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It’s no secret that long-term care facilities, such as skilled nursing homes and assisted living centers, have faced some tough times since the onset of the COVID-19 pandemic. To make things even more complex, the Centers for Medicare and Medicaid Services (CMS) has introduced updated guidelines for inspectors to follow during regulatory compliance checks. This CMS Fact Sheet, released on June 29, 2022, emphasizes, “CMS is providing surveyor guidance to clarify specific regulatory requirements and outline how compliance will be evaluated.â€
Additionally, the document highlights revisions to state agency protocols, emphasizing stronger oversight of complaints and incidents reported by facilities.
When does this new guidance take effect? The revised surveyor instructions are set to come into play starting October 24, 2022. Among the ten significant changes, one of the most notable focuses on infection control. Under the infection control section, the guidelines specify:
- A part-time Infection Preventionist (IP) is now mandatory.
- The IP should be physically present on-site and not an external consultant or working from another location.
- The IP plays a crucial role in managing infectious diseases through an effective infection prevention and control program.
- Specialized training is essential for IPs.
This means each facility must have an on-site IP at least part-time, ensuring their presence aligns with the facility’s needs. Furthermore, the IP must develop and execute an effective infection prevention and control program. However, the exact criteria for determining the program's effectiveness remain undefined.
This updated CMS guidance might serve as a roadmap for on-site long-term care IPs regarding what surveyors will look for to ensure adherence to regulations. For those tasked with creating and maintaining these programs, we’ve compiled a list of resources we believe could be beneficial.
Here are some external resources that might prove useful:
- [https://www.infectioncontroltoday.com/view/ltc-infection-preventions-responsibilities-doubled-due-covid-19-pandemic](https://www.infectioncontroltoday.com/view/ltc-infection-preventions-responsibilities-doubled-due-covid-19-pandemic)
- [https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html](https://www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/guides/infection-prevent.html)
- [https://apic.org/resources/topic-specific-infection-prevention/long-term-care/](https://apic.org/resources/topic-specific-infection-prevention/long-term-care/)
- [https://aspe.hhs.gov/reports/long-term-care-impact-covid-19-first-look-comparative-cross-national-statistics-0](https://aspe.hhs.gov/reports/long-term-care-impact-covid-19-first-look-comparative-cross-national-statistics-0)
- [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064182/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064182/)
We’ve also gathered a selection of CDC articles that you might find valuable:
- [https://www.cdc.gov/longtermcare/staff/index.html](https://www.cdc.gov/longtermcare/staff/index.html)
- [https://www.cdc.gov/longtermcare/prevention/index.html](https://www.cdc.gov/longtermcare/prevention/index.html)
- [https://www.cdc.gov/coronavirus/2019-ncov/hcp/nursing-home-long-term-care.html](https://www.cdc.gov/coronavirus/2019-ncov/hcp/nursing-home-long-term-care.html)
- [https://www.cdc.gov/infectioncontrol/projectfirstline/index.html](https://www.cdc.gov/infectioncontrol/projectfirstline/index.html)
Together, we can Outsmart Infection®.
Sri Trang USA offers a comprehensive range of Ventyv® branded disposable medical gloves. As a leading global glove manufacturer, we provide high-quality products designed to keep both wearers and patients safe. Ventyv products are actively preventing infections and saving lives daily. Together, we can Outsmart Infection®.
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