CMS CAH Swing Bed Requirements and Changes

Date : June 27, 2023
Time: 01:00 PM ET
Duration: 120 Minutes
Speaker : Laura A. Dixon

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Description

This webinar will focus on the 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
  • 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 prevention.
  • Anyone who is responsible for the care of swing bed patients in a CAH
  • Persons responsible for implementing the CMS swing bed requirements

Speaker

Laura A. Dixon

Laura A. Dixon 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 representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice 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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