OIG Report: CMS Reliance on Accreditation Surveys Fails to Ensure Quality Care at NY Hospice

July 1, 2015 | Strategic Insights for Health System


The Centers for Medicare and Medicaid Services' (CMS) reliance on the results of accreditation surveys was insufficient to ensure quality care at a New York hospice facility, concludes a June 2015 report from the U.S. Department of Health and Human Services' Office of Inspector General (OIG). Specifically, OIG found that the hospice provider did not meet certain federal and state requirements, including those related to criminal background checks, health assessments, professional licensing and experience, training, and performance evaluations. Of 100 workers selected in a random sample by OIG, 51 lacked the employee documentation required to demonstrate compliance with one or more of these requirements.

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