Revisions to elements of performance (EPs) in the critical access hospital manual to maintain alignment with Conditions of Participation from the Centers for Medicare & Medicaid Services (CMS) following the release of a final rule in May 2012. These revisions include the following:
- Elimination of the requirements at LD.04.03.01 for emergency services and outpatient services to be provided “as direct services” by the critical access hospital. This change allows the critical access hospital to have contractual agreements for the provision of the services, but it does not impact the requirement that the critical access hospital is responsible for oversight of that care.
- Addition of a note at MS.01.01.01, EP 13 regarding the structure of the medical staff.
- Revision of the timing requirement related to reporting of medication errors, adverse drug events, and medication incompatibilities at MM.07.01.03, EP 6.