Ambulatory Surgery Center Update for 2016
Presented by: Cathy Montgomery, RN, CASC - President, Excellentia Advisory Group
Cathy has over 20 years of experience in healthcare services management. During her position as Regional Manager for Barnes Hospital, Cathy oversaw several physician practices. As Regional Administrator for Novamed, she oversaw operations of the physician practices, as well as the ambulatory surgery centers and optical shops in the Metro St. Louis and Illinois areas. Under her direction, a state-of-the-art refractive surgery center was also designed and opened in St. Louis, MO.
Cathy is Founder and President of Excellentia Advisory Group, a consulting and development company serving both the surgical industry through ASC’s as well as surgical hospitals and office-based surgical practices. Cathy’s passion has been teaching compliance to CMS Conditions of Coverage, AAAHC accreditation, and assisting ASCs with their survey readiness.
The final quarter of 2016 has proven to be very active with updates, memos, and clarifications. This one hour session will get you up to speed on all the requirements and suggestion for implementation so you are not caught off guard by any of these regulatory bodies. We will be reviewing:
- Quality Reporting – 2017 to do list including OAS CAHPS
- CMS - Emergency Preparedness Plan
- Office of Civil Rights – Non Discrimination Section 1557
- ADA – Service Animals
Quality Reporting for 2017:
The wait is over; the Federal Register November edition posting the final rule re Quality Reporting requirements for ASC’s have been published. And yes, this does include the requirements for using the mandated patient satisfaction survey at your ASC. The good news is you will have a year in advance to prepare for that implementation, but it would be prudent to initiate processes and training now in order to effect both implementation as well as outcomes. We will discuss all 7 of the new measures in detail. ASC – 13 Normothermia Outcome, ASC – 14 Unplanned Anterior Vitrectomy and ASC 15 (a-e) which all relate to the patient survey.
CMS Emergency Preparedness requirements:
We will discuss how this was factored out of the 2012 Life Safety Code NFPA 99 as well as the previously published CMS Emergency Preparedness checklist. This is all good news and the results of focus for your ASC will center on:
What and how to coordinate with the state and local disaster planning departments
Annual drill clarification
Tracking of patients during an emergency ate your facility
Handouts will include the CMS Memo and Federal Register section for ASC’s that outlines requirements
Non Discrimination Section 1557:
If you have not completed the requirement to have available the 15 common Limited English Proficiency tag lines for your location/facility we have the tools to assist you in doing so. You will be provided with your states list, and the analysis to easily pull your languages if you serve a multistate population. You will have the link to the Office of Civil Rights translated tag lines so you can easily cut and paste the ones you need.
You will also need the information to update your polices to be in compliance with this regulation as it relates to both language/communication as well as general nondiscrimination requirements that have been updated by this regulation.
Handouts will include LEP per state listings, language required for your Policy and Procedure update, and several state translation examples.
American with Disabilities Act Regulations for Service Animals:
It appears many facilities are being faced with the challenge of service animals in their facilities. Calls to state departments of health, not the jurisdiction by the way for this situation!, are often offering erroneous information. This presentation will offer the latest information from the Federal ADA guidelines that are very specific so that you might update both your policies as well as your practices.
Handout includes US Department of Justice ADA Service Animal guidance statement.
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