Staying updated with survey processes in hospice care is important for organizations working towards quality, safety and operational efficiency. Significant changes in the hospice survey landscape in 2023, driven by efforts to address concerns identified by the Office of Inspector General in 2019, have implications extending into 2024.

Key developments include revisions to survey procedures mandated by the Consolidated Appropriations Act of 2021, emphasizing multidisciplinary team involvement. Regulatory updates in 2023, such as enforcement remedies and the publication of survey results by the Centers for Medicare and Medicaid Services (CMS), underscore the sector’s focus on accountability and transparency.

To navigate this evolving landscape, hospice agencies must prioritize compliance, quality of care and patient safety, necessitating comprehensive pre-survey assessments and collaboration among interdisciplinary teams. The establishment of the Hospice Special Focus Program by CMS aims to address underperforming hospices through increased regulatory oversight.

Practical tips for survey preparedness include creating a welcoming environment for surveyors and leveraging technology for compliance and quality improvement. By implementing these and other strategies, hospice agencies can work towards improving their survey outcomes.

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