Thursday August 20, 2015
1:00–2:30 p.m. Eastern
Reginald Hislop III
Billers’ Association for Long-Term Care
The Centers for Medicare & Medicaid Services (CMS) announced a proposal to improve the quality of care and safety affecting long-term care residents. Regulations regarding reduction of unnecessary hospital readmissions and infections, increased quality of resident care, and strengthened safety measures top the major revisions in CMS’ proposed rule released in the July 16, 2015, Federal Register.
Proposed rule CMS-3260-P marks the first major rewrite of the long-term care Conditions of Participation since 1991. According to the CMS press release, this rule would bring best practices for resident care to all facilities that participate in Medicare or Medicaid; it would also implement a number of important safeguards that have been identified by patient advocates and other stakeholders, and include additional protections required by the Affordable Care Act.
During this 90-minute program, our expert speaker Reginald Hislop III, PhD, will give an overview of all the changes and how they affect long-term care facilities. The proposed changes include:
- Making sure that nursing home staff are properly trained on caring for residents with dementia and preventing elder abuse
- Ensuring nursing homes consider the health and proper care of residents when making staffing decisions
- Ensuring that staff members have the skill sets and competencies to provide person-centered care to residents
- Developing a care plan that takes the resident’s goals of care and preferences into consideration
- Improving care planning, including discharge planning for all residents 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 that instructions are transmitted to any receiving facilities or services
- Allowing dietitians and therapy providers the authority to write orders in their areas of expertise when a physician delegates the responsibility and state licensing laws allow
- Requiring nursing homes to provide greater food choice for residents while also giving nursing homes flexibility
- Updating the nursing home’s infection prevention and control programs, including requiring an infection prevention and control officer, as well as an antibiotic stewardship program that includes antibiotic use protocols and a system to monitor antibiotic use
- Strengthening rights of nursing home residents, including placing limits on when and how binding arbitration agreements may be used