Accreditation

Experts provide 10 CMS survey prep tips

Briefings on Accreditation and Quality, August 1, 2005

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Learning objectives: After reading this story, you will be able to

1. explain the JCAHO's and the Centers for Medicare & Medicaid Services' (CMS) requirement for completion of history and physicals

2. recall compliance areas on which CMS surveyors have focused during recent surveys

Editor's note: The following Q&A is adapted from the June 21 audioconference, "CMS Survey: Insider Tips to Prepare and Comply," with Steven W. Bryant, vice president and managing director of The Greeley Company, a division of HCPro; Jeffrey T. Coleman, a former New York State Department of Health surveyor and manager; and Mae McCarthy, RN, BSN, CPHQ, a registered nurse at Bellin Health System in Green Bay, WI. Call HCPro customer service at 877/727-1728 for tape sales information.

H&P rules

Q: For history and physicals (H&P), the JCAHO standard mandates completing them within seven days or 48 hours after admission. This seems to be inconsistent with the CMS interpretive guidelines, which require a period of 30 days. Which is it?

A: The JCAHO changed its standard in January, and not many people are aware of it. If the H&P was done before the admission, you have to write an update note, even if it's the day before admission or operative procedure. The note can be as simple as "no changes." It's a rule and regulation change. The federal law will also change and will be consistent with what JCAHO requires. Note: See the July BOJ for more on H&P guidelines.

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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