Medicare and Medicaid Programs; Approval of the Joint Commission for Continued Deeming Authority for Ambulatory Surgical Centers, 67522-67524 [E8-27120]
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jlentini on PROD1PC65 with NOTICES
67522
Federal Register / Vol. 73, No. 221 / Friday, November 14, 2008 / Notices
• To meet the requirements at
§ 416.44, AAAHC updated the
requirements on its Physical
Environment Checklist (PEC) and
modified its policies to clearly reflect
that life safety code (LSC) waivers may
only be granted by a CMS regional
office.
• To meet the requirements at
§ 416.44(d), AAAHC revised its
standards to require that ASCs train
personnel in the use of all types of
emergency equipment, not just
cardiopulmonary and cardiac
emergency equipment.
• To meet the requirements at
§ 416.45(b), AAAHC revised its
standards to require that the scope of
procedures performed in the ASC be
periodically reviewed and amended as
appropriate.
• To meet the requirements at
§ 416.46(a), AAAHC revised its
standards to require a registered nurse
be available for emergency treatment
whenever there is a patient in the ASC.
• To meet the requirements at
§ 416.47(b), AAAHC revised its survey
procedures to ensure that surveyors use
a random selection of medical records
for review during an onsite survey.
• To meet the requirements at
§ 488.4(a)(4), AAAHC revised its
policies related to surveyor
credentialing and privileging to ensure
that surveyor’s were appropriately
privileged, credentialed and trained.
• AAAHC modified its surveyor
training program to strengthen the
Physical Environment and Life Safety
Code training to ensure that surveyors
thoroughly understand Physical
Environment and Life Safety Code and
can translate the teachings into practice
on survey.
• CMS will conduct a survey
observation, in 1 year, to validate the
implementation of AAAHC’s revised
surveyor training program for Physical
Environment and Life Safety Code and
assess the competency of the surveyor’s
ability to conduct Physical Environment
and Life Safety Code surveys in
accordance with Medicare
requirements.
• AAAHC amended its policies and
procedures to address any real or
perceived conflict of interest issues
between AAAHC’s accreditation
activities and AAAHC’s consultative
services.
• To meet the requirements at
§ 488.4(a)(6) AAAHC amended its
policies and procedures for complaints
to comply with the Medicare
requirements in Chapter 5 of the SOM.
• AAAHC revised its accreditation
decision letters to ensure they are
accurate and contain all of the required
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Jkt 217001
elements necessary for the CMS
Regional Office to render a decision
regarding deemed status of a provider.
• AAAHC modified its policies
regarding condition-level
noncompliance identified during an
initial certification survey for
participation in Medicare in accordance
with section 2005A of the SOM.
• To meet the Medicare requirements
at § 488.20(a) and § 488.28(a), AAAHC
developed a policy regarding CMS
requirements for submission of a plan of
correction by the ASC and the
completion of an onsite follow-up
survey to determine compliance with
the Medicare conditions for coverage
(CFCs) after citing condition level
noncompliance during a recertification
survey.
• AAAHC modified its policies
regarding timeframes for sending and
receiving a required plan of correction
in accordance with section 2728 of the
SOM.
• To meet the Medicare requirements
related to unannounced surveys at
2700A of the SOM, AAAHC expanded
its survey window in which
organizations could receive an
accreditation survey for deemed status.
• AAAHC modified the language
related to deferred decisions and early
survey option in its accreditation
handbook to provide clarification and
consistency between its policies and the
Medicare requirements.
• AAAHC amended its policies
regarding subsequent revisions of its
Accreditation Handbook and surveyor
tools to ensure all documents are
consistent in language and reflect CMS’s
requested changes.
B. Term of Approval
Based on the review and observations
described in section III. of this final
notice, we have determined that
AAAHC’s requirements for ASCs meet
or exceed our requirements. Therefore,
we approve AAAHC as a national
accreditation organization for ASCs that
request participation in the Medicare
program, effective December 20, 2008
through December 20, 2012.
V. Collection of Information
Requirements
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35).
Authority: Section 1865 of the Social
Security Act (42 U.S.C. 1395bb).
PO 00000
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(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; Program No. 93.774, Medicare—
Supplementary Medical Insurance Program;
and Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program)
Dated: October 2, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E8–27122 Filed 11–13–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2898–FN]
Medicare and Medicaid Programs;
Approval of the Joint Commission for
Continued Deeming Authority for
Ambulatory Surgical Centers
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Final notice.
AGENCY:
SUMMARY: This notice announces our
decision to approve the Joint
Commission for continued recognition
as a national accreditation program for
ambulatory surgical centers (ASCs)
seeking to participate in the Medicare or
Medicaid programs.
DATES: Effective Date: This final notice
is effective December 20, 2008, through
December 20, 2014.
FOR FURTHER INFORMATION CONTACT:
Laura Weber, (410) 786–0227. Patricia
Chmielewski (410) 786–6899.
SUPPLEMENTARY INFORMATION:
I. Background
Under the Medicare program, eligible
beneficiaries may receive selected
covered services in an ASC provided
certain requirements are met. Sections
1832(a)(2)(f)(i) of the Social Security Act
(the Act) authorizes the Secretary to
establish distinct criteria for facilities
seeking designation as an ASC. Under
this authority, the minimum
requirements that an ASC must meet to
participate in Medicare are set forth in
regulations at 42 CFR part 416, which
determine the basis and scope of ASC
covered services, and the conditions for
Medicare payment for facility services.
Regulations concerning provider
agreements are at 42 CFR part 489 and
those pertaining to activities relating to
the survey and certification of facilities
are at 42 CFR part 488.
Generally, to enter into an agreement,
an ASC must first be certified by a State
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14NON1
Federal Register / Vol. 73, No. 221 / Friday, November 14, 2008 / Notices
jlentini on PROD1PC65 with NOTICES
survey agency as complying with
conditions or requirements set forth in
part 416 of our regulations. Then, the
ASC is subject to regular surveys by a
State survey agency to determine
whether it continues to meet those
requirements. There is an alternative,
however, to surveys by State agencies.
Section 1865(a)(1) of the Act (as
redesignated under section 125 of the
Medicare Improvements for Patients and
Providers Act of 2008 (MIPPA) (Pub. L.
110–275)) provides that, if a provider
entity demonstrates through
accreditation by an approved national
accreditation organization that all
applicable Medicare conditions are met
or exceeded, we may ‘‘deem’’ those
provider entities as having met
Medicare requirements. (We note that
section 125 of MIPPA redesignated
subsections (b) through (e) of subsection
1865 of the Act as (a) through (d)
respectively.) Accreditation by an
accreditation organization is voluntary
and is not required for Medicare
participation.
If an accreditation organization is
recognized by the Secretary as having
standards for accreditation that meet or
exceed Medicare requirements, a
provider entity accredited by the
national accrediting body’s approved
program may be deemed to meet the
Medicare conditions. A national
accreditation organization applying for
approval of deeming authority under
part 488, subpart A, must provide us
with reasonable assurance that the
accreditation organization requires the
accredited provider entities to meet
requirements that are at least as
stringent as the Medicare conditions.
Our regulations concerning reapproval
of accrediting organizations are set forth
at § 488.4 and § 488.8(d)(3). The
regulations at § 488.8(d)(3) require
accreditation organizations to reapply
for continued approval of deeming
authority every 6 years, or sooner as we
determine. The Joint Commission’s term
of approval as a recognized
accreditation program for ASCs expires
December 20, 2008.
II. Deeming Applications Approval
Process
Section 1865(a)(3)(A) of the Act
(formerly section 1865(b)(3)(A) of the
Act) provides a statutory timetable to
ensure that our review of deeming
applications is conducted in a timely
manner. The Act provides us with 210
calendar days after the date of receipt of
an application to complete our survey
activities and application review
process. Within 60 days of receiving a
completed application, we must publish
a notice in the Federal Register that
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16:29 Nov 13, 2008
Jkt 217001
identifies the national accreditation
body making the request, describes the
request, and provides no less that a 30day public comment period. At the end
of the 210-day period, we must publish
an approval or denial of the application.
III. Provisions of the Proposed Notice
In the June 27, 2008, Federal Register
(73 FR 36518), we published a proposed
notice announcing the Joint
Commission’s request for reapproval as
a deeming organization for ASCs. In the
proposed notice, we detailed our
evaluation criteria. Under section
1865(a)(2) of the Act (formerly section
1865(b)(2)) of the Act and our
regulations at § 488.4 (Application and
reapplication procedures for
accreditation organizations), we
conducted a review of the Joint
Commission application in accordance
with the criteria specified by our
regulation, which include but are not
limited to the following:
• An onsite administrative review of
the Joint Commission’s (1) corporate
policies; (2) financial and human
resources available to accomplish the
proposed surveys; (3) procedures for
training, monitoring, and evaluation of
its surveyors; (4) ability to investigate
and respond appropriately to
complaints against accredited facilities;
and (5) survey review and decisionmaking process for accreditation.
• A comparison of the Joint
Commission’s ASC accreditation
standards to our current Medicare ASC
conditions for coverage.
• A documentation review of the
Joint Commission’s survey processes
to—
++ Determine the composition of the
survey team, surveyor qualifications,
and the ability of the Joint Commission
to provide continuing surveyor training;
++ Compare the Joint Commission’s
processes to those of State survey
agencies, including survey frequency,
and the ability to investigate and
respond appropriately to complaints
against accredited facilities;
++ Evaluate the Joint Commission’s
procedures for monitoring providers or
suppliers found to be out of compliance
with the Joint Commission program
requirements. The monitoring
procedures are used only when the Joint
Commission identifies noncompliance.
If noncompliance is identified through
validation reviews, the State survey
agency monitors corrections as specified
at § 488.7(d);
++ Assess the Joint Commission’s
ability to report deficiencies to the
surveyed facilities and respond to the
facility’s plan of correction in a timely
manner;
PO 00000
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Fmt 4703
Sfmt 4703
67523
++ Establish the Joint Commission’s
ability to provide us with electronic
data and reports necessary for effective
validation and assessment of the Joint
Commission’s survey process;
++ Determine the adequacy of staff
and other resources;
++ Review the Joint Commission’s
ability to provide adequate funding for
performing required surveys;
++ Confirm the Joint Commission’s
policies with respect to whether surveys
are announced or unannounced; and,
++ Obtain the Joint Commission’s
agreement to provide us with a copy of
the most current accreditation survey
together with any other information
related to the survey as we may require,
including corrective action plans.
In accordance with section
1865(a)(3)(A) of the Act (formerly
section 1865(b)(3)(A) of the Act), the
June 27, 2008 proposed notice also
solicited public comments regarding
whether the Joint Commission’s
requirements met or exceeded the
Medicare conditions of coverage for
ASCs. We received no public comments
in response to our proposed notice.
IV. Provisions of the Final Notice
A. Differences Between the Joint
Commission’s Standards and
Requirements for Accreditation and
Medicare’s Conditions and Survey
Requirements
We compared the standards contained
in the Joint Commission’s accreditation
requirements for ASCs and its survey
process in the Joint Commission’s
application for renewal of deeming
authority for ASCs with the Medicare
ASC conditions for participation and
our State Operations Manual (SOM).
Our review and evaluation of the Joint
Commission’s deeming application,
which were conducted as described in
section III. of this final notice, yielded
the following:
• The Joint Commission amended
their policies to eliminate the use of
supplemental findings. All survey
findings will be identified as a
requirement for improvement, and will,
therefore, require resolution through the
evidence of standards compliance
process.
• The Joint Commission modified its
evidence of standards compliance
process (ESC) to ensure that accepted
ESCs contain the critical information
necessary to provide assurance that an
identified deficiency had been
adequately corrected.
• The Joint Commission modified its
survey report to clearly identify whether
an identified deficient practice
represented condition level- or
standard-level noncompliance.
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14NON1
jlentini on PROD1PC65 with NOTICES
67524
Federal Register / Vol. 73, No. 221 / Friday, November 14, 2008 / Notices
• The Joint Commission developed
and conducted surveyor training on
CMS documentation requirements to
ensure that issues cited provide a clear
and detailed description of the deficient
practice and relevant finding.
• The Joint Commission modified its
policies regarding complaint
investigation activities to comply with
the requirements at § 488.4(a)(6) and
Chapter 5 of the SOM.
• To meet the Medicare requirements
related to unannounced surveys at
2700A of the SOM, the Joint
Commission modified its electronic
application process to no longer allow
an ASC to indicate ‘‘avoid dates’’ or ‘‘a
ready month’’ in which organizations
could receive an accreditation survey
for deemed status.
• The Joint Commission revised its
accreditation decision letters to ensure
they are accurate and contain all the
required elements necessary for the
CMS Regional Office to render a
decision regarding deemed status of a
provider.
• The Joint Commission modified its
policies regarding condition-level
noncompliance identified during an
initial certification survey for
participation in Medicare in accordance
with section 2005A of the SOM.
• To meet the requirements at
§ 416.41, the Joint Commission revised
its standards to require that patients in
Medicare-certified ASC that require
emergency treatment beyond the
capability of the ASC be transferred to
local hospitals that meet requirements
for payment of emergency services.
• To meet the requirements at
§ 416.44(a)(2), the Joint Commission
revised its standards to require
Medicare certified ASCs to provide a
separate waiting area and postanesthesia room.
• To meet the requirements at
§ 416.44(b)(1) and § 416.44(b)(5),
§ 416.45(a), and § 416.48(a), the Joint
Commission amended its Medicare
crosswalk to reflect current regulatory
language.
• To meet the requirements at
§ 416.45, the Joint Commission added a
standard requiring Medicare-certified
ASCs to ensure that licensed
independent practitioners are
accountable to the governing body.
• To meet the requirements at
§ 416.45(b), the Joint Commission added
a standard requiring Medicare-certified
ASCs to periodically review and amend
the scope of procedures performed.
• To meet the requirements at
§ 416.48, the Joint Commission added a
new standard requiring Medicarecertified ASCs to designate one
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16:29 Nov 13, 2008
Jkt 217001
individual responsible for
pharmaceutical services.
• To meet the requirements at
§ 416.49, the Joint Commission added a
standard requiring Medicare-certified
ASCs to comply with 42 CFR part 493
which requires organizations who
perform laboratory testing to maintain
compliance with Clinical Laboratory
Improvement Amendments of 1988
(CLIA ’88).
B. Term of Approval
Based on the review and observations
described in section III. of this final
notice, we have determined that the
Joint Commission’s requirements for
ASCs meet or exceed our requirements.
Therefore, we approve the Joint
Commission as a national accreditation
organization for ASCs that request
participation in the Medicare program,
effective December 20, 2008 through
December 20, 2014.
V. Collection of Information
Requirements
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35).
Authority: Section 1865 of the Social
Security Act (42 U.S.C. 1395bb).
(Catalog of Federal Domestic Assistance
Program No. 93.773, Medicare—Hospital
Insurance; Program No. 93.774, Medicare—
Supplementary Medical Insurance Program;
and Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program)
Dated: October 2, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E8–27120 Filed 11–13–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2008–N–0578]
Pediatric Advisory Committee; Notice
of Meeting
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
This notice announces a forthcoming
meeting of a public advisory committee
of the Food and Drug Administration
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
(FDA). The meeting will be open to the
public.
Name of Committee: Pediatric
Advisory Committee.
General Function of the Committee:
To provide advice and
recommendations to the agency on
FDA’s regulatory issues. The committee
also advises and makes
recommendations to the Secretary of
Health and Human Services under 45
CFR 46.407 on research involving
children as subjects that is conducted or
supported by the Department of Health
and Human Services (DHHS), when that
research is also regulated by the FDA.
Date and Time: The meeting will be
held on Tuesday, December 9, 2008,
from 3:30 p.m. to 6 p.m.
Location: The Legacy Hotel & Meeting
Centre, 1775 Rockville Pike, Rockville,
MD 20852.
˜
Contact Person: Carlos Pena, Office of
Science and Health Coordination, Office
of the Commissioner (HF–33), Food and
Drug Administration, 5600 Fishers Lane
(for express delivery, rm. 14B–08),
Rockville, MD 20857, 301–827–3340, or
˜
by e-mail: carlos.pena@fda.hhs.gov or
FDA Advisory Committee Information
Line, 1–800–741–8138 (301–443–0572
in the Washington, DC area), code
8732310001. Please call the Information
Line for up to date information on this
meeting. A notice in the Federal
Register about last minute modifications
that impact a previously announced
advisory committee meeting cannot
always be published quickly enough to
provide timely notice. Therefore, you
should always check the agency’s Web
site and call the appropriate advisory
committee hot line/phone line to learn
about possible modifications before
coming to the meeting.
Agenda: On December 9, 2008, the
Pediatric Advisory Committee will hear
and discuss the recommendation of the
Pediatric Ethics Subcommittee from its
meeting on December 9, 2008, regarding
a referral by an Institutional Review
Board of a clinical investigation that
involves both an FDA-regulated product
and research involving children as
subjects that is conducted or supported
by DHHS.
FDA intends to make background
material available to the public no later
than 2 business days before the meeting.
If FDA is unable to post the background
material on its Web site prior to the
meeting, the background material will
be made publicly available at the
location of the advisory committee
meeting, and the background material
will be posted on FDA’s Web site after
the meeting. Background material is
available at https://www.fda.gov/ohrms/
dockets/ac/acmenu.htm, click on the
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14NON1
Agencies
[Federal Register Volume 73, Number 221 (Friday, November 14, 2008)]
[Notices]
[Pages 67522-67524]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-27120]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2898-FN]
Medicare and Medicaid Programs; Approval of the Joint Commission
for Continued Deeming Authority for Ambulatory Surgical Centers
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Final notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces our decision to approve the Joint
Commission for continued recognition as a national accreditation
program for ambulatory surgical centers (ASCs) seeking to participate
in the Medicare or Medicaid programs.
DATES: Effective Date: This final notice is effective December 20,
2008, through December 20, 2014.
FOR FURTHER INFORMATION CONTACT: Laura Weber, (410) 786-0227. Patricia
Chmielewski (410) 786-6899.
SUPPLEMENTARY INFORMATION:
I. Background
Under the Medicare program, eligible beneficiaries may receive
selected covered services in an ASC provided certain requirements are
met. Sections 1832(a)(2)(f)(i) of the Social Security Act (the Act)
authorizes the Secretary to establish distinct criteria for facilities
seeking designation as an ASC. Under this authority, the minimum
requirements that an ASC must meet to participate in Medicare are set
forth in regulations at 42 CFR part 416, which determine the basis and
scope of ASC covered services, and the conditions for Medicare payment
for facility services. Regulations concerning provider agreements are
at 42 CFR part 489 and those pertaining to activities relating to the
survey and certification of facilities are at 42 CFR part 488.
Generally, to enter into an agreement, an ASC must first be
certified by a State
[[Page 67523]]
survey agency as complying with conditions or requirements set forth in
part 416 of our regulations. Then, the ASC is subject to regular
surveys by a State survey agency to determine whether it continues to
meet those requirements. There is an alternative, however, to surveys
by State agencies.
Section 1865(a)(1) of the Act (as redesignated under section 125 of
the Medicare Improvements for Patients and Providers Act of 2008
(MIPPA) (Pub. L. 110-275)) provides that, if a provider entity
demonstrates through accreditation by an approved national
accreditation organization that all applicable Medicare conditions are
met or exceeded, we may ``deem'' those provider entities as having met
Medicare requirements. (We note that section 125 of MIPPA redesignated
subsections (b) through (e) of subsection 1865 of the Act as (a)
through (d) respectively.) Accreditation by an accreditation
organization is voluntary and is not required for Medicare
participation.
If an accreditation organization is recognized by the Secretary as
having standards for accreditation that meet or exceed Medicare
requirements, a provider entity accredited by the national accrediting
body's approved program may be deemed to meet the Medicare conditions.
A national accreditation organization applying for approval of deeming
authority under part 488, subpart A, must provide us with reasonable
assurance that the accreditation organization requires the accredited
provider entities to meet requirements that are at least as stringent
as the Medicare conditions. Our regulations concerning reapproval of
accrediting organizations are set forth at Sec. 488.4 and Sec.
488.8(d)(3). The regulations at Sec. 488.8(d)(3) require accreditation
organizations to reapply for continued approval of deeming authority
every 6 years, or sooner as we determine. The Joint Commission's term
of approval as a recognized accreditation program for ASCs expires
December 20, 2008.
II. Deeming Applications Approval Process
Section 1865(a)(3)(A) of the Act (formerly section 1865(b)(3)(A) of
the Act) provides a statutory timetable to ensure that our review of
deeming applications is conducted in a timely manner. The Act provides
us with 210 calendar days after the date of receipt of an application
to complete our survey activities and application review process.
Within 60 days of receiving a completed application, we must publish a
notice in the Federal Register that identifies the national
accreditation body making the request, describes the request, and
provides no less that a 30-day public comment period. At the end of the
210-day period, we must publish an approval or denial of the
application.
III. Provisions of the Proposed Notice
In the June 27, 2008, Federal Register (73 FR 36518), we published
a proposed notice announcing the Joint Commission's request for
reapproval as a deeming organization for ASCs. In the proposed notice,
we detailed our evaluation criteria. Under section 1865(a)(2) of the
Act (formerly section 1865(b)(2)) of the Act and our regulations at
Sec. 488.4 (Application and reapplication procedures for accreditation
organizations), we conducted a review of the Joint Commission
application in accordance with the criteria specified by our
regulation, which include but are not limited to the following:
An onsite administrative review of the Joint Commission's
(1) corporate policies; (2) financial and human resources available to
accomplish the proposed surveys; (3) procedures for training,
monitoring, and evaluation of its surveyors; (4) ability to investigate
and respond appropriately to complaints against accredited facilities;
and (5) survey review and decision-making process for accreditation.
A comparison of the Joint Commission's ASC accreditation
standards to our current Medicare ASC conditions for coverage.
A documentation review of the Joint Commission's survey
processes to--
++ Determine the composition of the survey team, surveyor
qualifications, and the ability of the Joint Commission to provide
continuing surveyor training;
++ Compare the Joint Commission's processes to those of State
survey agencies, including survey frequency, and the ability to
investigate and respond appropriately to complaints against accredited
facilities;
++ Evaluate the Joint Commission's procedures for monitoring
providers or suppliers found to be out of compliance with the Joint
Commission program requirements. The monitoring procedures are used
only when the Joint Commission identifies noncompliance. If
noncompliance is identified through validation reviews, the State
survey agency monitors corrections as specified at Sec. 488.7(d);
++ Assess the Joint Commission's ability to report deficiencies to
the surveyed facilities and respond to the facility's plan of
correction in a timely manner;
++ Establish the Joint Commission's ability to provide us with
electronic data and reports necessary for effective validation and
assessment of the Joint Commission's survey process;
++ Determine the adequacy of staff and other resources;
++ Review the Joint Commission's ability to provide adequate
funding for performing required surveys;
++ Confirm the Joint Commission's policies with respect to whether
surveys are announced or unannounced; and,
++ Obtain the Joint Commission's agreement to provide us with a
copy of the most current accreditation survey together with any other
information related to the survey as we may require, including
corrective action plans.
In accordance with section 1865(a)(3)(A) of the Act (formerly
section 1865(b)(3)(A) of the Act), the June 27, 2008 proposed notice
also solicited public comments regarding whether the Joint Commission's
requirements met or exceeded the Medicare conditions of coverage for
ASCs. We received no public comments in response to our proposed
notice.
IV. Provisions of the Final Notice
A. Differences Between the Joint Commission's Standards and
Requirements for Accreditation and Medicare's Conditions and Survey
Requirements
We compared the standards contained in the Joint Commission's
accreditation requirements for ASCs and its survey process in the Joint
Commission's application for renewal of deeming authority for ASCs with
the Medicare ASC conditions for participation and our State Operations
Manual (SOM). Our review and evaluation of the Joint Commission's
deeming application, which were conducted as described in section III.
of this final notice, yielded the following:
The Joint Commission amended their policies to eliminate
the use of supplemental findings. All survey findings will be
identified as a requirement for improvement, and will, therefore,
require resolution through the evidence of standards compliance
process.
The Joint Commission modified its evidence of standards
compliance process (ESC) to ensure that accepted ESCs contain the
critical information necessary to provide assurance that an identified
deficiency had been adequately corrected.
The Joint Commission modified its survey report to clearly
identify whether an identified deficient practice represented condition
level- or standard-level noncompliance.
[[Page 67524]]
The Joint Commission developed and conducted surveyor
training on CMS documentation requirements to ensure that issues cited
provide a clear and detailed description of the deficient practice and
relevant finding.
The Joint Commission modified its policies regarding
complaint investigation activities to comply with the requirements at
Sec. 488.4(a)(6) and Chapter 5 of the SOM.
To meet the Medicare requirements related to unannounced
surveys at 2700A of the SOM, the Joint Commission modified its
electronic application process to no longer allow an ASC to indicate
``avoid dates'' or ``a ready month'' in which organizations could
receive an accreditation survey for deemed status.
The Joint Commission revised its accreditation decision
letters to ensure they are accurate and contain all the required
elements necessary for the CMS Regional Office to render a decision
regarding deemed status of a provider.
The Joint Commission modified its policies regarding
condition-level noncompliance identified during an initial
certification survey for participation in Medicare in accordance with
section 2005A of the SOM.
To meet the requirements at Sec. 416.41, the Joint
Commission revised its standards to require that patients in Medicare-
certified ASC that require emergency treatment beyond the capability of
the ASC be transferred to local hospitals that meet requirements for
payment of emergency services.
To meet the requirements at Sec. 416.44(a)(2), the Joint
Commission revised its standards to require Medicare certified ASCs to
provide a separate waiting area and post-anesthesia room.
To meet the requirements at Sec. 416.44(b)(1) and Sec.
416.44(b)(5), Sec. 416.45(a), and Sec. 416.48(a), the Joint
Commission amended its Medicare crosswalk to reflect current regulatory
language.
To meet the requirements at Sec. 416.45, the Joint
Commission added a standard requiring Medicare-certified ASCs to ensure
that licensed independent practitioners are accountable to the
governing body.
To meet the requirements at Sec. 416.45(b), the Joint
Commission added a standard requiring Medicare-certified ASCs to
periodically review and amend the scope of procedures performed.
To meet the requirements at Sec. 416.48, the Joint
Commission added a new standard requiring Medicare-certified ASCs to
designate one individual responsible for pharmaceutical services.
To meet the requirements at Sec. 416.49, the Joint
Commission added a standard requiring Medicare-certified ASCs to comply
with 42 CFR part 493 which requires organizations who perform
laboratory testing to maintain compliance with Clinical Laboratory
Improvement Amendments of 1988 (CLIA '88).
B. Term of Approval
Based on the review and observations described in section III. of
this final notice, we have determined that the Joint Commission's
requirements for ASCs meet or exceed our requirements. Therefore, we
approve the Joint Commission as a national accreditation organization
for ASCs that request participation in the Medicare program, effective
December 20, 2008 through December 20, 2014.
V. Collection of Information Requirements
This document does not impose information collection and
recordkeeping requirements. Consequently, it need not be reviewed by
the Office of Management and Budget under the authority of the
Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35).
Authority: Section 1865 of the Social Security Act (42 U.S.C.
1395bb).
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance; Program No. 93.774, Medicare--
Supplementary Medical Insurance Program; and Catalog of Federal
Domestic Assistance Program No. 93.778, Medical Assistance Program)
Dated: October 2, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. E8-27120 Filed 11-13-08; 8:45 am]
BILLING CODE 4120-01-P