January 2012 FEBRUARY 2012 GERIATRICS AND EXTENDED CARE (GEC) KEY POLICY UPDATES.

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Presentation transcript:

January 2012 FEBRUARY 2012 GERIATRICS AND EXTENDED CARE (GEC) KEY POLICY UPDATES

VETERANS HEALTH ADMINISTRATION GEC KEY POLICY UPDATES Proposed elimination of VA annual surveys of Centers for Medicare & Medicaid (CMS) certified State Veteran Nursing Homes Update on Information Letter concerning reportable events in the State Veterans Homes. 2

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program-Survey Process VA Standards and Centers for Medicare and Medicaid (CMS) Standards VA standards are established in federal regulation – 38 CFR Part 51 CMS standards are established in federal regulation – 42 CFR Part 483 VA standards are same as CMS with the following additional components:  Administration - notifications, i.e., notification of change of administrator, state office  Credentialing and Privileging of licensed practitioners  Basic Per Diem  Per Diem and drugs and medicines  Social Worker qualifications  Nursing Services Designation of a supervising nurse for each tour of duty Staffing requirements or Hours Per Patient Day (HPPD) 3

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program- Survey Process Current Survey Process Mirrors survey process utilized by CMS, three types of inspections: *Recognition - to become eligible for per diem payments *Annual - to determine compliance with VA standards *For cause - investigate specific or a series of incidents. Survey teams co-led by VAMC representative & contract surveyor Outcomes Consistency of survey approaches Clear protocol - pre, during and post survey Clear and objective statements of findings 4

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program Information Letter 5 Information Letter provides guidance and a standardized approach to VA and SVH in the reporting process for reportable events that occur in SVH providing nursing home care to eligible Veterans. Related Regulation: Title 38 of the Code of Federal Regulations (CFR) Parts , and Does not reduce or eliminate the requirement of SVH and VA to comply with applicable Federal and State statutes and regulations.

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program- Information Letter 6 This Information Letter will delineate what types of events are reportable. It will also include reporting timeframes, format and a communication process for use within VA for internal communications and where indicated, with external shareholders. Status-draft in final stages of development

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program 7 GEC – Policy contacts for the clinical and survey process Deborah Stevens State Veterans Home Program Analyst Nancy Quest Director, Home & Community Based Services

VETERANS HEALTH ADMINISTRATION SVH Clinical Oversight Program 8 QUESTIONS / COMMENTS THANK YOU!