2025 CMS Compliance Requirements: Infection Prevention and Control and ASP (ODW5008)-IP and ASP 2025 Presentation (1)

IP and ASP 2025 Presentation (1)

Pdf Summary

The document, "Infection Prevention and Control and Antibiotic Stewardship Program 2025," discusses the Centers for Medicare & Medicaid Services (CMS) 2025 Hospital Conditions of Participation (COPS) in detail. Laura A. Dixon, Esq., provides insights but emphasizes that the information is informal and not legal advice. Key deficiencies noted in hospitals include lapses in infection control, like not immunizing staff, lacking ongoing infection control programs, and mismanaging glucometer and nebulizer cleaning. The document also encourages following nationally recognized guidelines to control HAIs and optimize antibiotic use.<br /><br />The document introduces Tag Nos. A0747–0751 under Infection Prevention and Control, indicating the need for a hospital-wide program focused on surveillance, prevention, and control, while emphasizing antibiotic usage optimization. It highlights the necessary collaboration between infection control and antibiotic stewardship programs with Quality Assurance and Performance Improvement (QAPI) initiatives.<br /><br />New guidelines post-2019 emphasize creating active infection control and stewardship programs encompassing robust systems to prevent, identify, report, investigate, and control infectious diseases. Additionally, the document touches on water management to mitigate risks from pathogens like Legionella.<br /><br />Furthermore, significant emphasis is placed on antibiotic stewardship, necessitating hospital-wide programs. These must align with nationally recognized practices to improve prescribing practices and curb drug-resistant infections. These programs also need hospital leadership's commitment and must be integrated into existing infection control processes.<br /><br />Moreover, the document encourages facilities to adopt innovative, evidence-based practices while maintaining educational programs to ensure adherence to infection prevention policies. Surveillance, continued education for personnel, policy development, and audit adherence are highlighted as crucial actions.<br /><br />Additionally, acute hospitals must comply with reporting requirements to track HAIs and ensure informed strategies are in place amid a growing challenge of multidrug-resistant organisms by integrating resources across hospital systems. The document concludes with notes on CMS programs and infection control, stressing the importance of hygiene, training, and procedural protocols.

Keywords

Infection Prevention

Antibiotic Stewardship

CMS 2025 COPS

Hospital Conditions

Infection Control

HAIs

Quality Assurance

Performance Improvement

Antibiotic Usage

Multidrug-resistant Organisms