E-cigarette Explosion in a Patient Room

Angie Szumlinski Compliance

The patient took a puff on the e-cigarette while she was receiving oxygen through her nasal cannula and sparked an explosion. The patient ripped off the nasal cannula, which had melted, and sustained first- and second-degree burns to her face and hand. Read about the case HERE.

CMS Revises State Operations Manual

Angie Szumlinski Compliance

Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite immediate jeopardy. CMS has drafted subparts to Appendix Q that focus on immediate jeopardy concerns occurring in nursing …

CMS Enforcement of Non-Improving Late Adopters

Angie Szumlinski Compliance

Since 2011, the Centers for Medicare & Medicaid Services (CMS) has seen a reduction of in long-stay nursing home residents who were receiving an antipsychotic medication. Despite the success of the National Partnership, as of January 2019, there are 235 late adopter nursing homes that have been cited for noncompliance with federal regulations related to unnecessary medications or psychotropic medications two …

Change Package to Prevent Harm Available

Angie Szumlinski Compliance

Available for download from QIO Program is the All Cause Harm Prevention in Nursing Homes Change Package. The Change Package is a description and list of successful practices of high-performing nursing homes (i.e., how they prevent harm while honoring each resident’s rights and preferences), organized by overarching themes, and includes strategies to prevent specific adverse events and abuse. The Change Package can be …

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Pharmacy – Controlled Substances Rules Revised

Angie Szumlinski Announcements, Compliance

Michigan Michigan’s Bureau of Professional Licensing (BPL) within the Department of Licensing and Regulatory Affairs (LARA) has revised the Pharmacy – Controlled Substances Rules and the changes are effective immediately. Below is a summary of the significant changes to the rules: R 338.3125 – Adds gabapentin to the schedule 5 drug list as a controlled substance. R 338.3135 – Opioid …

Patient Driven Payment Model

Angie Szumlinski Compliance

In July 2018, CMS finalized a new case-mix classification model, the Patient Driven Payment Model (PDPM), that, effective beginning October 1, 2019, will be used under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) for classifying SNF patients in a covered Part A stay. You can go to the site that includes a variety of educational and training resources …

Poorly Performing Nursing Home Face Limited Fines

Angie Szumlinski Compliance, News

A study by the Center for Medicare Advocacy finds that facilities that are identified as among the most poorly performing facilities in the country provide extremely poor care and may fail to have sufficient numbers of RNs, but they face limited, if any, fines.  Going forward, nursing facilities are likely to have even lower fines. http://www.medicareadvocacy.org/special-focus-facilities-poor-care-for-residents-limited-enforcement-consequences-for-facilities/

Policy Memorandum for the Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems Available for Download

Angie Szumlinski Compliance, Health

According to the Centers for Medicare & Medicaid Services (CMS), the bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least 50 years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. Outbreaks have been linked to poorly maintained water systems …