CMS Proposes Changes to Hospital and CAH Requirements

Added on Jul 22, 2016

CMS Proposes Changes to Hospital and CAH Requirements
From Industry Edge July 2016

The Centers for Medicare & Medicaid Services (CMS) has announced a proposal to update the requirements that hospitals and critical access hospitals (CAHs) must meet in order to participate in Medicare and Medicaid.

Under the proposed rule, hospitals and CAHs would be required to have in place hospital-wide infection prevention and control programs and antibiotic stewardship programs for the surveillance, prevention and control of health care-associated infections and other infectious diseases, and for the appropriate use of antibiotics. Hospitals and CAHs also would be required to designate leaders of these programs who are qualified through education, training, experience or certification, as well as establish and implement a policy prohibiting discrimination on the basis of race, color, religion, national origin, sex (including gender identity), age, disability or sexual orientation.

In addition, the proposed rule requires CAHs to implement and maintain a Quality Assessment and Performance Improvement (QAPI) program in order to monitor and improve patient care by collecting data to identify opportunities for improvement, and to develop corrective plans.

The proposed rule builds on the U.S. Department of Health & Human Services’ quality initiatives, including the National Quality Strategy, the Centers for Disease Control and Prevention’s strategy to combat antibiotic-resistant bacteria and CMS’s Partnership for Patients. More information on the proposed rule is available at CMS will accept feedback on the proposal until August 15, 2016; comments may be submitted at