Swing Bed Agreement

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Rocking beds offer an alternative to skilled care facilities. This option may be useful in rural areas where it is less likely that there will be an autonomous SNSF. In addition, rural populations tend to be older and rocking beds are well suited to treat the health problems that typically arise in aging patients. The most frequently reported needs were for aging patients who need rehabilitation after their hospitalization, after Why use rocking beds? Interviews with hospital administrators and staff. In addition, rocking beds help stabilize the census of health facilities and can offer financial benefits. Rocking bed services in HUTAs are reimbursable on a cost basis, while rocking bed services in small rural hospitals that are not HUTAs are paid for under the future SNSF payment system. For these reasons, tracking of rocking beds is common in rural health facilities. According to trends in skilled care facilities and the use of rocking beds in rural areas The Medicare Modernization Act of 2003 offers rocking bed service in most rural counties. As a general rule, only some small rural hospitals can enter into a swing bed agreement under which the hospital can use its beds when needed to provide acute care or SNSFs. However, as part of this waiver, the conditions of eligibility for the use of rocking beds are abolished: even if a CAH does not have another health institution, it can also benefit from cooperation and network agreements. A manual of effective cooperation between hospitals with critical access and state-qualified health centers explains how cooperation with QQHCs can lead to subsidies, shared recruitment costs and a reduction in labor costs through transfers to primary QQC providers for the uninsured. Demonstration of hospital value for critical access: A guide for potential partnerships identifies potential partners for caHs and discusses how CAHs can demonstrate their value to them.

The National Resource Center for Rural Health also provides a number of examples of networks that have included caHs in their network spotlights. CAH should not exceed 25 stationary acute beds. For CAH with rocking bed agreements, each of their beds can be used for acute hospital care or for rocking bed services. Any hospital bed located in or next to any place where the hospital bed could be used for hospital care is part of the 25-bed limit. The CAH may also have an agreement with its SAQ transfer hospital or choose to enter into this agreement with another organization. The requirements for public networks vary. For more information about quality assurance options, see What are the quality assurance and quality improvement options for CAHs? The rocking bed requirements apply to any patient licensed from a hospital or CAH and admitted to a swing bed for qualified care services. The requirements for acute CAH also apply to patients with Swing Bed. As part of the agreements under the conditions of participation in the CAH, a CAH must develop agreements with an acute hospital for the transfer and transfer of patients, emergency and non-emergency communication and transport.

The agreement must include at least one other hospital that can provide acute care and receive transfers from patients requiring services not available in the CAH. To add rocking bed services, a hospital must confirm to the CMS that a rocking bed is a bed that can be used either for acute care or for post-maintenance care corresponding to the maintenance of qualified care facilities (SNF). . . .