Deemed status is a hospital accreditation for

hospitals in the United States A hospital is a health care institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emerge ...

Getting deemed status

Meeting Conditions for Coverage and Conditions of Participation

For any organization to receive funding from

Centers for Medicare and Medicaid Services The Centers for Medicare & Medicaid Services (CMS), is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer M ...

(CMS), that organization must meet either the "Conditions for Coverage" or the "Conditions of Participation". These are a set of minimal standards which must be met before CMS will ever issue any reimbursement for Medicare and Medicaid Services. Two kinds of organizations can review a health care provider to check for compliance with these conditions - either a state level agency acting on behalf of CMS, or a national accreditation agency like the

Joint Commission The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majori ...

. Examples of some of the areas of focus for these minimal guidelines are the

End Stage Renal Disease Program In 1972 the United States Congress passed legislation authorizing the End Stage Renal Disease Program (ESRD) under Medicare. Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage ...

, ambulatory surgical centers, and

organ procurement organization In the United States, an organ procurement organization (OPO) is a non-profit organization that is responsible for the evaluation and procurement of deceased-donor organs for organ transplantation. There are 57 such organizations in the United Sta ...

s. The standards for care for

nursing homes A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to in ...

were distributed as a result of the

Nursing Home Reform Act The Nursing Home Reform Act is a part of the Omnibus Budget Reconciliation Act of 1987 which gives guidelines to regulate nursing home care in the United States. The act was intended to advance nursing home residents' rights. Background A 1986 stud ...

Outpatient clinics A clinic (or outpatient clinic or ambulatory care clinic) is a health facility that is primarily focused on the care of outpatients. Clinics can be privately operated or publicly managed and funded. They typically cover the primary care needs ...

cannot receive deemed status. A consequence of this is that the

CMS CMS may refer to: Computing * Call management system * CMS-2 (programming language), used by the United States Navy * Code Morphing Software, a technology used by Transmeta * Collection management system for a museum collection * Color manag ...

payment systems can be more complicated at small clinics than at large hospitals for the same procedures. Conditions for Coverage and Conditions of Participation apply to these kinds of organizations: *Ambulatory Surgical Centers (ASCs) *Community Mental Health Centers (CMHCs) *Comprehensive Outpatient Rehabilitation Facilities (CORFs) *Critical Access Hospitals (CAHs) *End-Stage Renal Disease Facilities *Federally Qualified Health Centers *Home Health Agencies *Hospices *Hospitals *Hospital Swing Beds *Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) *Organ Procurement Organizations (OPOs) *Portable X-Ray Suppliers *Programs for All-Inclusive Care for the Elderly Organizations (PACE) *Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services *Psychiatric Hospitals *Religious Nonmedical Health Care Institutions *Rural Health Clinics *Long Term Care Facilities *Transplant Centers When any of these organizations are reviewed, the survey checks

quality assurance Quality assurance (QA) is the term used in both manufacturing and service industries to describe the systematic efforts taken to ensure that the product(s) delivered to customer(s) meet with the contractual and other agreed upon performance, design ...

and not "continuous quality improvement". In other words, the process checks for minimal expectations, and not to see whether the facility is actually improving.

History

In 1994 about 5000 hospitals were eligible to receive CMS funding as a result of being reviewed by the

. The

Medicare Improvements for Patients and Providers Act of 2008 The Medicare Improvements for Patients and Providers Act of 2008 ("MIPPA"), is a 2008 statute of United States Federal legislation which amends the Social Security Act. On July 15, 2008, President George W. Bush vetoed the bill. On that same day ...

removed the deemed status of the Joint Commission and directed it to re-apply to CMS to seek continued authority to review hospitals for CfC and CoP.

References

{{reflist Accreditation Medicare and Medicaid (United States) Quality assurance Health care quality