UPDATED INFORMATION NOW AVAILABLE – SEE BELOW Question: What is the new regulation from CMS and The Joint Commission stipulating that respiratory orders may only come from MDs and DOs?
As of January 1, 2010, a new regulation was put into effect by the Centers for Medicare and Medicaid Services (CMS). The Joint Commission (TJC) has followed with support of this new regulation. This regulation pertains to both ambulatory and inpatient orders for respiratory therapy prescriptions/orders. “Two Joint Commission elements of performance address respiratory care for hospitals that use Joint Commission accreditation for deemed status purposes. The Centers for Medicare & Medicaid Services (CMS) requires a doctor of medicine or osteopathy to direct respiratory care services but does not limit the authority of a doctor of medicine or osteopathy to delegate tasks to other qualified health care personnel to the extent recognized under state law or a state’s regulatory mechanism. Therefore, non-physician practitioners may write respiratory care orders, provided it is within the scope of their license. However, if a doctor of medicine or osteopathy delegates responsibility for writi
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