The Conditions of Participation (CoP) for Center for Medicare and Medicaid Services (CMS) was revised in October 2016 for long-term care facilities (LTCF). The current regulations require LTCF to develop an Infection Prevention and Control Program (IPCP) that includes an Antimicrobial Stewardship Program (ASP). The ASP must, at a minimum, includes antibiotic use protocols and a system to monitor antibiotic use. To view the full updated CoP, visit https://www.gpo.gov/fdsys/pkg/FR-2016-10-04/pdf/2016-23503.pdf.
The interpretive guidance for the new CMS CoP was published on June 30th, 2017. To view the full document, visit https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes.html. The following are excerpts from the 696-page document relevant to ASP in LTCF.
Intent of the regulation is to ensure facility
ASP should include leadership support and accountability via the participation of
ASP protocols must
Review by surveyor will determine if facility’s ASP includes
Page last reviewed: August 16, 2018