Year: 2011
Resolution Number: 53
Action Taken: Approved
Status:
Author(s): Jayne E. Courts, MD
Sponsor: Domenic R. Federico, MD
On behalf of: Kent County Delegation
Committee: B (Legislation)
Resolved Section(s):
RESOLVED: That MSMS encourage Center for Medicare and Medicaid Services to allow the receipt of verbal orders in Homes for the Aged that employ licensed practical nurses so that appropriate care may be provided in a more expeditious manner; and be it further RESOLVED: That MSMS ask Center for Medicare and Medicaid Services to change guideline R325.1932 to clearly allow receipt for verbal orders as the CMS surveyors currently vary their own interpretation of this guideline which makes the Home for the Aged facilities vulnerable to unfair citations.RATIONALE: The Committee could not justify the current rules that limit the ability of physicians to issue verbal orders in some settings but not others. The rule in question appears to be arbitrary and unnecessary and simply adds an administrative burden for physicians.
RESOLVED: That MSMS encourage Center for Medicare and Medicaid Services to allow the receipt of verbal orders in Homes for the Aged that employ licensed practical nurses so that appropriate care may be provided in a more expeditious manner; and be it further RESOLVED: That MSMS ask Center for Medicare and Medicaid Services to change guideline R325.1932 to clearly allow receipt for verbal orders as the CMS surveyors currently vary their own interpretation of this guideline which makes the Home for the Aged facilities vulnerable to unfair citations.RATIONALE: The Committee could not justify the current rules that limit the ability of physicians to issue verbal orders in some settings but not others. The rule in question appears to be arbitrary and unnecessary and simply adds an administrative burden for physicians.
Fiscal Note: NULL
Resolution: View PDF for CMS Guidelines and Homes for the Aged – LPN Scope of Practice