Regulation
§ 494.70(a) - Standard: Patients’ rights. The patient has the right to— (1) Respect, dignity, and recognition of his or her individuality and personal needs, and sensitivity to his or her psychological needs and ability to cope with ESRD; Interpretive Guidance §494.70(a)(1)
What is V452?
Refers to the number of people or locations affected by a deficiency, and this refers to the level of harm to health or safety resulting from that deficiency
What is scope and severity?
Located on the "Basic Information" page when attached to a survey.
What is a Complaint?
The speed at which fluid is removed is called this.
What is the Ultrafiltration Rate? (UFR)
Guidance for determining immediate and serious threat to patient health and safety.
What is appendix Q?
The facility’s interdisciplinary team, consists of, at a minimum, the patient or the patient’s designee (if the patient chooses), a registered nurse, a physician treating the patient for ESRD, a social worker, and a dietitian. The interdisciplinary team is responsible for providing each patient with an individualized and comprehensive assessment of his or her needs. The comprehensive assessment must be used to develop the patient’s treatment plan and expectations for care.
What is V501?
A situation where a healthcare provider's failure to follow regulations has caused, or is likely to cause, serious injury, harm, impairment, or death to a patient or resident
What is Immediate Jeopardy?
A web-based platform used by the Centers for Medicare & Medicaid Services (CMS) to collect and analyze patient assessment data and oversee healthcare facility compliance with Medicare and Medicaid regulations.
What is iQIES?
A synthetic tube surgically placed to connect an artery and a vein, creating a path for blood to be accessed for cleaning by a hemodialysis machine
What is a Graft?
Per POD, a citation relevant facts and findings should answer these.
What is Who, What, When, Where, and Why?
(b) Standard: Frequency of assessment for patients admitted to the dialysis facility. (1) An initial comprehensive assessment must be conducted on all new patients (that is, all admissions to a dialysis facility), within the latter of 30 calendar days or 13 hemodialysis sessions beginning with the first dialysis session.
What is V516?
CMS guidance on how to structure a deficiency statement on the Form CMS-2567.
What is the "Principles of Documentation?" (POD)
When documenting if a citation is related to findings on a Recertification Survey or is related to findings on a Complaint that is attached to the survey, you click on this on the "Citations" page.
What is "Manage Survey Categories?"
A surgically created arteriovenous (AV) connection between an artery and a vein.
What is a Fistula?
Prevalence or frequency of a deficient practice and is a numerical quantification of the deficient practice.
What is the Extent?
Achieve and sustain the prescribed dose of dialysis to meet a hemodialysis Kt/V of at least 1.2 and a peritoneal dialysis weekly Kt/V of at least 1.7 or meet an alternative equivalent professionally-accepted clinical practice standard for adequacy of dialysis.
What is V544?
Outlines the specific actions or inactions by an agency or facility that resulted in non-compliance, identifies the part of the requirement not met, and indicates the extent of the deficiency by specifying the number of people or records affected.
What is a "Deficient Practice Statement" (DPS)?
In order to get from the "Complaint" page back to the "Provider History" page to go back into the survey shell, you must click on this.
What is the name of the facility, in light blue, located on the left side of the screen in the dark blue ribbon?
Known as an artificial kidney.
What is a Dialyzer?
Core components of the survey process.
What is Observation, Interview, and Record Review?
(4) The dialysis facility must ensure that all dialysis patients are seen by a physician, nurse practitioner, clinical nurse specialist or physician's assistant providing ESRD care at least monthly, as evidenced by a monthly progress note placed in the medical record, and periodically while the hemodialysis patient is receiving in-facility dialysis.
What is V560?
The total number of individuals, records, observations, objects, related to the entity practice or recipients at risk as a result of a deficient practice. Used as the denominator when determining the extent of a deficient practice.
What is the "Universe?"
The CMS-2567 is created and downloaded by going into this.
What is the "Statement of Deficiencies" located on the dark blue ribbon to the left of your screen.
Determines the efficiency of dialysis.
What is Kt/V?
Assist Georgia surveyors in writing clear, consistent, and defensible Statements of Deficiencies (SOD/Form CMS-2567).
What is the "Georgia Writing Guide?"
New version is titled, "Georgia Surveyor Deficiency Documentation Guide (CMS Form 2567 Writing Manual)" Will be introduced at the 2025 HFRD All Conference in November.