Regulations/Legal

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March 2018
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New York first state to pass ‘BSN in 10’ law

Editor's Note New York is the first state to require new nurses to obtain a bachelor’s degree or higher in nursing within 10 years of initial licensure, the January 2 HealthLeaders Media reports. The legislation takes effect immediately; however, the degree requirement does not start for 30 months. The new…

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By: Judy Mathias
January 3, 2018
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CMS launches new data submission system for Quality Payment Program

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced on January 2 that physicians and other eligible clinicians participating in the Quality Payment Program can begin submitting their 2017 performance data using a new system on the Quality Payment Program website (qpp.cms.gov). The new system is an improvement…

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By: Judy Mathias
January 3, 2018
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FDA: Class I recall of Agilis Steerable Reprocessed Introducer Sheath

Editor's Note The Food and Drug Administration (FDA) on January 2 classified the recall by Sterilmed (Plymouth, Minnesota) of its Agilis Steerable Reprocessed Introducer Sheath as Class I, the most serious. The sheath's hemostatic valve, which prevents blood from flowing back through the valve, may fail because of an improper…

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By: Judy Mathias
January 3, 2018
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Joint Commission new and revised standards effective January 2018

Editor's Note The Joint Commission on December 20, 2017, posted new and revised standards that go into effect in January 2018. Included are: Life Safety Code revisions that address topics such as testing of emergency lighting systems and inspection and testing of piped medical gas and vacuum systems. Medication Management…

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By: Judy Mathias
January 2, 2018
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CMS updates Hospital Compare site

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced December 21 that it updated data on its Hospital Compare website and will update the Overall Hospital Quality Star Rating using a new methodology that will give more hospitals one or five stars. CMS had postponed the release of…

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By: Judy Mathias
January 2, 2018
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Joint Commission cites ‘continuous improvement’ as 2018 survey goal

When Medicare and Medicaid legislation was passed and signed into law in 1965, the US Congress formed the precursor federal agency to the Centers for Medicare & Medicaid Services (CMS) to write the rules and regulations spelling out the “Conditions of Participation” (CoPs) required to obtain federal funding under these…

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By: Judith M. Mathias, MA, RN
December 14, 2017
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Where are you on the value-based care continuum?

Healthcare providers are straddling a variety of payment models while many regulatory changes remain in flux under the Trump Administration. Although the shift from fee-for-service to value-based payment began some years ago, not everyone is on board. Opinions about bundled payments also remain mixed, despite reports of improved outcomes and…

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By: Elizabeth Wood
December 14, 2017
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ASC quality reporting deadlines moved up in 2018

On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule for the 2018 Medicare Hospital Outpatient Prospective Payment System/ASC Payment System and Quality Reporting Programs. In summary, several ambulatory surgery center (ASC) measures (ASC-1 to ASC-14) are unaffected, except that three measures (ASC-5, -6,…

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By: Leslie Flowers
December 14, 2017
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Joint Commission posts decision rule changes for 2018

Editor's Note The Joint Commission on December 12 posted its summary of changes to accreditation and certification decision rules for all programs for 2018. Changes include initial accreditation, reaccreditation, and certification. The decision rules are effective for surveys and reviews beginning January 1, 2018.   Joint Commission requirement. Read More…

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By: Judy Mathias
December 12, 2017
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Impact of reducing postop complications in bariatric Medicare patients

Editor's Note Hospitals with the largest reductions in serious complications after bariatric surgery had the greatest decrease in per-patient Medicare payments, this study finds. Analyzing 37,329 Medicare patients undergoing bariatric surgery from 2005 to 2006 and 2013 to 2014, researchers found a strong association between reductions in complications and decreased…

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By: Judy Mathias
December 12, 2017
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