Accreditation

CMS revises immediate jeopardy process

Briefings on Accreditation and Quality, May 1, 2019

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By A.J. Plunkett (aplunkett@decisionhealth.com)

Be prepared to be held accountable for actions by contractors, staff, or volunteers that result in noncompliance with CMS’ Conditions of Participation (CoP) and put a patient in harm’s way. Even if those actions are unintentional, your facility still could face a finding of immediate jeopardy (IJ).

In an effort to streamline its process and increase communication with providers, CMS has rewritten its guidance for surveyors on when and how to determine if an IJ finding exists.

There are now three key components that must be met for IJ to be called:

  • Noncompliance with a single federal safety standard
  • Evidence of harm or likelihood of harm
  • The determination that there is an immediate need for action to prevent harm, or more harm, from occurring

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on Accreditation and Quality.

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