CMS Publishes Final Rules

On September 30, 2019, CMS published Final Rules in the Federal Register (linked below) that affect acute care hospitals, critical access hospitals, and ambulatory surgery centers, as well as other deemed status healthcare facilities. All regulations are effective November 29, 2019 with the exceptions of those regarding QAPI in CAHs and the antibiotic stewardship programs…

Performance Specification Verification of Assays Authorized Under Emergency Use (EUA) QSO 18-19-CLIA

Clarification of the Operation of Multiple Laboratories at the Same Location and the Discontinued Use of the Term “Shared Laboratory” QSO-18-20-CLIA Attention: Clinical Laboratories, Acute Care Hospitals, Critical Access Hospitals Please share this announcement with the following: Medical Director, Laboratory Services Administrative Director and Managers, Laboratory Services On July 20, 2018, the CMS/CLIA issued two memos…

Food and Drug Administration Categorization Notification

Food and Drug Administration Categorization Notification for McKesson Consult Immunochemical Fecal Occult Blood Test Attention:  Clinical Laboratories, Acute Care Hospitals, Critical Access Hospitals Please share this announcement with the following: Medical Director, Laboratory Services Administrative Director and Managers, Laboratory Services On May 4, 2018, the Food and Drug Administration published notice for “McKesson Consult Immunochemical Fecal Occult Blood…

HFAP Acute Care Manual 2018 v2 Prepublication

New and Revised Standards CMS recently published new requirements for acute care hospitals for the following: Ligature risks (CMS S&C Memo 18-06) Reducing risks of Legionella (CMS S&C Memo 17-30) Texting (CMS QSO 18-10) HFAP has developed several standards to address these changes and we are providing this update as “pre-publication” information to encourage our…

CMS QSO (FORMERLY S&C) MEMO #18-14-CLIA

“Clarification Regarding Fine Needle Aspiration (FNA) Specimen Adequacy Assessment, Rapid On-site Evaluation (ROSE) and Workload Limits.” Attention: Clinical Laboratories, Acute Care Hospitals, Critical Access Hospitals Please share this announcement with the following: Medical Director, Laboratory Services Administrative Director and Managers, Laboratory Services This CMS Quality, Safety and Oversight memo was issued on March 16, 2018.…

HFAP Publication Announcement – Acute Care Hospital Manual 2018

2018 Accreditation Requirements for Acute Care Hospitals Effective March 1, 2018 Please forward this accreditation information to the following members of your Leadership Team: Senior Leadership Vice-President, Medical Staff Affairs Chief Medical Officer Chief Nursing Executive Director, Swing Bed Program 2018 Manual Updates Revised Standards HFAP has revised Chapter 32 Swing Beds to be in…

HFAP Publication Announcement – Critical Access Hospital Manual 2018

2018 Accreditation Requirements for Critical Access Hospitals Effective March 1, 2018 Please forward this accreditation information to the following members of your Leadership Team: Senior Leadership Chief Medical Officer Chief Nursing Executive Director, Swing Bed Program 2018 Manual Updates Revised Standards HFAP has revised Chapter 11 Swing Beds to be in compliance with Medicare and…

CMS QSO Memo #18-11-CLIA Release of RFI

CMS QSO (formerly Survey and Certification) Memo #18-11-CLIA “Clinical Laboratory Improvement Amendments (CLIA) Release of Request for Information (RFI).” Attention:  Clinical Laboratories, Acute Care Hospitals, Critical Access Hospitals On January 5, 2018, CMS published Quality, Safety and Oversight (formerly Survey & Certification) Memo # 18-11-CLIA, “Clinical Laboratory Improvement Amendments (CLIA) Release of Request for Information…

REVISED – CMS Survey & Certification Memo #18-10 – Texting of Patient Information

Attention:  Acute Care Hospitals, Critical Access Hospitals, and Ambulatory Surgical Centers Please share this information with: Chief Nursing Officer Chief Medical Officer / VP Medical Affairs Director, Pharmacy Services Director / Manager, Medical Records / HIM On January 5, 2018, CMS published a revision to Survey & Certification memo #18-10 (originally published 12/28/17), “Texting of Patient…