Hospital Operations & Oversight Regulations Resources | HAP


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Related Information

Universal Patient Transfer Form (UPTF)
UPTF template to assist in safe and effective patient transfers (Nov 2016)

Ready Reference Tool ACA Section 1557 Nondiscrimination Provision
HAP's Ready Reference Tool for Implementing Section 1557 of the Affordable Care Act (Sep 2016)

Facts About Newborn Screening in Pennsylvania
Newborn screening is intended to ensure that all babies are screened for certain serious conditions at birth. (Feb 2016)

Observation Status Notice
Sample brochure to provide to patient or designee about their outpatient status (Apr 2015)

Patient Rights & Responsibilities Brochure
Reflects CMS' Conditions of Participation regarding patient visitation and compliance with expanded non-discrimination language issued by DOH (Jul 2015)

Comment Letter to CMS
Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE) (Jan 2016)

Comment Letter
To CMS on proposed rule on CoPs for Home Health Agencies (Jan 2015)

Comment Letter
To Department of Health on draft guidance for Mcare reporting requirements (Feb 2014)

HAP Testimony
On certificate of need (Jun 2015)

HAP Testimony
In support of House Bill 30, which revises PA organ donation law (May 2014)

HAP Testimony
On providing notice to a patient on outpatient status (Jan 2014)

Join HAPAC Today!

HAPAC and HAPAC-Federal are the political action committees of HAP. Participation in HAPAC helps HAP communicate to lawmakers the vital role that health care facilities and their employees play in their communities every day. Learn more

Addressing Costly and Burdensome Regulations

Hospital regulations are important to ensure that patients receive safe, high-quality care. However, there are a growing number of new or revised regulations that are costly, create barriers to innovation, and add administrative burdens that take providers away from the bedside.

HAP works to find a balance between appropriate oversight and regulatory overreach, and advocates for flexibility so that providers can provide the right care, at the right time, and in the right setting.

Pennsylvania hospitals must comply with the Centers for Medicare & Medicaid Services' (CMS) Medicare and Medicaid Conditions of Participation in order to receive federal reimbursement for services. CMS periodically updates these regulations, which affect hospital boards, medical staff and nursing services, medical records, outpatient services, and infection prevention control.

At the state level, the General Assembly passes laws affecting hospitals and health care that, when implemented through regulation, also impact hospitals’ daily operations. HAP has been working with state regulators to update hospital licensure regulations that are extremely outdated and no longer align with modern medical care.

Related News

October 03, 2019

HAP’s Achievement Award Spotlight: Main Line Health

Main Line Health was awarded the 2019 HAP Achievement Award for Optimal Operations for its initiative to use precious blood products wisely, avoid clinically unnecessary transfusions, and improve patient safety. 

September 24, 2019

Labor Department Issues Final Overtime Rules Effective January 1

The U.S. Department of Labor (USDOL) today announced a final rule making changes to the Fair Labor Standards Act’s (FLSA) regulations governing overtime payment eligibility and how employers classify their exempt and non-exempt employees.

August 22, 2019

HAP Endorses Federal Effort to Protect Patients from Delays in Care, Lauds Rep. Mike Kelly’s Efforts to Standardize Prior Authorization

HAP has joined more than 300 patient, physician, health care professional, and other health care stakeholder organizations in expressing support for bipartisan legislation that would help protect patients from unnecessary delays in care.

See all Hospital Operations and Oversight News

Related Blogs

December 13, 2018

6 Key Facts about Pricing Transparency and the Role of the Hospital Chargemaster

September 13, 2017

The Federal Government Wants to Reduce Health Care Red Tape? Here’s Pennsylvania Hospitals’ Wish List!

Our federal government says it wants to reduce the unnecessary red tape that is holding back American innovation and driving up the costs of goods and services—including those related to health care. On behalf of Pennsylvania hospitals and health systems, I am pleased to say that we want to help with that.

October 31, 2016

Advancing a Culture of Mutual Respect: a critical element for a healing environment

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