According to the CMS e-mail, a systems improvement agreement is a time-limited agreement between CMS and a hospital. The agreement requires the hospital to bring in external, third-party, CMS-approved quality improvement consultants to:
In a statement released on its website, Parkland Memorial confirmed that it would sign the agreement, which “provides Parkland the opportunity to continue to operate fully and to address the problems identified in the recent CMS survey.” The statement added that “Parkland remains fully accredited and is accepting Medicare and Medicaid. The agreement will abate the notice of termination of Parkland’s participation in the Medicare and Medicaid programs that Parkland received today.”
The primary focus of the second review was to determine whether the problems in infection control and emergency room care had been corrected.