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Date ArticleType
2/29/2016 Regulatory
CMS Proposed Rule of Participation Changes for Long Term Care

Long term Care will see some major changes in the near future, according to DHHS, its proposed changes emphasize best practices and implement important safeguards identified by patient advocates and stakeholders as well as additional protections by the Affordable Care Act (ACA). A snapshot of proposed changes:

• Quality Assurance and Performance Improvement (QAPI) – finalizing regulation.
• Training requirements to ensure nursing home staff is properly trained on caring for residents with dementia and preventing elder abuse.
• Ensuring that staff members have the right skill sets and competencies to provide person-centered care to resident. The care plan developed will take the resident’s goals of care and preferences into consideration.
• Compliance and ethics programs.
• Improving care planning, including discharge planning for all resident with involvement of the facility’s interdisciplinary team and consideration of the caregiver’s capacity, giving residents information they need for follow-up, and ensuring instructions are transmitted to appropriate parties and providers.
• Updating the nursing home’s infection prevention and control program, including requiring an infection prevention and control officer including a system to monitor antibiotic use.
• Pharmacy services to include a review of a resident medical record at least every six (6) months and when the resident is new to the facility, or readmitted.

The changes will come with great cost to providers, and AHCA has recommended to CMS, that the new requirements be phased in over a period of time to allow providers to train and make budgetary plans. Click here to read the proposed rule.