F-Tag of the Week
We’re breaking down the Requirements of Participation Phase 2 updates and Phase 3 new guidance.
  • Today we’re focusing on F880, F881, F882, F883, and F868 on infection control
  • Look for additional updates each week through October.
§483.80-Infection Control
What you need to know: CMS made changes to the §483.80-Infection Control guidance. Changes include the following citations:


F880-Infection Control: Facility must have an infection prevention and control program (IPCP) that includes explanations of:
  • standard and transmission-based precautions;
  • droplet precautions;
  • contact precautions;
  • cleaning and disinfection; and
  • a water management program.

 
F881-Antibiotic Stewardship Program:
  • Facility must monitor closely the antibiotics being prescribed to residents.
  • Feedback should also be provided to prescribing practitioners.

 
F882-Infection Preventionist.
  • A specially trained infection preventionist (IP) must work at least part time in the facility.

 
F883-Influenza and Pneumococcal Immunizations
  • Pneumococcal conjugate vaccine (PCV13) is no longer routinely recommended.
 

F868-Quality Assessment and Assurance (QAA) Committee
  • The IP must be a member of the QAA committee.
  • The IP must report to the committee on a regular basis.

 
Action for facilities
  • Engage an inter-professional team including direct care staff when reviewing your IPCP to best evaluate strengths and identify areas requiring improvement.
  • Include the medical director and consultant pharmacist when implementing antibiotic stewardship program.
  • Ensure a plan for revising IPCP as national standards change.
  • Use the CDC Core Elements for Antibiotic Stewardship in Nursing Homes to support development of the program.
  • Perform regular hand hygiene observations and report through QAPI as appropriate.

 
Remember: Survey enforcement for the standards will begin on October 24, 2022.

 
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