Posted in Becky Miller, CMS, Patient Safety Posted November 27, 2013
A proposed rule implementing several provisions of the Affordable Care Act (ACA) has been issued for comment through December 26th. The proposed rule, beginning on page 171, addresses the ACA’s requirement for hospitals to meet patient safety and quality improvement requirements in order to be eligible to contract with a qualified health plan that participates in the new health insurance exchanges. As initially written, Section 1311 of the ACA included a provision requiring hospitals with more than 50 beds, by January 2015, to meet certain patient safety requirements, including using a patient safety evaluation system (PSES). The newly proposed rule clarifies that a PSES is the collection, management or analysis of information for reporting to or by a patient safety organization (PSO). However, the Centers for Medicare & Medicaid also indicate, within the proposed rule, they intend to delay the PSO participation requirement due to several challenges with the 2015 deadline. Beginning in 2015, hospitals will be required to meet current CMS requirements for patient safety and quality improvement while CMS develops further regulation for implementation of the patient safety provisions over the next two years. Comments on the proposed rule are due December 26, 2013.
Posted in AHRQ, CMS Posted April 18, 2013
On March 15, 2013, the Centers for Medicare and Medicaid Services (CMS) released a memo about the Agency for Healthcare Research and Quality’s (AHRQ’s) Common Formats. The memo provides information on the Common Formats and how their use may help hospitals meet the CMS Quality Assessment and Performance Improvement (QAPI) requirements.
Hospitals are required to track adverse patient events as a Condition of Participation (CoP) for QAPI requirements. Although Common Formats use is voluntary, CMS is encouraging surveyors to become familiar with them. CMS states that, “Use of the AHRQ Common Formats by hospitals is not required under the QAPI CoP. We suggest, however, that a hospital that uses the Common Formats and is adept at the analysis that this structured system permits, will be in a better position to meet the CMS QAPI requirements.”
To view the memo, please go to CMS’ Web site at: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-13-19.html
CMS has released a new online tool to empower consumers to make informed choices about their health care. The Quality Care Finder links consumers with all of Medicare’s compare tools in one convenient location (www.Medicare.gov/QualityCareFinder). Also released is a revised Hospital Compare website with additional data related to outpatient surgical infections and heart attack care (www.hospitalcompare.hhs.gov). Dr. Don Berwick, CMS Administrator, states “These tools are new ways CMS is making sure consumers have… important information they need to make the best decisions about where to receive high-quality care.”
Posted in CMS, Preventable Errors Posted July 1, 2011
A newly published federal rule requires Medicaid programs to implement non-payment policies for preventable events by July 2012.