Long-Term Care Survey Alert
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The latest guidance from CMS on F411 was issued in 2009, the “Updated Guidance to Surveyors for 42 CFR 483.65 [Federal tag F441 — Infection Control).” Even then, the feds were pushing surveyors to investigate the appropriateness and effectiveness of antibiotics for residents receiving antibiotics, notes the Wisconsin coalition.
To read the guidance, go to www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Downloads/SCLetter09_54.pdf.
For more insights about the problem of the overuse of antibiotics in nursing see “Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual Residents.” (JAMA Internal Medicine, doi 10.1001/jamainternmed.2015.2770) published online on June 29, 2015 at archinte.jamanetwork.com/article.aspx?articleid=2337257.
A related invited commentary by Lona Mody, MD, MSc, and Christopher Crnich, MD, PhD, “Effects of Excessive Antibiotic Use in Nursing Homes” is also available at archinte.jamanetwork.com/onlineFirst.aspx.
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