH – and Appendix PP – Long Term Care. This webinar was created to take the mystery out of this.

Common deficiencies and how to avoid them will be discussed. Information on how to locate the CAH manual and other resources will be discussed. There will also be a discussion of the 1135 Waivers available to Critical Access Hospitals with Swing Beds.

Webinar Objectives:-

  • Discuss that CMS made some recent changes to the protocol process
  • Recall that CMS has rewritten the entire section on swing beds
  • Describe what is required by CMS to be in the resident assessment which is done to do the care plan
  • Recall the CMS requirements on patient activities of swing bed patients

Webinar Agenda:-

Changes to the CAH Manual and Introduction to CAH CoPs

  • How to Locate the CAH Manual-new website
  • Introduction
  • CMS Surveyor training material for CAHs
  • Important CMS Memos for CAHs
  • Notice of survey
  • Revised survey protocol
  • Review of telemedicine contract
  • 4 changes November 29, 2019, in Hospital Improvement Rule
  • Top swing bed deficiencies
  • CAH CoP surveyor classes

Special Requirements for CAH Providers of Long-Term Care Services (Swing beds)

  • Interpretive guidelines and survey procedure under Appendix PP
  • Eligibility
  • Payment
  • SNF Services
  • Resident Rights
  • Exercise of Rights
  • Notice of Rights and Services
  • Access and Visitation Rights
  • Personal Property
  • Married Couples
  • Admission, Transfer, and Discharge Rights
  • Transfer and Discharge
  • Content of notice
  • Resident Behavior and Facility Practices
  • Restraints, Abuse
  • Staff Treatment of Residents
  • Hiring of employees
  • Patient Activities
  • Social Services
  • Dental requirements change
  • Resident Assessment
  • Comprehensive Care Plans
  • Discharge Summary
  • Nutrition
  • Provision of Services
  • COVID-19 reporting requirements

Who should Attend?

Anyone who is responsible for taking care of swing bed patients in a CAH or for implementing the CMS swing bed requirements. This includes the following:

  • CEOs
  • COOs
  • CFOs
  • nurse executives
  • accreditation and regulation director
  • nurse managers
  • pharmacists
  • quality managers
  • risk managers
  • healthcare attorneys
  • health information management personnel
  • social workers
  • dieticians
  • health information management
  • nurses
  • nurse educators
  • nursing supervisors
  • patient safety officer
  • director of Rehab (OT, PT, speech pathology, and audiology)
  • dietician
  • director of health information management
  • infection preventionist
  • dietician
  • activities director of swing bed patients
  • and compliance officers.
Presenter BIO

Laura A. Dixon

(BS, JD, RN, CPHRM)

Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management, and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consulting and training to facilities, practitioners, and staff in multiple states. Such services included the creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense, and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.

 

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