Healthcare Management Support Systems

INSIDE THIS ISSUE:

CMS REQUIREMENT FOR REPORTING OF ACUTE RESPIRATORY ILLNESSES

by Steven Hirsch, MPA, FACHE

The Centers for Medicare and Medicaid Services (CMS) issued QSO-25-05 for Hospitals and Critical Access Hospitals on October 22, 2024 in which the Conditions of Participation were updated for Hospitals and Critical Access Hospitals relating to the requirement to report acute respiratory illnesses, inclusive of SARS-COV2/Covid-19, influenza, and RSV. Confirmed infections of respiratory illnesses among hospitalized patients, hospital bed census and capacity, and limited geographic demographic information including age, must be reported through the CDC’s National Healthcare Safety Network (NHSN) or other CDC owned or supported system. Effective November 1, 2024, . . . [continued]

NEED TO DEMONSTRATE SUSTAINED COMPLIANCE

by Steven Hirsch, MPA, FACHE

During the triennial surveys in the calendar year 2024, it was observed that a number of accrediting organizations are citing healthcare facilities for not maintaining compliance with accreditation standards that had been cited during previous accreditation surveys. It is imperative that organizations, whether accredited or not, maintain compliance with Plans of Correction submitted to the state licensing agency, CMS, or to their accreditation organization following survey.

Plans of Correction submitted to any of the above agencies represent the organization’s commitment to . . . [continued]

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Steven Hirsch & Associates has been providing healthcare management consulting services including accreditation preparation services to hospitals and other healthcare related organizations throughout the United States since 1987. Beyond accreditation and licensure survey preparedness, our healthcare consulting team can provide assistance in a number of areas including Medicare certification, performance improvement, nursing management, infection prevention and control, Life Safety Code compliance, medical staff services (including credentialing and independent peer review), clinical lab management and compliance with HIPAA.

For more information on how Steven Hirsch & Associates can assist you with accreditation and licensure preparedness, Medicare certification and other management challenges, please contact us at (800) 624-3750 or visit our website at www.shassociates.com.