Strikes at Participating Facilities

2800 - Strikes at Participating Facilities (Rev. 91, Issued: 09-27-13, Effective: 09-27-13, Implementation: 09-27-13) When employees of a participating hospital, SNF/NF or ICF/IID go on strike against the facility, the RO obtains a written report from the SA about that institution’s continuing ability to furnish adequate care to its patients and on the steps taken to assure the health and safety of its patients based on the SA’s onsite visit to the facility. If a strike takes place in an accredited facility, a visit by the SA to determine whether the strike has caused a decline in the quality of care furnished, is appropriate. The report should focus on the specific situations. For example, if the nursing staff is on strike, the SA should indicate what the facility is doing to minimize any hazards that might arise due to inadequate nursing, such as securing temporary nurses and limiting admissions to emergency cases. The report should also describe the SA plans for monitoring the situation. Because of the sensitive nature of this area, the SA and RO should not create the impression that the Federal Government is taking sides in a labor dispute. However, be alert to all types of situations that could lead to substandard care being provided to beneficiaries. Organ Procurement Organizations