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:: NAHC Report
NAHC Report: Issue# 2414, 4/17/2014
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CMS Proposes Adoption of Updated Life Safety Code for Inpatient Hospice, Other Providers
Bipartisan Policy Center Launches Long-Term Care Initiative
For Your Information: CMS Announces a Special Open Door Forum: Suggested Electronic Clinical Template for Home Health
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CMS Proposes Adoption of Updated Life Safety Code for Inpatient Hospice, Other Providers

The Centers for Medicare & Medicaid Services (CMS) recently announced a proposed rule on the adoption of an updated life safety code (LSC) that CMS would use in its ongoing work to ensure the health and safety of all patients, family, and staff in every provider and supplier setting. The updated code contains new provisions that are vital to the health and safety of all patients and staff.

A key priority of CMS is to ensure that patients and staff continue to experience the highest degree of safety possible, including fire safety. CMS intends to adopt the National Fire Protection Association’s (NFPA) 2012 editions of the (LSC) and the Health Care Facilities Code (HCFC). This would reduce burden on health care providers, as the 2012 edition of the LSC also is aligned with internationally-recognized building codes and would make compliance across codes much simpler for Medicare and Medicaid-participating facilities.

The Health Care Facilities Code contains more detailed provisions specific to health care and ambulatory care facilities, as well. Adoption of this code would provide minimum requirements for the installation, inspection, testing, maintenance, performance, and safe practices of health care facility materials, equipment and appliances.

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Bipartisan Policy Center Launches Long-Term Care Initiative

Earlier this month, the Bipartisan Policy Center (BPC) held a briefing where it launched its Long-Term Care Initiative (the Initiative). That same day, BPC’s Health Project released a white paper entitled: America’s Long Term Care Crisis: Challenges In Financing and Delivery (the White Paper). The Initiative, according to the White Paper, seeks to find “a sustainable means of financing and delivering long-term services and supports [(LTSS)].” To this end, the Initiative plans to release pragmatic, bipartisan recommendations by late 2014.

Senator Daschle stated that financing and delivery of LTSS has been a challenge. Sen. Daschle believes that a large part of this stems from health care delivery being highly fragmented and not coordinated, and that better LTSS system will come from a combination of private and public, and legislative and regulatory changes.

Senator Frist stated that LTSS financing and delivery must be improved given a coming “tidal wave” of utilization: there will be 27 million people utilizing LTSS in 2050 compared with just 12 million in 2010. Sen. Frist also asserted that in 20 years, baby boomers will have an increased need of these services, and there will be fewer and fewer private insurance options.

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CMS Announces a Special Open Door Forum: Suggested Electronic Clinical Template for Home Health
Tuesday, April 22; 3-4pm ET

Conference Call Only

CMS will host a series of Special Open Door Forum (ODF) calls to allow physicians and other interested parties to give feedback on data elements for the Suggested Electronic Clinical Template for Home Health.

In order to enhance physician understanding of medical documentation requirements to support orders for Home Health services, CMS has developed a list of clinical elements within a Suggested Electronic Clinical Template that would assist physicians when documenting the Home Health (HH) face-to-face encounter for Medicare purposes.

While not intended to be a data entry form, the template will describe the clinical elements that CMS believes would be useful in supporting the documentation requirements for coverage of Home Health services. CMS will work in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) and the electronic Determination of Coverage (eDoC) workgroup, which are focused on giving practitioners access to payer approved tools for the electronic submission of medical documentation.

Comments on the document can be sent to
Additional information is available on the HH Electronic Clinical Template web page.

Special Open Door Participation Instructions:

  • Participant Dial-In Number:  800-837-1935; Conference ID # 20361722
  • Note: TTY Communications Relay Services are available for the Hearing Impaired. For TTY services dial 7-1-1 or  1-800-855-2880. A Relay Communications Assistant will help.
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