Deemed status is a hospital accreditation for hospitals in the United States.

Getting deemed status

Meeting Conditions for Coverage and Conditions of Participation

For any organization to receive funding from Centers for Medicare and Medicaid Services (CMS), that organization must meet either the "Conditions for Coverage" or the "Conditions of Participation". These are a set of minimal standards which must be met before CMS will ever issue any reimbursement for Medicare and Medicaid Services. Two kinds of organizations can review a health care provider to check for compliance with these conditions - either a state level agency acting on behalf of CMS, or a national accreditation agency like the

Joint Commission The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majori ...

. Examples of some of the areas of focus for these minimal guidelines are the

End Stage Renal Disease Program In 1972 the United States Congress passed legislation authorizing the End Stage Renal Disease Program (ESRD) under Medicare. Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage ...

, ambulatory surgical centers, and

organ procurement organization In the United States, an organ procurement organization (OPO) is a non-profit organization that is responsible for the evaluation and procurement of deceased-donor organs for organ transplantation Organ transplantation is a medical procedure in ...

s. The standards for care for

nursing homes A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to i ...

were distributed as a result of the Nursing Home Reform Act. Outpatient clinics cannot receive deemed status. A consequence of this is that the CMS payment systems can be more complicated at small clinics than at large hospitals for the same procedures. Conditions for Coverage and Conditions of Participation apply to these kinds of organizations: *Ambulatory Surgical Centers (ASCs) *Community Mental Health Centers (CMHCs) *Comprehensive Outpatient Rehabilitation Facilities (CORFs) *Critical Access Hospitals (CAHs) *End-Stage Renal Disease Facilities *Federally Qualified Health Centers *Home Health Agencies *Hospices *Hospitals *Hospital Swing Beds *Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) *Organ Procurement Organizations (OPOs) *Portable X-Ray Suppliers *Programs for All-Inclusive Care for the Elderly Organizations (PACE) *Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services *Psychiatric Hospitals *Religious Nonmedical Health Care Institutions *Rural Health Clinics *Long Term Care Facilities *Transplant Centers When any of these organizations are reviewed, the survey checks quality assurance and not "continuous quality improvement". In other words, the process checks for minimal expectations, and not to see whether the facility is actually improving.

History

In 1994 about 5000 hospitals were eligible to receive CMS funding as a result of being reviewed by the

. The Medicare Improvements for Patients and Providers Act of 2008 removed the deemed status of the Joint Commission and directed it to re-apply to CMS to seek continued authority to review hospitals for CfC and CoP.

References

{{reflist Accreditation Medicare and Medicaid (United States) Quality assurance Health care quality