NIHD Professional Resources Committee: Web Page (Chart) Final Draft: November 14, 2015 (S. Ziel) Professional Resource Description Link Medicare Conditions of Participation and Conditions of Coverage The Center for Medicare & Medicaid Services (CMS) develops Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) that health care organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs. These health and safety standards are the foundation for improving quality and protecting the health and safety of beneficiaries. CMS also ensures that the standards of accrediting organizations recognized by CMS (through a process called "deeming") meet or exceed the Medicare standards set forth in the CoPs / CfCs. https://www.cms.gov/RegulationsandGuidance/Legislation/CFCsAndCoP s/index.html?redirect=/cfcsandcops/ 16_asc.asp Medicaid and CHIP refers to the http://medicaid.gov/medicaid- ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Ambulatory Surgical Centers (ASCs) Community Mental Health Centers (CMHCs) Comprehensive Outpatient Rehabilitation Facilities (CORFs) Critical Access Hospitals (CAHs) End-Stage Renal Disease Facilities Federally Qualified Health Centers Home Health Agencies Hospices Hospitals Hospital Swing Beds Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Organ Procurement Organizations (OPOs) Portable X-Ray Suppliers Programs for AllInclusive Care for the Elderly Organizations (PACE) Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services Psychiatric Hospitals Religious Nonmedical Health Care Institutions Rural Health Clinics Long Term Care Facilities Transplant Centers Medicaid Program: Delivery Systems combination providers, institutional setting, and health care benefit resources as a "delivery system". States have choices in their approach to delivery system design under the Medicaid and CHIP programs. chip-program-information/bytopics/deliverysystems/deliverysystems.html National Fire Protection Association (NFPA) 101 Life Safety Code requirements This page provides basic information about Medicare and/or Medicaid provider compliance with National Fire Protection Association (NFPA) 101 Life Safety Code (LSC) requirements and includes links to applicable laws, regulations, and compliance information. https://www.cms.gov/Medicar e/Provider-Enrollment-andcertification/CertificationandC omplianc/LSC.html The LSC is a set of fire protection requirements designed to provide a reasonable degree of safety from fire. It covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. The LSC, which is revised periodically, is a publication of NFPA, which was founded in 1896 to promote the science and improve the methods of fire protection. The basic life safety from fire requirement for facilities participating in the Medicare and Medicaid programs is compliance with the 2000 edition of the NFPA LSC. CMS partners with State Agencies (SA) to assess facilities for compliance with the LSC requirements. SAs may enter into sub-agreements or contracts with the State Fire Marshal offices or other State agencies responsible for enforcing State fire code requirements. The Big Three: A Side by Side This NAMSS article compares and contrasts the “Big Three” Matrix Comparing Hospital accreditation agencies for Accrediting Agencies hospitals: The Joint Commission (TJC), Healthcare Facilities Accreditation Program (HFAP) and Det Norske Veritas Healthcare, Inc. (DNV). http://www.namss.org/Portals /0/Regulatory/The%20Big%2 0Three%20A%20Side%20by %20Side%20Matrix%20Com paring%20Hospital%20Accre diting%20Agencies.pdf The Joint Commission (TJC) An independent, not-for-profit organization, The Joint Commission accredits and certifies more than 20,500 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. http://www.jointcommission.or g/ The Joint Commission (TJC): State-by-State Recognition of Accrediting Bodies The Joint Commission’s various accreditation/certification programs are recognized and relied on by many states in the states’ quality oversight activities. Recognition and reliance refers to the acceptance of, requirement for, or other reference to the use of Joint Commission accreditation, in whole or in part, by one or more governmental agencies in exercising regulatory authority. Recognition and reliance may include use of accreditation for licensing, certification or contracting purposes by various state agencies. http://www.jointcommission.or g/state_recognition/state_rec ognition_details.aspx?ps=25 Healthcare Facilities Accreditation Program (HFAP) Healthcare Facilities Accreditation Program (HFAP) is authorized by the Centers for Medicare and Medicaid Services (CMS) to survey all hospitals for compliance with the Medicare Conditions of Participation and Coverage. Originally created in 1945 to conduct an objective review of services provided by osteopathic hospitals, HFAP has maintained its deeming authority continuously since the inception of CMS in 1965 and meets or exceeds the standards required by CMS/Medicare to provide accreditation to all hospitals, ambulatory care/surgical facilities, mental health facilities, physical rehabilitation facilities, clinical laboratories and critical access hospitals. HFAP also provides http://www.hfap.org/ certification reviews for Primary Stroke Centers. HFAP's surveying process and standards benefit from oversight by a wide range of medical professionals, including both allopathic and osteopathic disciplines. Det Norske Veritas Healthcare, Inc. (DNV). Det Norske Veritas Healthcare, Inc. (DNV) is authorized by the Centers for Medicare and Medicaid Services (CMS) to survey hospitals and critical access hospitals for compliance with the Medicare Conditions of Participation and Coverage. DNV also offers certification programs for infection risk programs and both primary and comprehensive stroke centers. http://dnvglhealthcare.com/ Health Guidelines Revision Committee (HGRC) The Health Guidelines Revision Committee (HGRC) is a select multi-disicplinary consensus body of more than 120 clinicians, administrators, architects, engineers, and representatives from authorities having jurisdiction that is convened to revise and update the Guidelines for Design and Construction of Health Care Facilities. As a group, HGRC members are experts on the many issues addressed in the Guidelines. The participation of individuals with such a wide range of expertise helps make the document one that truly reflects a variety of clinical, administrative, engineering, and design concerns that is indeed based on interdisciplinary consensus. This consensus is developed through a public process that includes three meetings of the full HGRC generally held over a two-year period. http://www.fgiguidelines.org/h grc.php Facility Guidelines Institute The Facility Guidelines Institute (FGI), a not-for-profit corporation, was founded in 1998 to provide continuity in the facility guidelines revision process, function as a contractual coordinating entity, and enhance the content and format of Guidelinespublications that encourage and improve their application and use. Click the link to http://www.fgiguidelines.org/h grc.php the right to read a letter from the FGI president discussing recent FGI activities. The 2015 Facility Guidelines Institute’s (FGI) Guidelines for Hospitals and Outpatient Facilities The FGI Guidelines are divided into four parts. http://www.fgiguidelines.org/g uidelines2014_HOP.php Part 1 contains chapters that address considerations applicable to all hospitals and outpatient facilities, except as noted or modified in specific facility chapters in the remaining parts. Part 2 addresses facilities where inpatient care is provided, with chapters devoted to general hospitals, critical access hospitals, psychiatric hospitals, rehabilitation facilities, and children’s hospitals. Part 3 addresses facilities where outpatient care is provided. Part 4 contains the full text of the American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) Standard 170-2013: Ventilation of Health Care Facilities. Center for Health Design The Center for Health Design (CHD) was formed in 1993 by a small cadre of pioneering healthcare and design professionals committed to advancing a singular idea – that design could be used to improve patient outcomes in healthcare environments. Our passion proved contagious. Today, we’re a far-reaching, international community leading the effort to improve the quality of healthcare facilities worldwide, as well as environments for healthy aging. https://www.healthdesign.org/ Center for Health Design: Knowledge Repository The Knowledge Repository, a centerpiece for all healthcare design research, papers, articles and references, allowing users to search publications by types of publications, terms, design category, outcome https://www.healthdesign.org/ search/articles category, environmental condition category or setting, and provides the number of references available for each defined category. Users can also conduct searches by entering a key word in the search box. The results appear with the most recent references at the top of the page. Easy-to-use key point summaries for select references are available and allow users the ability to easily and quickly review important concepts found in each of these articles, such as findings and design implications. Additional key point summaries provided by Research Design Connections will continue to be added. Designed as a living library, this repository provides a one-stop, complete source of healthcare EBD research, and as such will continue to grow and develop as healthcare design evolves. For researchers, it increases the visibility, usage and impact of their work. For users, it provides a complete source of healthcare design research. Center for Health Design: Learning Tools and Resources U.S. Department of Veteran The Center for Health Design offers many learning tools and resources to help you design and build hospitals, clinics, doctor’s offices, wellness centers, and residential care facilities with improved satisfaction rates, increased safety, fewer medical errors, better medical outcomes and a healthier bottom line. https://www.healthdesign.org/ chd/learning-tools-andresources The Center for Health Design also offers an Evidence-Based Design Accreditation and Certification (EDAC) program. https://www.healthdesign.org/ edac/ The Office of Construction & Facilities Management (CFM) is http://www.cfm.va.gov/ Affairs; Office of Construction and Facilities Management; Technical Information Library responsible for the planning, design, and construction of all major construction projects greater than $10 million. In addition, CFM acquires real property for use by VA elements through the purchase of land and buildings, as well as longterm lease acquisitions. Through the construction and real property programs, CFM delivers to Veterans, high quality buildings, additions, large scale renovations, and structural enhancements. CFM also manages facility sustainability, seismic corrections, physical security, and historic preservation of VA’s facilities. The Technical Information Library (TIL) is The Source for VA's electronic Design and Construction Information. The TIL contains nearly 2,500 documents covering all aspects of VA facility development, from planning through construction to occupancy. The TIL document collection represents the institutional knowledge resulting from the more than 50 continuous years of the VA construction program. Academy Health: Advancing Research, Policy and Practice Academy Health is a leading national organization serving the fields of health services and policy research and the professionals who produce and use this important work. Together with our members, we offer programs and services that support the development and use of rigorous, relevant and timely evidence to increase the quality, accessibility, and value of health care, to reduce disparities, and to improve health. A trusted broker of information, AcademyHealth brings stakeholders together to address the current and future http://academyhealth.org/ needs of an evolving health system, inform health policy, and translate evidence into action.