{"id":37415,"date":"2017-07-21T14:00:46","date_gmt":"2017-07-21T18:00:46","guid":{"rendered":"https:\/\/retrofitmagazine.com\/?p=37415"},"modified":"2017-07-21T11:01:07","modified_gmt":"2017-07-21T15:01:07","slug":"cms-requires-medicare-certified-healthcare-facilities-to-implement-and-maintain-legionella-prevention-policies","status":"publish","type":"post","link":"https:\/\/retrofitmagazine.com\/cms-requires-medicare-certified-healthcare-facilities-to-implement-and-maintain-legionella-prevention-policies\/","title":{"rendered":"CMS Requires Medicare Certified Healthcare Facilities to Implement and Maintain Legionella-Prevention Policies"},"content":{"rendered":"

To reduce cases of Legionnaires\u2019 disease in health care facilities, the Centers for Medicare & Medicaid Services (CMS) has announced that Medicare certified healthcare facilities must develop and maintain water management policies and procedures to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in building water systems. The directive has an immediate effective date.<\/p>\n

Legionnaires\u2019 disease is a serious type of pneumonia caused by bacteria, called Legionella, that live in water. Legionella can make people sick when they inhale contaminated water from building water systems that are not adequately maintained.
\nThe announcement was made in a memorandum to State Survey Agency Directors and includes hospitals, critical access hospitals and long-term care facilities.<\/p>\n

Most notably, CMS called for the utilization and compliance of ASHRAE Standard 188: Legionellosis: Risk Management for Building Water Systems<\/a>, which was developed to assist designers and building operators in developing a water management plan that includes practices specific to the systems that exist in a particular building, campus or health care facility.<\/p>\n

The timing of CMS\u2019 decision is significant as the CDC released a report last month stating more than 76 percent of Legionnaires\u2019 disease cases acquired from Legionella exposure in health care facilities can be particularly harsh, including possible fatal risks to patients.<\/p>\n

\u201cIncorporating good design, operations and maintenance procedures that prevent the growth and spread of Legionella is vitally important in all buildings, especially health care facilities. These are regarded as the best methods for preventing this potentially fatal disease,\u201d says Michael Patton, member of ASHRAE Committee SSPC 188. \u201cASHRAE has been at the forefront of establishing practices through ASHRAE Standard 188. We are pleased that CMS is taking a strong stance on this issue.\u201d<\/p>\n

The CMS memo calls on State Survey Agency Directors to conduct a facility risk assessment, implement a water management program that considers ASHRAE Standard 188 and the toolkit developed by the CDC entitled, \u201cDeveloping a Water Management Program to Reduce Legionella Growth and Spread in Buildings: A Practical Guide to Implementing Industry Standards.\u201d The directive also requires facilities to specify testing protocols.<\/p>\n

The CDC toolkit \u2013 initially released in 2016 and updated in June 2017 \u2013 is based upon ASHRAE Standard 188 and provides a checklist to help building owners and managers identify if a water management program is needed, examples to help identify where Legionella could grow and spread in a building and ways to reduce risk of contamination.<\/p>\n

\u201cWith the release of both the CDC report and CMS memo, it is clear ASHRAE Standard 188 is the best resource available to help health care facilities implement a water management program to Legionella infections,\u201d says Patton.
\nTo date, more than 5,000 copies of ASHRAE Standard 188 have been purchased. It can be previewed here.<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"

To reduce cases of Legionnaires\u2019 disease in health care facilities, the Centers for Medicare & Medicaid Services (CMS) has announced that Medicare certified healthcare facilities must develop and maintain water management policies and procedures to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in building water systems. The directive has<\/p>\n","protected":false},"author":193,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"CMS Requires Medicare Certified Healthcare Facilities to Implement and Maintain Legionella-Prevention Policies #legionnairesdisease #healthcare","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[201],"tags":[88,25074,25073,25072,19986,16316,14780,14323,96],"ppma_author":[48882],"jetpack_publicize_connections":[],"yoast_head":"\nCMS Requires Medicare Certified Healthcare 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