CMS CAH Swing Bed Requirements

Marketing and Empathy Psychology

By - Laura A. Dixon, BS, JD, RN, CPHRM

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Overview

Swing Beds can be a financial lifeline for Critical Access Hospitals. This webinar will focus on swing bed regulations in Appendix W for Critical Access Hospitals. Interpretive guidelines and survey procedures are under Appendix PP – Long Term Care manual, which will be discussed in the corresponding regulation sections.
It is challenging to figure out what the interpretive guidelines and survey procedures are as there is there was no crosswalk between Appendix W – for CAH – and Appendix PP – Long Term Care. This webinar was created to assist hospitals in understanding what needs to be done.
Also to be discussed will be common deficiencies involving swing beds and how to avoid them.

Objectives

Discuss the requirements for a patient to be admitted to Swing Bed status
Recall how to locate the regulation and interpretive guidelines and survey procedures for swing beds
Describe what is required by CMS to be in the resident assessment which is done to do the care plan
Recall the CMS requirements for emergency dental care for swing bed patients

Agenda

Manual and Introduction to CAH CoPs

Introduction
How to Locate the Manual
Common Swing Bed deficiencies

Special Requirements for CAH Providers of Long-Term Care Services (Swing beds)

Introduction to Swing Beds
Interpretive guidelines and survey procedure under Appendix PP
Eligibility
Payment
Healthcare literacy
SNF Services
Patient/Resident Rights
Exercise of Rights
Notice of Rights and Services
Free Choice
Privacy and Confidentiality
Work
Mail
Access and Visitation Rights
Personal Property
Married Couples
Admission, Transfer and Discharge Rights
Transfer and Discharge
Payment of care
Content of notice
Resident Behavior and Facility Practices
Restraints, Abuse
Staff Treatment of Residents
Hiring of employees
Patient Activities
Social Services
Dental requirements change
Resident Assessment
Comprehensive Care Plans
PASARR or RAI
Trauma informed care
Discharge Summary
Nutrition

Appendix and Resources

Who Should Attend?

CEO
COO
CFO
Nurse executives
Accreditation and Compliance/Regulation director
Nurse managers
Pharmacists
Quality managers
Risk managers
Health information management personnel
Social workers
Dieticians
Nurses
Nurse educators
Nursing supervisors
Patient safety officer
Director of Rehab (OT, PT, speech pathology, and audiology)
Infection preventionist
Anyone who is responsible for care of swing bed patients in a CAH
Persons responsible implementing the CMS swing bed requirements

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Webinar Type

Clear

Speaker Detail

Laura A. Dixon recently served as the Regional Director of Risk Management and Patient Safety for Kaiser Permanente Colorado where she provided consultation and resources to clinical staff. Prior to joining Kaiser, she served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020. In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners, and staff in multiple states. Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products. Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services, and pain management. Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California. In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States. Ms. Dixon’s legal experience includes medical malpractice insurance defense and representation of nurses before the Colorado Board of Nursing. As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa. She is licensed to practice law in Colorado and California.