MU Health Care found to be in compliance with regulations

Friday, April 29, 2011 | 8:20 p.m. CDT

COLUMBIA — MU Health Care and University Hospital now meet the cleanliness and safety standards outlined by the Centers for Medicare and Medicaid Services.

An inspection of University Hospital on March 30 found the MU Health Care system in full compliance with all CMS regulations, according to MU Health Care spokeswoman Mary Jenkins and a letter published on the MU Health Care website. Hospitals and health systems must meet certain “Conditions of Participation” set by the CMS in order to participate in Medicare and Medicaid programs.

Acting on a complaint in November of last year, CMS made an unannounced inspection of University Hospital and delivered a 47-page report on violations. These included inconsistent hand washing, dusty surfaces in the surgical unit, expired supplies and inadequately cleaned kitchen areas.

MU Health Care took a variety of steps to solve the problems prior to last month’s follow-up inspection report obtained by the Missourian through a Freedom of Information Act request from CMS.

The MU Health Care staff have made, or have promised to make, the following corrections:

  • Revising signage and conditions of services (consent forms) to disclose to patients and visitors that they are being video monitored in rooms and hallways for purposes other than safety and security, such as education, quality and clinical care.
  • Renovating MU Psychiatric Center bathrooms for safety and privacy purposes, including installing suicide-resistant fixtures.
  • Updating the training process to ensure all permanent Neonatal Intensive-Care Unit staff at Women's and Children's Hospital are aware of the emergency evacuation plan. Providing annual training to staff who direct others.
  • Revising the Psychiatric Center's patient restraint policy to limit who can order restraint and the behaviors that warrant restraint.
  • Installing a full sprinkler system in operating rooms for women and children in the surgical suite at Women's and Children's Hospital.

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