CMS Issues Final Rule on Emergency Preparedness Requirements September 9, 2016
The Centers for Medicare & Medicaid Services (CMS) has finalized rules establishing emergency preparedness requirements for hospitals and other providers participating in Medicare and Medicaid.
The implementation date for the rule titled Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers is November 16, 2017.
The regulations relating to hospitals, Part 482: Conditions of Participation for Hospitals, is found beginning on page 584 of the final rule (see excerpted Part 482). The final rule contains summaries of public comments and CMS responses, cited references and resources, and cost projections for providers to implement these provisions.
Below are resources relating to the CMS final rule to establish emergency preparedness requirements for health care providers participating in Medicare and Medicaid. Interpretive guidelines and survey procedures are being developed by CMS and are anticipated to be published in the spring of 2017.
Protection Against Legionella
On July 6, 2016, New York State adopted permanent regulations titled Protection Against Legionella (NYCRR Title 10 Part 4) requiring all cooling towers be registered and regularly maintained. Hospitals and residential facilities are also required to conduct an environmental assessment and adopt/implement a potable water sampling and management plan. The permanent regulations are based on and replace emergency regulations adopted in August, 2015 after a cooling tower in the South Bronx was identified as the source of a Legionella outbreak from which 138 people were sickened and 16 died. See Iroquois Brief: Protection Against Legionella
Cybersecurity Resources for Hospitals Updated July, 2016
A compendium of cybersecurity resources and information compiled by Iroquois Healthcare Association.
Pediatric Preparedness Resources Updated May, 2016
A compendium of pediatric resources and information compiled by Iroquois Healthcare Association.
CMS Updates Fire Safety Standards Effective July 5, 2016
CMS published a final rule on May 4, 2016 amending the fire safety standards for Medicare and Medicaid participating hospitals, critical access hospitals, long-term care facilities, ambulatory surgery centers and other facilities. The final rule takes effect July 5, 2016. CMS will begin surveying for compliance on November 1, 2016. The new rule adopts the NFPA 2012 Life Safety Code (with minor amendments), and most chapters of the NFPA 2012 Health Care Facilities Code. This reflects an update from the 2000 editions currently referenced by CMS and will align certain requirements more closely to NFPA standards. (Note: NFPA has already updated the 2012 codes with the 2015 codes, and is accepting comments on the 2018 proposed revisions.)
Ebola Reports - Lessons Learned June 30, 2016
The following documents reviewing the federal government’s response to Ebola have been recently issued:
Report of the Independent Panel on HHS Ebola Response June, 2016
An independent panel issued a report focused on lessons learned from HHS' response to the Ebola crisis and HHS’s Improvement Plan have been released. Findings include:
The U.S. government was not sufficiently prepared to respond to crises that need an integrated, rapid domestic and international response;
The U.S. did not make full use of the National Response plan, and HHS didn't use existing pandemic plans;
Sustained federal funding for emergency preparedness and response activities is needed;
More effective coordination between local, state and federal governments is sorely needed;
Americans were given conflicting messages about Ebola's ability to come to the U.S. When the disease first appeared in a Dallas hospital, there was an increased need for clear communication that often got lost in news reports.
HHS Ebola Response Improvement Plan June, 2016
The Improvement Plan follows the Independent Panel’s report, addressing the following areas:
Global Health Security and Coordination with International Partners
Incident Management and Operational Coordination
Public Health and Healthcare Response
CDC’s Response to the 2014–2016 Ebola Epidemic — West Africa and U.S. PDF July 08, 2016
MMWR Vol. 65, Supplement No. 3 includes a series of detailed reports that chronicle major aspects and facts of CDC’s efforts to simultaneously control the proliferation of Ebola in West Africa and bolster U.S preparedness.
Additional Ebola Reports and Lessons Learned
Ebola Events at Texas Health Dallas Lessons Learned: IROQUOIS Presentation to CNY Health Emergency Preparedness Coalition November 17, 2015