Friday, December 15, 2017

ROP Updates: How to Prepare in 2018


On November 28, 2017, Phase 2 of the Requirements of Participation (RoP) was implemented, along with new F-Tags associated with all requirements, new interpretive guidance, and a new survey process. New requirements that went into effect on November 28 include the facility assessment, behavioral health requirements, baseline care plan, quality assurance and performance improvement (QAPI) plan, and antibiotic stewardship program. The new survey process, or Long Term Care Survey Process (LTCSP), has now gone into effect nationwide.

The magnitude of these changes creates many challenges and concerns for nursing centers. Throughout this year, AHCA has worked to support and advocate for members with implementation of the requirements and the new survey process. We provided training through full-day workshops on Phase 1 and Phase 2 of the RoP across the country as well as recorded webinars such as this webinar on Preparing for the New Survey Process and RoP Phase 2. We built an ever-expanding library of implementation resources, including Action Briefs on regulatory topics from pharmacy services and physical environment, tools and checklists, templates shared by members, as well as “must view” materials such as AHCA’s RoP Playbook. Member owners and CEOs are encouraged to register for a new three-part webinar series that helps break down what an owner or CEO needs to know about the new regulations that went into effect on November 28. All of these resources, tools, and webinars are available to members on the RequirED section of ahcancalED, AHCA's education portal. 

AHCA has also advocated for and achieved some meaningful relief from some of the burdens created by the implementation of such fast-paced regulatory change. For example, the Centers for Medicare & Medicaid Services (CMS) has implemented an 18-month moratorium on imposing certain enforcement remedies, including civil monetary penalties, for specific Phase 2 requirements. CMS has made available to providers web-based training in the new survey process, including this overview of the LTCSP for providers and this review of the new LTCSP Procedure Guide for surveyors that walks through each step of the LTC survey process.

Looking ahead to 2018, AHCA will continue to focus its efforts on finding further solutions that help you provide quality care. We will be seeking your feedback on the implementation of Phase 2 and the new survey process in your states and centers so we can provide input to CMS and inform future changes.

We hope you will join us at this year’s Quality Summit in New Orleans, LA from Monday, March 12-Wednesday, March 14. During Quality Summit, we will provide educational sessions and opportunities to network and share best practices. Sessions on topics such as transitions of care, infection control and antibiotic stewardship, and how to utilize data from LTC Trend Tracker will help you improve practices and processes within your centers to help you succeed in implementing the new requirements.

Please contact Sara Rudow with any questions or visit AHCA's RoP webpage for more information. 

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