School of Medicine, Regenstrief Institute, Indiana University, Indianapolis, Indiana.
Department of Integrated Medical Science, Charles E. Schmidt College of Medicine and Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, Florida.
J Am Geriatr Soc. 2018 Jan;66(1):191-194. doi: 10.1111/jgs.15128. Epub 2017 Nov 20.
The Centers for Medicare and Medicaid Services (CMS) finalized a comprehensive update to nursing home requirements of participation in October 2016. Nearly 10,000 public comments were received regarding the proposed rule, and CMS made multiple modifications based on comments from providers, advocacy organizations, and others before issuing the final rule. The final rule describing nursing home requirements of participation modernizes nursing home regulation. It is being implemented in three phases-beginning in November 2016, November 2017, and November 2019. There are multiple provisions that have implications for clinicians caring for nursing home residents, particularly in terms of management of infections, medication prescribing and monitoring, and delegation of medical orders.
医疗保险和医疗补助服务中心（CMS）于 2016 年 10 月最终确定了对参与养老院要求的全面更新。关于拟议规则，CMS 收到了近 10000 条公众意见，并根据提供者、宣传组织和其他方面的意见进行了多次修改，然后发布了最终规则。描述养老院参与要求的最终规则使养老院监管现代化。该规则分三个阶段实施-从 2016 年 11 月、2017 年 11 月和 2019 年 11 月开始。有多项规定对护理养老院居民的临床医生具有影响，特别是在感染管理、药物开处方和监测以及医疗命令的委托方面。
