The focus of this presentation is on the survey process and how IJ is arrived at and declared under the new Rules. It will cover the latest updates from CMS and facility risk areas. It will describe the best practices in responding to IJ, including the appropriate components of Allegations of Compliance and Plans of Correction and the regulatory underpinnings of what is considered acceptable. It will also focus on the Quality Assurance process to ensure the facility achieves substantial compliance but protects its privileges. Finally, we will go over the appeals process and the serious considerations that must take place before appealing negative findings.
Articulate the new risk areas and definitions of Immediate Jeopardy.
Describe the process of correcting/responding to Immediate Jeopardy, and the use of the new IJ form by Surveyors.
Discuss the appeals process and the serious issues with that process that may impact the decision.
Identify the risks of IJ associated with infection control practices stemming from the COVID-19 pandemic, the government's reaction, and how to handle COVID-19 citations and associated remedies including Civil Money Penalties.