Purpose & Imposition

10009.1 – Purpose & Imposition (Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24) Directed in-service training may be used when the State, CMS, or the temporary manager believes that education is likely to correct the deficiencies and help the HHA or hospice program achieve substantial compliance. The requirements for directed in-service training are specified at §488.855 for HHA and §488.1255 for hospice programs. Directed in-service training requires the staff of the HHA or hospice program to attend a specific in-service training program(s). The purpose of directed in-service training is to provide knowledge to achieve and remain in compliance with Federal requirements. For example, in circumstances where some, but not all, compliance problems are a result of a lack of knowledge on the part of the health care provider relative to advances in health care technology and expectations of favorable patient outcomes, directed in-service training would benefit the agency. Also, directed in-service could be used in situations where staff performance results in deficient practice. A directed in-service training program would correct this deficient practice through retraining the staff in the use of clinically and professionally sound methods to produce quality outcomes. Notice of intent to impose directed in-service training must be given at least 15 calendar days before the effective date of the enforcement action in non-IJ situations and at least 2 calendar days before the effective date in IJ situations.