Download Late Breaking Update on New CMS Regulations

New CMS Regulations
Key Points
Develop an Infection Prevention and
Control Program (IPCP) that includes an
Antibiotic Stewardship Program
 Designate at least one Infection
Preventionist (IP)
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Dates
Phase 1- November 28, 2016
 Phase 2- November 28, 2017
 Phase 3- November 28, 2019
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Expected to cost $19,000 per facility
annually
Phase 1
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483.80 Infection control
New wording
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When and how isolation should be used
for a resident, including but not limited
to, (A) the type and duration of the
isolation depending upon the infectious
agent or organism involved, and a
requirement that the isolation should be
the least restrictive possible for the
resident under the circumstances
Phase 2
Facility Assessment at §483.70(e)
 Antibiotic stewardship
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Facility Assessment 483.70(e)
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A system for presenting, identifying,
reporting, investigating, and controlling
infections and communicable disease
for all residents, staff, volunteers,
visitors, and other individuals providing
service under a contractual agreement
that based on the facility assessment
Resident Population
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Facility’s capacity and occupancy
Care required by the residents considering
types of disease, conditions, physical and
cognitive disabilities, overall acuity and
other pertinent facts
Staff competencies to provide resident care
Physical environment, equipment, services
and other considerations
Any ethnic, cultural or religious factors
Facility Resources
Building and structures
 Equipment (medical and non-medical)
 Services provided (PT, pharmacy,
rehabilitation)
 Personnel
 Contracts and agreements
 Health information management
 All-hazards assessment communitybased
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Antibiotic stewardship program
Antibiotic use protocols
 System to monitor antibiotic use
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Phase 3
Infection Preventionist (IP)
 IP participation on QAA committee
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Infection Preventionist (IP)
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Designate one or more individuals as the
IP
IP is responsible for the IPC program
Has primary training in nursing, medical
technology, microbiology, epidemiology or
other related field
Be qualified by education, training,
experience, or certification
Work at least part-time
Have completed specialized training in IPC
Other requirements
IP must be a member and report on a
regular basis
 Policies on influenza and pneumococcal
vaccination
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 Education provided prior to immunization
 Influenza offered October 1 to March 31
 Documentation in the medical record
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Annual review of IPC program
Infection Prevention and Control
Program
Written standard, policies, and procedures
 System of surveillance to identify possible
communicable diseases and infections
 When and whom possible incidents are reported
 Standard and transmission based precautions
 When and how isolation is used
 Type and duration of isolation; least restrictive
measure
 Employee work restrictions
 Hand hygiene
 Corrective actions taken
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