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What is New with Revised Appendix Q

机译:修订的附录Q有哪些新的内容

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摘要

The Centers for Medicare & Medicaid Services (CMS) recently completed an overhaul of Appendix Q of the Medicare State Operations Manual (SOM), which provides the guidance for survey agencies in identifying and citing conditions of immediate jeopardy for providers. The guidance was reorganized to include a main core that will used by surveyors of all provider types and subparts that focus on specific concerns for nursing facilities and clinical laboratories. The stated purpose of the revised guidance is to standardize the key components of immediate jeopardy. It provides some additional clarity by defining key terms and including an immediate jeopardy template that must be completed by surveyors in every immediate jeopardy situation and shared with administrators. However, the definitions of "psychosocial harm" and "likelihood" remain somewhat broad and lend themselves to surveyor discretion, which will make identification of immediate jeopardy still subject to surveyor interpretation. A STANDARDIZED FORMAT The definition of immediate jeopardy has remained unchanged in the guidance. It is defined as "a situation in which the provider's noncompliance with one or more requirements of participation has caused or is likely to cause serious injury, harm, impairment, or death to a resident." The revised guidance says in the introduction that "an immediate jeopardy situation is one that is clearly identifiable due to the severity of harm or likelihood for serious harm and the immediate need for it to be corrected to avoid further or future serious harm."
机译:Medicare&Medicaid服务(CMS)的中心最近完成了Medicare国家运营手册(SOM)附录Q的大修,这为调查机构提供了指导,以识别和引用提供者立即危险的条件。该指南重组,包括所有提供商类型和子部分的验船师将专注于护理设施和临床实验室的具体问题的主核心。修订指导的规定目的是标准化立即危险的关键组成部分。它通过定义关键术语和包括一项即时危险模板来提供一些额外的清晰度,该模板必须在每个直接的危险情况下由测量师完成并与管理员共享。然而,“心理社会危害”和“可能性”的定义仍然有所宽泛,借给验船师自行决定,这将识别立即危险仍然受测量师解释。标准化格式立即危险的定义在指导下保持不变。它被定义为“提供商与一个或多个参与要求的不合规的情况导致或可能导致居民造成严重伤害,危害,损害或死亡。”修订后的指导说,在介绍中,“立即危险情况是由于严重危害的严重伤害或可能性而明显可识别的指导,并立即需要纠正以避免进一步或未来的严重伤害。”

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