If you’re wondering what the hospice Special Focus Program might look like when it’s officially proposed, you can check out the latest update to the similar Special Focus Facilities program for nursing homes. Reminder: After convening a Technical Expert Panel, the Centers for Medicare & Medicaid Services plans to propose SFP particulars in the 2024 rulemaking cycle next year (see HHHW, Vol. XXXI, No. 27). In its new SFF update, CMS “is increasing scrutiny and oversight over the country’s poorest-performing nursing facilities in an effort to immediately improve the care they deliver,” the agency says in a release. “CMS will toughen requirements for completion of the program and increase enforcement actions for facilities that fail to demonstrate improvement. CMS is also calling on states to consider a facility’s staffing level in determining which facilities enter the SFF Program,” the agency says. “Let us be clear: we are cracking down on enforcement of our nation’s poorest-performing nursing homes,” HHS Secretary Xavier Becerra says in the release. “We are increasing scrutiny and taking aggressive action to ensure everyone living in nursing homes gets the high-quality care they deserve. We are demanding better, because our seniors deserve better,” Becerra pledges.
“People in this country’s nursing homes deserve access to safe and high-quality care, and facilities that aren’t providing that level of service need to improve their performance or face the consequences,” CMS Administrator Chiquita Brooks- LaSure adds in the release. “Poor-performing nursing homes have the opportunity to improve, but if they fail to do so, the changes we are making to CMS’ Special Focus Facilities Program will hold these facilities accountable for the health and safety of their residents,” Brooks-LaSure says. “More severe, escalating enforcement remedies” and termination for Immediate Jeopardy citations are some of the revisions, CMS says. Read about the revisions at www.cms. gov/files/document/qso-23-01-nh.pdf.