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Overview

This webinar will focus on the November 2019 swing bed requirements and changes made by CMS. The swing bed regulation is in Appendix W for Critical Access Hospitals, but the interpretive guidelines and survey procedures are under Appendix PP – Long Term Care manual.   

Many CAHs are not aware of the changes or are still struggling to comply. It is challenging to figure out what 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 assist hospitals in understanding what needs to be done.

Hospitals had seen a significant increase in survey activity by CMS along with an increased number of deficiencies pre-COVID-19.  Common deficiencies and how to avoid them will be discussed. Information on how to locate the CAH manual and other resources will be discussed. 

 

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 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
  • Healthcare literacy
  • SNF Services
  • Resident Rights
  • Exercise of Rights
  • Notice of Rights and Services
  • Free Choice
  • Privacy and Confidentiality
  • Work
  • Mail
  • Access and Visitation Rights
  • Personal Property
  • Married Couples
  • Admission, Transfer and Discharge Rights
  • Transfer and Discharge
  • Payment of care
  • 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
  • PASARR or RAI
  • Discharge Summary
  • Nutrition
  • Websites and resources for CAH

 

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

 

Who Should Attend?

  • CEOs
  • COOs,
  • CFOs,
  • Nurse executives
  • Accreditation and Compliance/Regulation director
  • Nurse managers
  • Pharmacists
  • Quality managers
  • Risk managers
  • Healthcare attorneys
  • Health information management personnel
  • Social workers
  • Dieticians
  • Nurses
  • Nurse educators
  • Nursing supervisors
  • Patient safety officer
  • Director of Rehab (OT, PT, speech pathology, and audiology)
  • Infection preventionist.
  • Anyone who is responsible for care of swing bed patients in a CAH
  • Persons responsible implementing the CMS swing bed requirements

Ask your question directly from our expert during the Q&A session following the live event.

Laura A. Dixon

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she 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 consultation and training to facilities, practitioners, and staff in multiple states. Such services included 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 medical malpractice insurance 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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