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5 Innovations in Infection Prevention - June 2018 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Surgical Hospitals Stripped of Hospital Status Medicare targeting facilities that don't keep enough patients overnight. W hen is a surgical hospital not a hospital? When it doesn't keep enough patients overnight, according to CMS, which terminated a surgical hospital's Medicare designation as a hospital because it failed to meet Medicare standards for hospital enrollment. In other words, the hospital treated too few inpatients relative to its number of outpatients to qualify as a hospital. While Medicare's Conditions of Participation have always required that a hospital be "primarily engaged" in treating inpatients, it never specified what a hospital had to do to meet this requirement. But now we have a better sense of Medicare's daily census (at least 2 inpa- tients) and length-of-stay (at least 2 midnights) requirements. Inpatient-to-outpatient ratio State health officials conducted an unannounced survey of Blue Valley Hospital (BVH) in Overland Park, Kan., last November and found BVH, which specializes in weight-loss surgery, did not have any inpa- tients at the time. A subsequent state report cited hospital-provided data showing about 309 outpatient surgeries over a yearlong period, compared with 146 inpatient surgeries. CMS determined that Blue 2 6 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • J U N E 2 0 1 8 Legal Update Lorin Patterson and Robert M. Holland • INPATIENT CARE Surgical hospitals that don't treat enough inpatients could lose their CMS hospital designation.

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