Agenda. *Kinds of Surveys *Rural Health Clinic Locations *Budget Issues *Helpful Web Sites. Here is your survey. No big deal. Or is it?. This is the CMS-2567 Statement of Deficiency. How to be a recipient of a 2567.
*Kinds of Surveys
*Rural Health Clinic Locations
*Helpful Web Sites
Surveyors visit your facility, write any deficiencies on the Statement of Deficiencies form, and then provide it to you. Write your plans for corrections on the form and return it to KDHE. The Statement of Deficiencies:
•Is the basic document available to the public about your facility's deficiencies and what is being done to remedy them.
• Provides an opportunity for you to furnish documentation that requirements have been met.
42 CFR 491.2 …. Means a clinic that is located in a rural area designated as a shortage area, is not a rehabilitation agency or a facility primarily for the care and treatment of mental disease, and meets all other requirements of this subpart.
CMS has advised KDHE that a RHC can operate
one rural health clinic from separate suite numbers within the same building with the same street address.
RHC #1 17-8918
RHC #2 17-8918
If clinic or center services are furnished at permanent units in more than one location, each unit is independently considered for approval as a rural health clinic.
Each RHC requires their
own provider number if they are located in separate buildings.
As long as both RHCs are provider-based and located on the campus of the main provider, they could be considered as one location.
The clinic would need to ensure the requirements located at 42 CFR 491.6(a) are met. Specifically, the clinic must be "constructed, arranged, and maintained to insure access to and safety of patients, and provides adequate space for the provisions of direct services."
What do the federal regulations require that we absolutely must survey?
The priority with which we conduct surveys is categorized into TIER’s.TIER-I is the first and highest priority.
The Tiers are contained in the budget that is also referred to as …
“THE MISSION and PRIORITY DOCUMENT”
High (do first)
HHA, Hospital Val & complaints
10% ASC, 5% hospitals & 10% ESRDs, 5% Targ. Samples.
Non AO initials, 4 & 7 year requirements
Remaining initials and greater Freq
Who to call:Charles Moore, Director Medical ServicesBureau of Child Care & Health Facilities1000 SW Jackson, Suite 200Topeka, KS 66612e-mail: [email protected] Direct Line 785-296-0131FAX:785-291-3419
Web site for Critical Access Hospital (CAH) Federal Regulations and Guidelines Appendix Whttp://www.kdheks.gov/bcchf/index.htmlClick on Bureau of Health Facilities and then forms to get to the above.
Other contacts in our Bureau:Anita Hodge RN, State Survey Manager 296-0127Lynn Searles, Risk Management Specialist 291-3552Tamara Wilkerson, Licensure & Certification 296-1263CoordinatorLois Wilkins, Sr. Admin Assist-Licensure 296-1258Theresa Carter, Sr. Admin Assist-Certification 296-1249(all are Area code 785)