CMS SC Long Term Care Provider Update 14-04

 

The following has been released by CMS Midwest Division of Survey and Certification Long Term Care Provider Update 14-04:

New

14-19: Interim report on the CMS National Partnership to Improve Dementia Care in Nursing Homes:   Q4 2011 – Q1 2014 (4/11/14)

CMS has released an interim report that discusses the history of the National Partnership to Improve Dementia Care, summarizes activities to date, provides reasons for early progress and outlines next steps for future Partnership efforts. View memo

14-20: Fiscal Year (FY) 2014 Post Sequester Adjustment for Special Focus Facility (SFF) Nursing Homes (4/18/14)

 


Effective April 2014, we have adjusted the number of designated slots and candidates so States can resume selecting and replacing nursing homes for SFF designation.   Pursuant to the FY2013 budget sequestration, we reduced the number of SFF slots.  We are now re-building the program by a gradual increase in the number of SFF slots from its reduced base.  Later, we will also introduce additional methods to address persistently poor quality in nursing homes.  States may have the option to start selecting SFFs immediately or phase in the total to meet the required number by July 2014. As outlined previously, CMS Regions and States will continue with the Programmatic and Operational Adjustment by conducting the 18 month “last chance” onsite survey and reviewing the progress of all facilities that have been on the SFF list for more than 12 months. View Memo

14-21: Publication of Notice of Proposed Rulemaking (NPRM) for Fire Safety Requirements – Informational Only (4/18/14)

CMS published a proposed rule that would amend the current fire safety standards for Medicare- and Medicaid-participating providers and suppliers.  This proposed rule would adopt the 2012 edition of the Life Safety Code (LSC), National Fire Protection Association, (NFPA) 101. Comments may be accepted until 5 pm EST June 16, 2014. View Memo

On  April 14, CMS released a fact sheet on the adoption of the 2012 edition of the LSC. The notice and fact sheet are attached after S&C 14-21 above.

14-22: Focused Minimum Data Set (MDS) and Dementia Care Surveys (4/18/14)

CMS is currently developing two distinct focused survey processes to assess dementia care and Minimum Data Set, Version 3.0 (MDS 3.0) coding practices in nursing homes.  CMS is planning to pilot these survey types beginning in 2014.  The intent of the dementia care focused survey is to document dementia care practices in nursing homes.  The intent of the MDS focused survey is to document MDS 3.0 coding practices and associated care planning in facilities.  CMS will provide training for those States participating in the focused reviews via webinar.  This training will be mandatory for those State Survey Agency (SA) staff conducting reviews as well as one manager or trainer within the SA.   Deficient practices noted during the survey will result in relevant citations. View Memo

           Revised

14-08: Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only (Original date of release was 12/20/13; Revised 4/4/14 and 4/11/14)

The 4/4/14 revision changed the title of this memo to “QAPI Condition-Level Deficiency in Transplant Re-approval, Complaint and Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only” and revised the memo “to extend the prospective termination date for all §482.96 Condition:  Quality Assessment and Performance Improvement (QAPI), to 210 days.”  The 4/11/14 revision added information to reflect that the 90 and 210 day termination timeframes do not apply when there is immediate jeopardy. The 4/11/14 memo

           14-17: Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014 (Original date of release was 3/21/14; Revised 4/18/14)

The revision changed the title of this memo to “POSTPONED-Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014.”  The memo indicates that “The webinar is postponed due to the Centers for Medicare & Medicaid Services
(CMS) examining the implications of the ICD-10 provision in the recently enacted Protecting Access to Medicare Act of 2014 and will provide guidance to providers and other stakeholders soon on the implementation of OASIS-C1.”  The revised memo