Accreditation

CMS making deficiency reports more accessible to the public

Briefings on Accreditation and Quality, December 1, 2018

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 BY A.J. PLUNKETT (APLUNKETT@H3.GROUP)

Hospitals may find themselves in the line of fire as CMS ramps up its oversight of The Joint Commission (TJC) and other accrediting organizations (AO).

CMS wants to put a stronger spotlight on times when TJC and other AOs fail to find patient safety problems later discovered by CMS survey teams conducting performance checks referred to as validation surveys.

To do so, CMS has created a website that provides a graphic about the disparity rate of deficiencies found on validation surveys and then posts deficiency reports from hospitals it says have “recent substantial deficient practices.” The reports can be searched according to AO or by state.

The database also notes if the patient safety problems government surveyors found posed an immediate jeopardy to patients. A ruling of immediate jeopardy threatens the hospital’s ability to bill Medicare and, in many cases, to stay in operation.

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