1. New CMS Regulations
Late Breaking Update

2. Key Points
Develop an Infection Prevention and Control Program (IPCP) that includes an Antibiotic Stewardship Program
Designate at least one Infection Preventionist (IP)

3. Dates Phase 1- November 28, 2016 Phase 2- November 28, 2017
Expected to cost $19,000 per facility annually

4. Phase 1
Infection control

5. New wording
When and how isolation should be used for a resident, including but not limited to, (A) the type and duration of the isolation depending upon the infectious agent or organism involved, and a requirement that the isolation should be the least restrictive possible for the resident under the circumstances

6. Phase 2
Facility Assessment at §483.70(e)
Antibiotic stewardship

7. Facility Assessment 483.70(e)
A system for presenting, identifying, reporting, investigating, and controlling infections and communicable disease for all residents, staff, volunteers, visitors, and other individuals providing service under a contractual agreement that based on the facility assessment

8. Resident Population Facility’s capacity and occupancy
Care required by the residents considering types of disease, conditions, physical and cognitive disabilities, overall acuity and other pertinent facts
Staff competencies to provide resident care
Physical environment, equipment, services and other considerations
Any ethnic, cultural or religious factors

9. Facility Resources Building and structures
Equipment (medical and non-medical)
Services provided (PT, pharmacy, rehabilitation)
Personnel
Contracts and agreements
Health information management
All-hazards assessment community-based

10. Antibiotic stewardship program
Antibiotic use protocols
System to monitor antibiotic use

11. Phase 3
Infection Preventionist (IP)
IP participation on QAA committee

12. Infection Preventionist (IP)
Designate one or more individuals as the IP
IP is responsible for the IPC program
Has primary training in nursing, medical technology, microbiology, epidemiology or other related field
Be qualified by education, training, experience, or certification
Work at least part-time
Have completed specialized training in IPC

13. Other requirements IP must be a member and report on a regular basis
Policies on influenza and pneumococcal vaccination
Education provided prior to immunization
Influenza offered October 1 to March 31
Documentation in the medical record
Annual review of IPC program

14. Infection Prevention and Control Program
Written standard, policies, and procedures
System of surveillance to identify possible communicable diseases and infections
When and whom possible incidents are reported
Standard and transmission based precautions
When and how isolation is used
Type and duration of isolation; least restrictive measure
Employee work restrictions
Hand hygiene
Corrective actions taken