This action is expected to “address issues that arose during the implementation of the 2012 update to the HCS, and provide better alignment with other U.S. agencies and international trading partners, without lowering overall protections of the standard,” according to OSHA’s proposed rulemaking.

CMS’ Quality, Safety & Oversight Group promised new guidance to AOs on when to suspend surveys as part of an announcement on January 20 that the agency was temporarily suspending or limiting on-site surveys because of the COVID-19 patient surge. CMS told its own state survey agencies in January it was putting a general hold on hospital surveys, except for those dealing with immediate jeopardy situations, for at least 30 days, in recognition of growing COVID-19 patient surges in many areas.

Providers will have at least 60 days’ notice before the blanket waivers of certain Medicare Conditions of Participation and Conditions of Coverage will no longer be in effect. And you will have at least that much time to come into compliance. But you will still have to be in compliance when those waivers, which have allowed providers certain flexibilities to put resources and energy into meeting the challenges of the COVID-19 patient surges, end along with the PHE.

CMS officials said complaint investigations must and still will be carried out, but that to “ensure quality of care oversight, while providing hospitals the ability to focus on serving their patients and communities,” the federal agency is limiting the scope of hospital surveys for at least the next 30 days, with the potential for 30-day renewals to follow.

Long-discussed and first announced last fall, the new and revised requirements on workplace violence prevention are in the Environment of Care, Human Resources, and Leadership standard chapters.

DNV is also required to do another full reaccreditation survey onsite within nine months of the end of the PHE, said the announcement. Expect The Joint Commission and HFAP to follow suit as they work out details with CMS. However, the CEO for the Center for Improvement in Healthcare Quality said his AO was unlikely to change its current survey process.

As part of the Acute Hospital Care At Home program, CMS has established an online portal to expedite waivers of the Hospital Conditions of Participation statute. The statute includes several requirements for inpatient-level care, including the 24/7 availability of nursing services on the premises of a hospital-level care setting.

Six health systems have been approved for the new waivers and include Brigham and Women’s Hospital; Huntsman Cancer Institute; Massachusetts General Hospital; Mount Sinai Health System; Presbyterian Healthcare Services; and UnityPoint Health. CMS expects new applications to be submitted.

During one of the ever-popular sessions at the American Society for Health Care Engineering annual conference, top TJC executives reviewed problems and solutions, and offered a rundown of what facility and compliance managers can look forward to during upcoming surveys.

All accreditation organizations as well as CMS are working on backlogs of surveys delayed by the public health emergency (PHE) declared in March. Waivers will no longer be allowed once that PHE is lifted. As many facilities have had their hands full with patient surges from COVID-19, the illness caused by the 2019 novel coronavirus, they’ll have work to do to ensure their environment of care is brought up to speed.