Civil Money Penalties (CMP) are one statutory enforcement remedy available to address nursing facility noncompliance in the Medicare and Medicaid programs as defined in sections 1819(h) and 1919(h) of the Social Security Act. CMP funds must be used for activities that protect or improve the quality of care or quality of life for nursing facility residents. All activities and plans for utilizing CMP funds must be approved in advance by the Centers for Medicare and Medicaid Services (CMS). As of July 1, 2015, the following activities have been approved by CMS.
Spring 2015 CMP Grant Award recipients
Carbondale Nursing & Rehabilitation Center - Outdoor Improvement to Promote Positive Change $44,900
“The purpose of this project is to promote culture change within the facility…that supports the physical, cognitive and emotional needs of the residents.”
Fulton Medical Center - Sensory Integration through Horticulture and Music Therapy $50,000
“The purpose of our program is to improve dementia care…by using holistic approaches to optimize behavioral health.”
Pennsylvania Restraint Reduction Initiative/Manage, Assess, Plan, Intervene, Teach (PARRI/MAP-IT)
Pennsylvania has partnered with Kendal Outreach, LLC to deliver technical assistance and learning opportunities focused on reduction of physical and chemical restraints in long-term care settings.
The PARRI/MAP-IT Program improves the care and services provided to nursing facility residents in Pennsylvania’s MA nursing facilities through regional programs that provide education, support and mentorship of caregivers.
Training opportunities for nursing facility staff include restraint reduction, prevention of pressure ulcers, wound treatment, infection control, person-centered dementia care and reduction of unnecessary antipsychotic medications.
And although the focus is nursing facility residents, it can have a positive impact on those receiving home and community based services. For example, a pressure ulcer prevention program for nursing facility residents who are admitted for rehabilitation care and their families is scheduled to be developed in FY 2015-2016.
FY 2015/2016 $933,783
More information about the initiative can be found on Kendal’s website: http://kendaloutreach.kendal.org/advocacy-care-initiatives/