Telemedicine Standards (CMS CoPs and The Joint Commission EPs) 2023

Description

Are you a hospital using Joint Commission accreditation for deemed status with the US Centers for Medicare & Medicaid Services (CMS)? If so, are you ready for a CMS survey—every day, at any time? According to federal policy, for 60 days after a Joint Commission survey, any organization that uses accreditation for deemed status is at risk for a validation survey. In fact, CMS may elect, at any time, to conduct its own additional evaluation of a hospital with deemed status through a complaint or potential immediate jeopardy investigation. When CMS or the Department of Health arrives at your facility, you need to be prepared.

The 2023 Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs offers easy access to the full—and current as of January 1, 2023—language of the Medicare hospital Conditions of Participation (CoPs) and demonstrates their equivalency with the Joint Commission’s hospital standards. A reverse crosswalk, listing Joint Commission requirements with equivalent CoP numbers, shows equivalencies in the opposite direction. This allows staff to easily see how the two sets of requirements relate to each other, whether they are more familiar with the Medicare CoPs or the Joint Commission standards. Regulatory staff and accreditation managers can use the crosswalks in this guide to identify how your organization's policies, procedures, and practices support one or more Joint Commission standards and demonstrate compliance with equivalent CMS regulations—or identify gaps.

Key Learning 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 does the swing bed waiver apply to?
• How do hospitals request approval for swing beds?
• How can rural or urban hospitals qualify for the waiver?

Key Learning Objectives:

• Authoritative, side-by-side comparison of Medicare CoPs to equivalent Joint Commission standards as of January 1, 2023, for both hospitals and psychiatric hospitals
• The only crosswalks of its kind reviewed and approved by The Joint Commission and CMS
• Reverse crosswalk listing Joint Commission hospital and psychiatric hospital requirements with comparable CoP numbers, showing equivalencies in the opposite direction—not found anywhere else

Who Should Attend?

• Anyone who is responsible for taking care of swing bed patients in a CAH or for implementing the CMS swing bed requirements. This includes the following: 
• CEOs, COOs and CFOs, 
• Nurse Executives, Nurse Managers, Nurses, Nurse educators, Nursing Supervisors,
• Accreditation and Regulation director, 
• Pharmacists, 
• Quality managers, 
• Risk managers, 
• Healthcare attorneys, 
• Patient safety officer, 
• Director of Rehab (OT, PT, speech pathology, and audiology), 
• Dietician, 
• Infection preventionist, and 
• Compliance officers