News flash: survey implementation "inconsistent". (NH News Notes).
The report says that different deficiency tags are being used to cite the same problem, surveyors do not consistently cite deficiencies, and states differ on how many deficiencies they will cite for a single problem of noncompliance. Variability in citing deficiencies is attributed to four factors: (1) inconsistent survey focus, (2) unclear guidelines, (3) lack of a common review process for draft survey reports among states, and (4) high surveyor staff turnover.
The report recommends that CMS provide clear, explicit guidelines to state survey agencies, including more specific guidance to states on quality-of-life deficiency tags and clearer directions on when to cite single or multiple deficiencies. In addition, the GIG says CMS needs to clearly communicate to states that the focus of the survey process is not consultative, and develop with states common review criteria for draft survey reports. CMS, commenting on the draft report, agreed with the recommendations and highlighted some of its own efforts in an appendix to the report.
To view the report, visit http://oig.hhs.gov/oei/reports/oei-02-01-00600.pdf.
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|Title Annotation:||nursing home deficiencies|
|Author:||Edwards, Douglas J.|
|Article Type:||Brief Article|
|Date:||Jun 1, 2003|
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