2023 CMS Swing Bed Requirements and Updates
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As we enter the new year, healthcare providers and Critical Access Hospitals (CAHs) must stay up-to-date with the latest changes and requirements set forth by the CMS for swing beds. Swing beds offer a flexible way for CAHs to provide inpatient care, but compliance with CMS regulations is crucial. Here we'll discuss some of the essential CMS swing bed requirements and changes for 2023. Learn More, https://conferencepanel.com/conference/cms-cah-swing-bed-requirements-and-changes-2023
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2023 CMS Swing Bed Requirements and Updates
- 1. Critical Access Hospital CoPs Swing Beds What CAHs Need to Know
- 2. 2 Speaker ▪ Laura A. Dixon, Esq. ▪ BS, JD, RN, CPHRM ▪ President, Healthcare Risk Education and Consulting, LLC ▪ 303-955-8104 ▪ ldesq@comcast.net ▪ Email questions to CMS: Critical Access Hospitals: qsog_CAH@cms.hhs.gov. Acute hospitals: qsog_hospital@cms.hhs.gov. 2 2
- 3. Introduction to CAH CoPs 3
- 4. Swing Beds – General Information ▪ AS of July 2023, there are 1,362 CAHs in the US1. ▪ Almost all provide swing beds services ▪ Opportunity for patients to have care within their community closer to home ▪ Increase or stabilize census for CAHs ▪ Reimbursed at the same per-diem rate as SNF ▪ For most CAHs, an important revenue source 1. Rural Health Information Hub: https://www.ruralhealthinfo.org/topics/critical-access-hospitals. 4
- 5. 4 Swing Bed Changes
- 6. Surveyor Worksheet for Swing Beds Form 288
- 8. CMS CAH Website ▪ Includes information on topics of interest to hospitals with swing beds ▪ List of the regional office rural health coordinator ▪ This includes a hotline or help desk ▪ 800-905-2069 ▪ Swing_help@ifmc.org 8
- 10. Swing Bed Deficiency Data 10
- 11. Swing Bed Deficiencies ▪ Failed to inform residents of their rights orally and in writing ▪ Failed to inform non-English speaking residents of their rights in a language they could understand ▪ Failed to allow residents to get copies of their own medical records ▪ Failed to provide interpreters so resident would understand their condition ▪ No policy to advise on difference between inpatient or observation status 11
- 12. Deficiencies – continued ▪ Restraints applied without an order or assessment ▪ Failed to follow the restraint policy regarding siderails ▪ Restraint orders written prn ▪ Policy for restraint not appropriate – allowed for trial application – not permitted ▪ No monitoring of patient in restraints ▪ Did not have a plan of care 12
- 13. Deficiencies – continued ▪ Nursing staff unaware there were specific rights for swing bed residents ▪ Failed to provide medically appropriate social services ▪ Person doing social services was not licensed and background not appropriate to do the job ▪ Comprehensive assessment not done ▪ No information on resident re: safe to smoke or not ▪ Failed to do a discharge summary 13
- 14. Swing Beds 14
- 15. Information to Provide ▪ Information on selecting a physician ▪ List of the attending physicians who are treating the patient ▪ Rights and responsibilities ▪ Contact information on how to contact the hospital and state agency and the ombudsman ▪ Description of swing bed ▪ Financial obligations ▪ HIPAA notice of privacy practices ▪ General consent form ▪ How to file a complaint ▪ How to report abuse or neglect ▪ Transfer policy ▪ Discharge policy ▪ Many more 15
- 16. 16 The End Questions??? ▪ Laura A. Dixon, Esq. ▪ BS, JD, RN, CPHRM ▪ President, Healthcare Risk Education, and Consulting, LLC ▪ 303-955-8104 16 16 Register Now