CMS released two final rules that impact home health and hospice agencies.

Sharon Hamilton MS, RN, CFDS
Clinical Consultant, Briggs Healthcare

#1. Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Fire Safety Requirements for Certain Dialysis Facilities; Hospital and Critical Access Hospital (CAH) Changes to Promote Innovation, Flexibility, and Improvement in Patient Care

SUMMARY: This final rule

  • Reforms Medicare regulations that are identified as unnecessary, obsolete, or excessively burdensome on health care providers and suppliers.
  • Increases the ability of health care professionals to devote resources to improving patient care by eliminating or reducing requirements that impede quality patient care or that divert resources away from furnishing high quality patient care.
  • Updates fire safety standards for Medicare and Medicaid participating End-Stage Renal Disease (ESRD) facilities by adopting the 2012 edition of the Life Safety Code and the 2012 edition of the Health Care Facilities Code.
  • Updates the requirements that hospitals and Critical Access Hospitals (CAHs) must meet to participate in the Medicare and Medicaid programs.
  • Revises § 484.80(c)(1) to clarify that skill competencies may be assessed by observing an aide performing the skill with either a patient or a pseudo-patient as part of a simulation. Definition of the terms “pseudo-patient” and “simulation” can be found in § 484.2.

These requirements are intended to conform to current standards of practice and support improvements in quality of care, reduce barriers to care, and reduce some issues that may exacerbate workforce shortage concerns.

The document is scheduled to be published in the Federal Register on 09/30/2019 and available online at https://federalregister.gov/d/2019-20736, and on govinfo.gov

Effective date: These regulations are effective on [Insert date 60 days after the date of publication in the Federal Register].

Click on the link below to read the Final Rule

https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-20736.pdf

 

#2. Revisions to Requirements for Discharge Planning for Hospitals, Critical Access Hospitals, and Home Health Agencies, and Hospital and Critical Access Hospital Changes to Promote Innovation, Flexibility, and Improvement in Patient Care

SUMMARY: This final rule

  • Empowers patients to be active participants in the discharge planning process and complements efforts around interoperability that focus on the seamless exchange of patient information between health care settings by revising the discharge planning requirements that Hospitals (including Short-Term Acute-Care Hospitals, Long-Term Care Hospitals (LTCHs), Rehabilitation Hospitals, Psychiatric Hospitals, Children’s Hospitals, and Cancer Hospitals), Critical Access Hospitals (CAHs), and Home Health Agencies (HHAs) must meet in order to participate in the Medicare and Medicaid programs.
  • Implements discharge planning requirements which will give patients and their families access to information that will help them to make informed decisions about their post-acute care, while addressing their goals of care and treatment preferences, which may ultimately reduce their chances of being re-hospitalized.
  • Updates one provision regarding patient rights in hospitals, intended to promote innovation and flexibility and to improve patient care.

This document is scheduled to be published in the Federal Register on 09/30/2019 and available online at https://federalregister.gov/d/2019-20732, and on govinfo.gov

These regulations are effective on [Insert date 60 days after the date of publication in the Federal Register].

Click on the link below to read the Final Rule

https://s3.amazonaws.com/public-inspection.federalregister.gov/2019-20732.pdf