CMS CAH Swing Bed Requirements

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