A Proactive Approach to the Survey Process

1
A Proactive Approach to the Survey Process

• Beth Hurley, RN, BSN, CRNO, COE
• Ophthalmic Surgery Resources, Inc.

2
Know your state rules

• Where to find State regulations
• Some states are easy check out Texas
• www.dshs.state.tx.us/HFP/asc.shtm
• Dont know who to contact
• www.cms.hhs.gov/SurveyCertificationGenInfo/Downloa
  ds/State_Agency_Contacts.pdf

3
Know what they want CMS

• CMS Conditions for coverage and standards
• www.cms.hhs.gov/manuals/downloads/som107ap_l_ambul
  atory.pdf
• State Operations Manual
• Appendix L Guidance to Surveyors
• Ambulatory Surgical Services

4
Want to know more

• CMS web page dedicated to ASC information
• Approved codes and payment rates
• Billing and coding
• Enrollment and participation
• Educational resources/Contacts/How to stay
  informed
• Federal register notices
• www.cms.hhs.gov/center/asc.asp

5
Have a say

• Spotlights
• CMS-3887-P - Ambulatory Surgical Centers,
  Conditions for Coverage (Comments due no later
  than 500pm on October 30, 2007)
• Updated Ambulatory Surgical Center Payment
  Information for Value-Driven Health Care (posted
  August 29, 2007)
• CMS-1517-F - Revised Payment System Policies for
  Services Furnished in Ambulatory Surgical Centers
  (ASCs) Beginning in CY 2008, on display in the
  Federal Register July 16, 2007
• CMS-1392-P - Proposed Changes to the Hospital
  Outpatient Prospective Payment System and CY 2008
  Payment Rates Proposed Changes to the Ambulatory
  Surgical Center Payment System and CY 2008
  Payment Rates (Comments due no later than 500pm
  on September 14, 2007)

6
Participate

• Belong to a professional organization
• Outpatient Ophthalmic Surgical Society
• www.ooss.org
• American Association of Ambulatory Surgery
  Centers
• www.aaasc.org
• FASA
• www.fasa.org

7
Become accredited

• Accreditation Association for Ambulatory Health
  Care (AAAHC)
• www.aaahc.org
• American Association for Accreditation of
  Ambulatory Surgical Facilities
• www.aaaasf.org
• The Joint Commission for the Accreditation of
  Healthcare Organizations (JCAHO)
• www.jointcommission.org
• The following states recognizing accreditation
  for ASC
• Arizona, Arkansas, Florida, Georgia, Nebraska,
  Nevada, Ohio, Rhode Island,
• Texas, Wyoming

8
Educate yourself

• American Society of Ophthalmic Registered Nurses
• www.asorn.org
• AORN
• www.aorn.org/Education/ProfessionalDevelopment
• Check out the Ambulatory Surgery Administrator
  Certificate Program (they also have an Advanced
  Program and Peri-op 101)
• CASACertified Administrator Surgery Center
• www.aboutcasc.org

9
Know when to seek help!

• If your facility has more than (4) deficiencies
• If your facility fails a follow up survey
• If you cant find your Policy and Procedure
  Manual, Quality Assurance Program or Medical
  Staff credentialing files
• If no one in the facility realized that there are
  rules and regulations!

10
Contact information

• Beth Hurley, RN, BSN, CRNO, COE
• Ophthalmic Surgery Resources, Inc.
• [phone]
• hurleybeth_at_aol.com