CMS CAH Swing Bed Requirements and Changes 2023

Overview

This webinar will focus on the November 2019 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
• 4 changes November 2019 in Hospital Improvement Rule
• 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 preventionist.
• Anyone who is responsible for care of swing bed patients in a CAH 
• Persons responsible implementing the CMS swing bed requirements

Ask your question directly from our expert during the Q&A session following the live event.