CMS Proposed Substantial Changes to Skilled Nursing Facilities Regulations On July 13, CMS put forth significant PROPOSED rule changes that would affect skilled nursing facilities. The proposed rule changes span 403 pages and include significant revisions and additions. At this point in the review of the lengthy document the following areas (but are not limited to) are of great significance and concern: o More extensive Infection Control Requirements that would require a designated Infection Prevention and Control Officer with training in infection prevention and control beyond their initial license. o Facility must include on their interdisciplinary team a qualified mental health professional in the care planning process for residence diagnosed with mental health conditions or prescribed psychotropic drugs. o Center may not use on any basis any person (employee, contract, or agency) that does not meet competency requirements. o QAPI The executive summary of the propsed changes states, “These proposals are also an integral part of our efforts to achieve broad-based improvements both in the quality of health care furnished through federal programs, and in patient safety, while at the same time reducing procedural burdens on providers.” Nowhere in the 403 page document are their proposed changes that would reduce burdens on providers. What can you do? There are 3 Calls to Action: 1. Be Informed! Read the document. https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-17207.pdf?j=77930283&e=ddelamare@ahca.org&l=1216785_HTML&u=2093381763&mid=10422954&jb=1 2. Please get as many people to submit individual comments DIRECTLY to CMS by Sept. 14, 2015. Below are the instructions from the CMS memo. In commenting, please refer to file code CMS-3260-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (please choose only one of the ways listed): A. […]