Center for Improvement in Healthcare Quality Newsletter
March 2022

ARS Regulatory Alerts

CIHQ-ARS notifies member organizations of any new or modified accreditation standard, or CMS COP for acute care hospitals. Each alert summarizes the standard / regulation, likely impact to members, and recommends compliance strategies. Whenever possible, alerts are limited to one-page in length so that they can be quickly read and disseminated.

New Regulatory Alert

Alert Date
February 4, 2022
Alert Subject
CMS Eliminates Use Of Focused Covid-19 Infection Control Audit Tool
Source
CIHQ TJC OSHA NFPA
CMS CDC NIOSH Other:
Alert Background
In a letter to State enforcement agencies (SA’) dated updated 2/4/22, CMS announced that it is no longer requiring the use of its focused infection control (FIC) survey and tool on a national basis. Surveyors will continue to evaluate infection prevention and control elements related to COVID-19 through the existing survey process, while incorporating lessons learned about infection control oversight during the public health emergency. State Survey Agencies (SAs) & Accrediting Organizations (AOs) may continue to use the targeted FIC survey, on a case-by-case basis, if warranted.
Discussion & Recommendations
To view the discussion & recommendations CIHQ Accredited Hospitals can download this alert in its entirety when logged-in/connected to your facility's CIHQ intranet site. All alerts are archived in the CIHQ intranet site for future access and reference.
Not a CIHQ Accredited Facility?
» CIHQ accredits a variety of healthcare organizations throughout the United States and abroad. Visit CIHQ.org to learn more, and to apply.

New Regulatory Alert

Alert Date
February 7, 2022
Alert Subject
CMS Relaxes Visiting Restrictions Related To Covid-19
Source
CIHQ TJC OSHA NFPA
CMS CDC NIOSH Other:
Alert Background
In a letter to State enforcement agencies (SA’) updated on 2/4/22, CMS issued guidance relaxing COVID-19 visiting restrictions in hospitals and other facilities. CMS indicated continued federal guidance on visitation restrictions for facilities are no longer necessary, which is consistent with the nursing home guidance in QSO-22-39. Facilities should continue to adhere to basic COVID-19 infection prevention principles consistent with national standards of practice.
CMS went on to state that: “In light of the uncertain impact of COVID-19 variants, there may be more prescriptive state requirements that necessitate continued visitation restrictions or additional steps such as screening of employees, visitors, patients, clients, and residents during the PHE. Facilities should continue to consult with state and local public health officials to determine if modifications to visitation and screening are appropriate on a case by case basis.
These more prescriptive state health requirements may impose reasonable limits on visitation insofar as they involve public health precautions; however, pursuant to regulations such as 42 CFR 482.13(h), §483.420(a)(9) and §418.110(e) patients have a federal right to receive visitors at any time, subject to minimal restrictions.”
Discussion & Recommendations
To view the discussion & recommendations CIHQ Accredited Hospitals can download this alert in its entirety when logged-in/connected to your facility's CIHQ intranet site. All alerts are archived in the CIHQ intranet site for future access and reference.
Not a CIHQ Accredited Facility?
» CIHQ accredits a variety of healthcare organizations throughout the United States and abroad. Visit CIHQ.org to learn more, and to apply.