Center for Medicare-and-Medicaid Services-Conditions of Participation for Emergency Preparedness

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“We concluded that current emergency preparedness regulatory requirements are notcomprehensive enough to address the complexities of actual emergencies.

center for medicare & medicaid services

Specifically, the requirements do notaddress the need for: (1) Communication to coordinate with other systems of care within local jurisdictions (for example. cities, counties) or states; (2) contingency planning; and (3) training of personnel.”

Why the new EP rule?

cms Conditions ofparticipation...statutory and regulatory citationsthat are the fouNdation for the proposedemergency preparedness rule

1965

HospitalsSection 1861(e)(9)

42 CFR 482.1-482.66

Critical Access HospitalSections 1820 &1861

42 CFR 485.601-485.647

Ambulatory Surgical Centers

Section 1832(a)(2)(F)(i)42 CFR 416.40-416.49

End-Stage RenalDisease Facilities

Sections 1881(b),(c),(f)(7)42 CFR 494.1-94.180

Religious NonmedicalHealth Care Institutions

Section 1821,42 CFR 403.700-403.756

HospicesSection 1861(dd)(1)

42 CFR 418.52 -418.116

HospicesSection 1861(dd)(1)

42 CFR 418.52 -418.116

Long Term Care Facilities Skilled Nursing Facilities

Section 1819 42 CFR 483.1-483.180.

Rural Health ClinicsSection 1861(aa)

42 CFR 491.1-491.11;

Federally QualifiedHealth Centers

Section 1861(aa) 42 CFR 491.1-491.11

Intermediate CareFacilities for Individuals

with IntellectualDisabilities

Section 1905(d) 42 CFR 483.400-483.480

Inpatient Psych. Servicesfor Individuals UnderAge 21 in PsychiatricFacilities or Programs

Sections 1905(a),1905(h)42 CFR 441.150 -441.18242 CFR 483.350-483.376

Title xviiiTitle xix

Comprehensive OutpatientRehabilitation Facilities

Section 1861(cc)(2) 42 CFR 485.50-485.74

Home Health AgenciesSections 1861(o), 189142 CFR 484.1-484.55.

Clinics, RehabilitationAgencies, and

Public Health Agencies as Providers of Outpatient

Physical Therapy andSpeech-LanguagePathology Services

Section 1861(p)42 CFR 485.701-485.729

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3 key principles

4 core elements

21

3 4

safeguarding humanresources

ensuring businesscontinuity

protecting physicalresources

1

3

2

Programs of All-Inclusive Care for the Elderly

Sections 1894, 1905(a),and 1934

42 CFR 460.2-460.210

Community Mental Health Centers

Section 1861(ff)(3)(B)(i)(ii)Section 1913(c)(1) PHS Act

42 CFR 410.110

unique

Organ ProcurementOrganizationsSection 1138

Section 371 PHS Act42 CFR 486.301-486.348.

Transplant CentersSections 1861(e)(9),

and 1881(b)(1)42 CFR 482.68-482.104.

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