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It covers common deficiencies and how to run a mock/self survey, including kickoff, walk-throughs, policy review, staff interviews, and a wrap-up conference. The material also addresses waivers, renewal of a public health emergency, clinic changes (name, location, medical director), and key elements of an RHC checklist for compliance and documentation tracking.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/keeping-up-with-rhc-compliance/434638/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/keeping-up-with-rhc-compliance/434638.png","ImageObject",300,407,{"name":92,"@type":93},"Sarah ","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-03","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the main learning objectives for RHC compliance?","Question",{"text":112,"@type":113},"The objectives include learning the regulations and common deficiencies, understanding how to do a self-survey, and finding ways to increase quality in the clinic.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How should a clinic conduct a mock/self survey before an onsite visit?",{"text":117,"@type":113},"Run a kickoff conference, complete a walk-through with the checklist, review policies, interview staff to confirm knowledge of clinic policies and responsibilities, and finish with a wrap-up conference to address any concerns.",{"name":119,"@type":110,"acceptedAnswer":120},"What compliance actions are highlighted for changes in clinic name, location, or medical director?",{"text":121,"@type":113},"Confirm the new address remains in a HPSA with relevant offices, note location grandfathering, report name changes to CMS, report medical director changes to the state using CMS29, and update the 855a and CMS29 as needed.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},434638,1790784136,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},962085320529,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","# Keeping Up with RHC Compliance\n\nSteve Simmerman,COO  \nAugust 2nd,2022  \n## Learning Objectives\n\nLearn the Regulations and Common  \n|  \nDeficiencies  \nUnderstand How to do a Self Survey  \nLearn ways to increase quality in your clinic.  \n## Value Based Care/Team Based Care/lmproved Outcomes =PCMH\n\nThe Secretary said we will all be paid on a value-based care model by the end of the decade.We are preparing……..  \nFirst order was to hire a Director of Quality Improvement:Welcome Kristen Ogden,RN  \nGet ready now!  \nPCMH for Rural Health Clinics including Health Equity and Social Determinants of Health.  \nImprove the quality of care and both patient and staff satisfaction.  \nYou are the backbone of Primary Care in Rural America.  \nWaivers to October 14,2022  \n## RENEWAL OF DETERMINATION THATA PUBLICHEALTH EMERGENCY EXISTS\n\nAs a result of the continued consequences of the Coronavirus Disease 2019(COVID-19)pandemic,on this date and after consultation with public healthofficials as necessary,I,Xavier Becerra,Secretary of Health and Human Services,pursuant to the authority vested in me under section 319 of the Public HealthService Act,do hereby renew,effective July 15,2022,the January 31,2020,determination by former Secretary Alex M.Azar II,that he previously renewed onApril 21,2020,July 23,2020,October 2,2020,and January 7,2021,and that Irenewed on April 15,2021,July 19,2021,October 15,2021,January 14,2022,andApril 12,2022,that a public health emergency exists and has existed since January  \n27,2020,nationwide.  \nJuly 15,2022  \n/s/  \n·§491.1 Purpose and scope.  \n·§491.2 Definitions.  \n·§491.3 Certification procedures.  \n·§491.4 Compliance with Federal,State and local laws.  \n·§491.5 Location of clinic.  \n·§491.6 Physical plant and environment.  \n·§491.7 Organizational structure.  \n·§491.8 Staffing and staff responsibilities.  \n·§491.9 Provision of services.  \n·§491.10 Patient health records.  \n·§491.11 Program evaluation.  \n·§491.12 Emergency preparedness.  \n## ● COMMON DEFICIENCIES\n\n·  MOCK/SELF SURVEY  \nWork your checklist!Conduct your own mock survey with clinic staff based off theagenda that we provided as a handout.  \n·Hold a kickoff conference with staff and discuss how the mock survey will prepare them for the onsite visit.  \n·Complete a walk through of the clinic with checklist in hand.Can you answer yes to all the regulations?Are there areas of concern that need more attention?  \n·Complete a policy review based on the policy section of the checklist.Do you have all the policies?Arethey complete?If you are provider-based,are the policies specific to your clinic?(or have you clearlyidentified that you follow hospital policy?)  \n·Interview staff to ensure they are knowledgeable about clinic policy,procedures and their individual jobresponsibilities.They should be comfortable answering any questions that the surveyor may ask.  \n·Finish with a wrap up conference to discuss any areas of concern that need to be addressed prior tosurvey.Once you are confident you are ready for survey day,take time to celebrate youraccomplishments!  \n## Conducting a Self Survey-Time to Shine!\n\nEveryone has worked hard to stay compliant and now is their time to shine!  \nSet the tone for the mock survey with a discussion to remind staff this is an “open book test”andthere should be no surprises.If you can answer yes to each item on the checklist,your clinic is incompliance.  \nEnthusiasm not apprehension!Your surveyor will conduct a fair and unbiased survey.Staffshould not be nervous but ready to show the surveyor what they do best.  \n## Changes to Clinic Name,location and Medical Director\n\n·Before moving:Check with State office of Rural Health and your MAC to becertain your new address is still in a HPSA,even if it's next door.  \n·Your location is grandfathered in at your present location.  \n·Report name changes to CMS.  \n·Report change in Medical Director to the State on a CMS29  \n·Update your 855a and CMS 29 as things change.  \n## The RHC Checklist\n\n\n|","cbCaipOufGwRHumH","https://ap.wps.com/l/cbCaipOufGwRHumH","pdf",8048585,74,"English","# Learning Objectives\n# Value Based Care/Team Based Care/Improved Outcomes = PCMH\n# Common Deficiencies\n## Mock/Self Survey\n# Conducting a Self Survey-Time to Shine!\n# Changes to Clinic Name, Location and Medical Director\n# The RHC Checklist","[{\"question\":\"What are the main learning objectives for RHC compliance?\",\"answer\":\"The objectives include learning the regulations and common deficiencies, understanding how to do a self-survey, and finding ways to increase quality in the clinic.\"},{\"question\":\"How should a clinic conduct a mock/self survey before an onsite visit?\",\"answer\":\"Run a kickoff conference, complete a walk-through with the checklist, review policies, interview staff to confirm knowledge of clinic policies and responsibilities, and finish with a wrap-up conference to address any concerns.\"},{\"question\":\"What compliance actions are highlighted for changes in clinic name, location, or medical director?\",\"answer\":\"Confirm the new address remains in a HPSA with relevant offices, note location grandfathering, report name changes to CMS, report medical director changes to the state using CMS29, and update the 855a and CMS29 as needed.\"}]","Keeping Up with RHC Compliance | PDF",1790670106,186]