The final rule revises elements of conditions of participation and conditions for coverage in the Medicare and Medicaid programs. It includes provisions to simplify and streamline processes; reduce the frequency of certain required activities; and remove obsolete, duplicative, or unnecessary requirements. Of interest to essential hospitals, the rule targets emergency preparedness, hospital quality program requirements, infection control, and physical examination requirements.
CMS will require hospitals to update their emergency preparedness plans every two years, rather than the current annual requirement. CMS also provides additional clarity and flexibility regarding emergency plan testing.
Hospital Quality Program Requirements and Infection Control
As proposed, hospital systems that comprise multiple separately certified hospitals with a single governing body may elect to unify and integrate programs for both infection control and quality assessment and performance improvement.
The final rule gives physicians more flexibility in determining whether to take a comprehensive medical history and perform a physical examination. Physicians may perform an assessment in lieu of a full medical history and physical examination when a patient is receiving certain outpatient surgery or other procedures.
Contact Senior Director of Policy Erin O’Malley at firstname.lastname@example.org or 202.585.0127 with questions.