Safety

CMS report focuses on Life Safety shortcomings of AOs

Healthcare Life Safety Compliance, November 1, 2017

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Healthcare Life Safety Compliance.

In annual report to Congress, CMS says accreditation organizations have their work cut out for them

The annual CMS evaluation of healthcare accreditation organizations (AO) is out and in the hands of Congress. The AOs aren't doing as well as they should be in catching violations, CMS says—and the agency has promised Congress that it's actively working to change that fact.

The annual report to Congress on AO performance is required by law. This year’s report covers survey discrepancies for fiscal year 2015, documenting the number of times CMS surveyors found violations and Conditions of Participation (CoP) deficiencies that AO surveyors missed.

The report found that Life Safety Code® (LSC) and physical environment (PE) violations posed the greatest challenge for hospitals and other healthcare organizations. So if you've gotten the sense that surveyors have been more focused on fire safety and the PE in the past year or so, take note that this isn’t just because of the newly adopted 2012 LSC.

With the report made public, expect The Joint Commission and other AOs to further intensify their scrutiny of fire and smoke barriers, hazardous areas, sprinkler systems, fire doors, and means of egress. This is part of an effort to reduce what Medicare leaders said was an unacceptable disparity between deficiencies found during AO inspections and those identified in follow-up CMS validation surveys.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Healthcare Life Safety Compliance.

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