CMS CAH Swing Bed Requirements and Changes

This webinar will focus on the November 2019 swing bed requirements and changes made by CMS. The swing bed regulation is in Appendix W for Critical Access Hospitals, but the interpretive guidelines and survey procedures are under Appendix PP.

Many CAHs are not aware of the changes or are still struggling to comply. It is challenging to figure out the interpretive guidelines and survey procedure as there is there was no crosswalk between Appendix W – for CAH – and Appendix PP – Long Term Care. This webinar was created to assist hospitals in understanding what needs to be done.

Hospitals had seen a significant increase in survey activity by CMS along with an increased number of deficiencies pre-COVID-19. Common deficiencies and how to avoid them will be discussed. Information on how to locate the CAH manual and other resources will be discussed. There will also be a discussion of the 1135 Waivers available to Critical Access Hospitals with Swing Beds.

• 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

Special Requirements for CAH Providers of Long-Term Care Services (Swing Beds)

• Interpretive guidelines and survey procedure under Appendix PP
• Eligibility
• Payment
• Healthcare literacy
• SNF Services
• Resident Rights
• Exercise of Rights
• Notice of Rights and Services
• Free Choice
• Privacy and Confidentiality
• Work
• Mail
• Access and Visitation Rights
• Personal Property
• Married Couples
• Admission, Transfer, and Discharge Rights
• Transfer and Discharge
• Payment of care
• Content of notice
• Resident Behavior and Facility Practices
• Restraints, Abuse
• Staff Treatment of Residents
• The hiring of employees
• Patient Activities
• Social Services
• Dental requirements change
• Resident Assessment
• Comprehensive Care Plans
• PASARR or RAI
• Discharge Summary
• Nutrition
• Websites and resources for CAH

• CEOs
• COOs
• CFOs
• Nurse Executives (CNO)
• Accreditation and Regulation Director
• Nurse Managers
• Pharmacists
• Pharmacist Compliance Officers
• Health information management
• Nurses
• Nurse Educators
• Nursing Supervisors
• Quality Managers
• Risk Managers
• Healthcare Attorneys
• Patient safety officer
• Infection preventionist
• Radiology director
• Emergency Department Directors
• Outpatient Director
• Medication Team
• Ethicist
• Director of Rehab: OT, PT, speech pathology, and audiology
• CRNA
• Anesthesia providers
• Radiology staff
• QAPI staff
• Policy and Procedure Committee
• Infection Control Committee Members