OIG Report: CMS Should Not Rely On Accreditation Surveys For Hospice Quality

Posted on Wednesday, July 1, 2015 9:13 AM

According to a new report from the Office of the Inspector General (OIG), accreditation surveys do not guarantee that hospice providers are meeting federal or state requirements. The report examined a New York provider that used the CMS-approved Community Health Accreditation Program. The OIG reviewed 100 of the provider’s employees who provide direct patient care and found that half of these employees did not meet at least one federal or state requirement. These requirements include criminal background checks, health assessments, professional licensing and experience, training and performance evaluations. Based on this sampling, it’s likely that only 194 of the provider’s 400 total workforce were not in compliance with federal and state requirements. The Social Security Act’s guidelines that exempt hospices from state health department quality surveys that are accredited by a CMS-approved national accreditation organization. Click here to read the OIG’s full report, with CMS’ response. Click here to read more.  

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