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CMS Announces Membership of Independent Coronavirus Commission
on Safety and Quality in Nursing Homes
Today, Centers for
Medicare & Medicaid Services (CMS) announced that the MITRE Corporation
has published the membership of the independent Coronavirus Commission on Safety and Quality in Nursing
Homes. CMS, under the leadership of President Trump and his Plan
to Open Up America Again, seeks an independent review and comprehensive
assessment of the nursing home response to the Coronavirus Disease 2019
(COVID-19) pandemic. The agency tasked the contractor, MITRE, to solicit
membership applications, select the members, and facilitate the Commission’s
work. The Commission’s review will help inform current and future responses
to COVID-19 and potential future infectious disease outbreaks within nursing
homes.
“The unique vulnerability
of nursing homes – populated by frail, elderly residents living in close
quarters – to a highly contagious, deadly disease like COVID-19 has placed
nursing homes at the center of America’s pandemic response. CMS has acted
swiftly and decisively to promote infection control and maximize transparency
and accountability. We mourn the precious lives lost in nursing homes, and
commit to refining and perfecting our approach with the help of the
Coronavirus Commission on Nursing Home Safety and Quality. The members of the
Commission are talented, experienced, and deeply committed to this
population. We congratulate them on their selection and look forward to
working closely with them,” said CMS Administrator Seema Verma.
The Commission will
conduct a comprehensive assessment of the overall response to the COVID-19
pandemic in nursing homes. Based on its assessment, the Commission will make
recommendations on actions and best practices for immediate and future actions.
Three key areas of focus for the Commission include:
- Ensuring
nursing home residents are protected from COVID-19 and improving the
responsiveness of care delivery to maximize the quality of life for
residents;
- Strengthening
efforts to enable rapid and effective identification and mitigation of
COVID-19 transmission (and other infectious disease) in nursing homes;
and
- Enhancing
strategies to improve compliance with infection control policies in
response to COVID-19.
The 25-member Commission
is diverse, representing a variety of expertise, affiliations, backgrounds,
and geography, including resident advocates, infectious disease experts,
directors and administrators of nursing homes, academics, state authorities,
clinicians, a medical ethicist and a nursing home resident. In addition to
the official Commission members, there may also be additional members added
to help bring additional viewpoints and insights. MITRE will convene and
moderate the Commission throughout the summer of 2020. CMS anticipates the
Commission’s final report in fall of 2020.
The Commission members
are:
- Roya
Agahi, RN, MS HCM, WCC; Chief
Nursing Officer, formerly of NYC Health + Hospitals, soon to be of
CareRite, New York
- Lisa
M. Brown, PhD, ABPP; Professor of
Psychology, Palo Alto University, California
- Mark
Burket, CEO, Platte Health
Center Avera, South Dakota
- Eric
M. Carlson, JD;
Directing Attorney, Justice in Aging, California
- Michelle
Dionne-Vahalik, DNP, RN;
Associate Commissioner, State Health and Human Services Commission,
Texas
- Debra
Fournier, MSB, BSN, ANCC RN-BC, LNHA,
CHD, CPHQ; COO, Veterans’ Homes, Maine
- Terry
T. Fulmer, PhD, RN, FAAN; President,
The John A. Hartford Foundation, New York
- Candace
S. Goehring, MN, RN;
Director, State Department of Social and Health Services, Aging and
Long-Term Support Administration, Washington
- David
C. Grabowski, PhD;
Professor of Healthcare Policy, Harvard University, Massachusetts
- Camille
Rochelle Jordan, RN, BSN,
MSN, APRN, FNP-C, CDP; Senior Vice President of Clinical Operations
& Innovations, Signature Healthcare, Kentucky
- Jessica
Kalender-Rich, MD, CMD,
AGSF, FAAHPM, FACP; Medical Director, Post-Acute Care, University of
Kansas Health System, Kansas
- Marshall
Barry Kapp, JD, MPH;
Professor Emeritus of Law, Florida State University, Florida
- Morgan
Jane Katz, MD, MHS; Assistant
Professor of Medicine, Johns Hopkins University, Maryland
- Beverley
L. Laubert, MA;
State Long-Term Care Ombudsman, State Department of Aging, Ohio
- Rosie
D. Lyles, MD, MHA, MSc, FACA;
Director of Clinical Affairs, Medline Industries, Illinois
- Jeannee
Parker Martin, MPH,
BSN; President and CEO, LeadingAge California
- G.
Adam Mayle, CHFM,
CHC, CHE; Administrative Director of Facilities, Memorial Healthcare
System, Florida
- David
A. Nace, MD, MPH, CMD; President,
AMDA – The Society for Post-Acute and Long-Term Care Medicine,
Pennsylvania
- Lori
Porter, LNHA, CNA; CEO, National
Association of Health Care Assistants, Missouri
- Neil
Pruitt, Jr., MBA,
MHA, LNHA; Chairman and CEO, PruittHealth, Inc., Georgia
- Penelope
Ann Shaw, PhD; Nursing Home Resident
and Advocate, Braintree Manor Healthcare, Massachusetts
- Lori
O. Smetanka, JD;
Executive Director, National Consumer Voice for Quality Long-Term Care, Maryland
- Janet
Snipes, LNHA; Executive Director,
Holly Heights Nursing Home, Colorado
- Patricia
W. Stone, PhD, MPH, FAAN, RN, CIC;
Professor of Health Policy in Nursing, Columbia University, New York
- Dallas
Taylor, BSN, RN; Director of
Nursing, Eliza Bryant Village, Ohio
This Commission builds
upon the agency’s five-part plan unveiled in April 2019
to ensure safety and quality in America’s nursing homes, as well as recent CMS
efforts to combat the spread of COVID-19 within these facilities.
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CMS
Public Health Action for Nursing Homes on COVID-19 as of June 4, 2020
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February 6, 2020
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CMS took action to prepare the nation’s
healthcare facilities for the COVID-19 threat.
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March 4, 2020
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CMS issued new guidance related to the screening of
entrants into nursing homes.
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March 10, 2020
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CMS issued guidance related to the use of
personal protective equipment (PPE).
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March 13, 2020
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CMS issued guidance for a nationwide restriction
on nonessential medical staff and all visitors.
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March 20, 2020
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CMS announced a suspension of routine
inspections, and an exclusive focus on immediate jeopardy situations and
infection control inspections.
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March 30, 2020
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CMS announced that hospitals,
laboratories, and other entities can perform tests for COVID-19 on people
at home and in other community-based settings outside of the hospital –
including nursing homes.
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April 2, 2020
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CMS issued a call to action for nursing homes and
state and local governments reinforcing infection control responsibilities
and urging leaders to work closely with nursing homes on access to testing
and PPE.
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April 15, 2020
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CMS announced the agency will nearly
double payment for certain lab tests that use high-throughput technologies
to rapidly diagnose large numbers of COVID-19 cases.
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April 19, 2020
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CMS announced it will require nursing
homes to report cases of COVID-19 to all residents and their families, as
well as directly to the CDC. On May 1, 2020, CMS proposed policy in an
Interim Final Rule.
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April 30, 2020
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CMS announced the
formation of a Commission that will conduct a comprehensive assessment of
the nursing home response to COVID-19.
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May 6, 2020
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CMS released a memorandum to State Survey Agency
directors with more details on the reporting requirement announced on April
19.
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May 13, 2020
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CMS published a new
toolkit comprised of recommendations and best practices from a variety of
front line health care providers, governors’ COVID-19 task forces,
associations and other organizations and experts and is intended to serve
as a catalogue of resources dedicated to addressing the specific challenges
facing nursing homes as they combat COVID-19. Toolkit is found here: Toolkit
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May 18, 2020
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CMS
issued guidance for state and local
officials on the reopening of nursing homes.
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June 1, 2020
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CMS issued guidance to states on COVID-19 survey
activities, CARES Act funding, enhanced enforcement for infection control
deficiencies, and quality improvement activities in nursing homes. CMS also
issued a letter to Governors.
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June 4, 2020
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CMS post first set of
underlying COVID-19 nursing home data and results from targeted inspections
conducted by the agency since March 4, 2020 linked on Nursing Home Compare.
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Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.
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