Patricia Cook, BS, R.Ph, HACP-CMS, Head of Consulting

Exercise Exemption/Emergency Operations Plan

On June 21, 2021, CMS issued QSO 20-41 outlining and clarifying the Emergency Operations Plan Exercise Requirements in light of the ongoing Public Health Emergency. To learn more about the testing requirements and exemptions that are in place, go to QSO-20-41-All-CMS-Exercise-Exemption-Emergency-Operations-Plan. Need help interpreting this for your organization? Contact us at info@courtemanche-assocs.com.

Medical History & Physical Requirements for Ambulatory Healthcare

The Joint Commission has revised their Medical History and Physical requirements for Office-Based Surgery and Ambulatory Health Care Accredited Organizations effective July 1, 2021. The new standards now indicate a Medical History and Physical Exam is performed as needed. The organization develops written policy on the criteria for which patients a medical H&P must be …

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Newest Guidance from CMS

On May 7th, the Centers for Medicaid and Medicare Services (CMS) released their Interpretive Guidelines for the Interoperability and Patient Access Rule. This rule is designed to provide easier access and establish clearer expectations on the sharing of health information to ensure quality and safe transitions in care. These guidelines were issued and implemented on …

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New Performance Improvement Requirements for Critical Access Hospitals

In September of 2019, CMS issued the Burden Reduction Final Rule that reset some of the requirements and expectations related to Performance Improvement within Critical Access Hospitals. Several of the required changes have taken effect within The Joint Commission Critical Access Hospital Accreditation Program but several additional changes that reside within the Leadership Chapter took …

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AISLE WIDTH – Use your Tape Measure

The Joint Commission published in their April issue of EC News; a short article of significance that may go unnoticed. The article announces that effective immediately, their EC-LS surveyors will be surveying the aisle widths within your suites that exist within your health care occupancy spaces. The minimum width for these aisles is 36 inches …

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New Requirements on the Horizon: Resuscitative Services

On December 21, 2020, The Joint Commission published a new, updated version of their proposed Resuscitation Standards. Redesign of these standards began in early 2020 with the first opportunity to submit comments being concluded mid-year. While some of the revisions appear to be simple word-smithing opportunities, there are several changes, if adopted as written, that …

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