As we enter the new year, healthcare providers and Critical Access Hospitals (CAHs) must stay up-to-date with the latest changes and requirements set forth by the CMS for swing beds. Swing beds offer a flexible way for CAHs to provide inpatient care, but compliance with CMS regulations is crucial. Here we'll discuss some of the essential CMS swing bed requirements and changes for 2023. Learn More, https://conferencepanel.com/conference/cms-cah-swing-bed-requirements-and-changes-2023

1. Critical Access Hospital CoPs
Swing Beds
What CAHs Need to Know

2. 2
Speaker
▪ Laura A. Dixon, Esq.
▪ BS, JD, RN, CPHRM
▪ President, Healthcare Risk
Education and Consulting, LLC
▪ 303-955-8104
▪ ldesq@comcast.net
▪ Email questions to CMS:
Critical Access Hospitals: qsog_CAH@cms.hhs.gov.
Acute hospitals: qsog_hospital@cms.hhs.gov.
2
2

3. Introduction to CAH CoPs
3

4. Swing Beds – General Information
▪ AS of July 2023, there are 1,362 CAHs in the US1.
▪ Almost all provide swing beds services
▪ Opportunity for patients to have care within their
community closer to home
▪ Increase or stabilize census for CAHs
▪ Reimbursed at the same per-diem rate as SNF
▪ For most CAHs, an important revenue source
1. Rural Health Information Hub: https://www.ruralhealthinfo.org/topics/critical-access-hospitals.
4

5. 4 Swing Bed Changes

6. Surveyor Worksheet for Swing
Beds Form 288

7. CAH Resources
7

8. CMS CAH Website
▪ Includes information on topics of interest to
hospitals with swing beds
▪ List of the regional office rural health coordinator
▪ This includes a hotline or help desk
▪ 800-905-2069
▪ Swing_help@ifmc.org
8

9. CMS Surveyor Training
Website
9

10. Swing Bed Deficiency Data
10

11. Swing Bed Deficiencies
▪ Failed to inform residents of their rights orally and in
writing
▪ Failed to inform non-English speaking residents of
their rights in a language they could understand
▪ Failed to allow residents to get copies of their own
medical records
▪ Failed to provide interpreters so resident would
understand their condition
▪ No policy to advise on difference between inpatient
or observation status
11

12. Deficiencies – continued
▪ Restraints applied without an order or assessment
▪ Failed to follow the restraint policy regarding
siderails
▪ Restraint orders written prn
▪ Policy for restraint not appropriate – allowed for trial
application – not permitted
▪ No monitoring of patient in restraints
▪ Did not have a plan of care
12

13. Deficiencies – continued
▪ Nursing staff unaware there were specific rights for
swing bed residents
▪ Failed to provide medically appropriate social
services
▪ Person doing social services was not licensed and
background not appropriate to do the job
▪ Comprehensive assessment not done
▪ No information on resident re: safe to smoke or not
▪ Failed to do a discharge summary
13

14. Swing Beds
14

15. Information to Provide
▪ Information on selecting a
physician
▪ List of the attending
physicians who are
treating the patient
▪ Rights and responsibilities
▪ Contact information on
how to contact the hospital
and state agency and the
ombudsman
▪ Description of swing bed
▪ Financial obligations
▪ HIPAA notice of privacy
practices
▪ General consent form
▪ How to file a complaint
▪ How to report abuse or
neglect
▪ Transfer policy
▪ Discharge policy
▪ Many more
15

16. 16
The End Questions???
▪ Laura A. Dixon, Esq.
▪ BS, JD, RN, CPHRM
▪ President, Healthcare Risk
Education, and Consulting, LLC
▪ 303-955-8104
16
16
Register Now