Tessa Quinn
Jefferson Healthcare Hospital, located in Port Townsend, Washington, is a critical access hospital. The hospital was established in 1890 and has 25 inpatient beds. It is the only hospital in Jefferson County and offers a range of services, including emergency services, skilled nursing care, rehabilitation, and imaging services. Additionally, Jefferson County Hospital in Jefferson County is an 18-bed critical care facility offering similar services. Critical Access Hospitals (CAHs) are located across 45 states in the U.S., and their certification involves compliance assessments through observations, interviews, and document reviews to ensure safe and quality patient care.
| Characteristics | Values |
|---|---|
| Name | Jefferson Healthcare Hospital |
| Location | Port Townsend, Washington |
| Number of Beds | 25 |
| Trauma Center | Level IV |
| Critical Access Hospital | Yes |
| Owner | Jefferson County Public Hospital District No. 2 |
| Year Established | 1890 |
| Former Names | St. John Hospital, Jefferson General Hospital |
| Medicare Provider | Yes |
| Services | Emergency, Nursing Care, Rehabilitation, Imaging, Physical Therapy, Radiology, Laboratory |
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What You'll Learn
- Jefferson Healthcare Hospital in Port Townsend, Washington, is a Critical Access Hospital
- Critical Access Hospitals (CAHs) have their own Medicare Conditions of Participation (CoP)
- CAHs must be more than 35 miles from the nearest hospital or 15 miles in areas with challenging terrain
- Jefferson County Hospital is an 18-bed critical care facility offering 24/7 emergency services
- CAHs are subject to surveys to ensure compliance with Federal health, safety, and quality standards
Jefferson Healthcare Hospital in Port Townsend, Washington, is a Critical Access Hospital
As a Critical Access Hospital (CAH), Jefferson Healthcare Hospital plays a vital role in providing essential medical services to the community. CAHs are designated healthcare facilities that are specifically designed to serve rural areas and are located in 45 states across the United States. These hospitals must meet certain criteria and comply with the Medicare Conditions of Participation (CoP) to maintain their CAH status. They are also subject to regular surveys and assessments to ensure compliance with federal health, safety, and quality standards.
Jefferson Healthcare Hospital operates as a 25-bed Critical Access Hospital, offering a range of services, including emergency care, inpatient and outpatient rehabilitation, imaging services, and a level IV trauma center. It is the sole hospital in Jefferson County and is currently independently owned and operated by Jefferson County Public Hospital District No. 2, doing business as Jefferson Healthcare.
The hospital's Critical Access status means that it is located in a rural area, more than 35 miles from the nearest hospital. This designation is crucial for ensuring that residents in these areas have access to necessary healthcare services. CAHs often serve as a lifeline for rural communities, providing timely and specialized care that might otherwise be inaccessible due to distance and transportation challenges.
Jefferson Healthcare Hospital's Critical Access Hospital designation is a testament to its commitment to providing high-quality, compassionate care to its patients. The hospital's history, dating back to 1890, showcases its enduring dedication to the health and well-being of the Port Townsend community. By maintaining its status as a Critical Access Hospital, Jefferson Healthcare Hospital plays a vital role in ensuring that essential healthcare services are accessible and available to those who need them most in the region.
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Critical Access Hospitals (CAHs) have their own Medicare Conditions of Participation (CoP)
Critical Access Hospitals (CAHs) are located in 45 states across the US. They are defined as hospitals located in rural areas, which are outside of a Metropolitan Statistical Area as outlined by the Office of Management and Budget (OMB). Alternatively, a CAH can be located in an area that is treated as rural by the Centers for Medicare & Medicaid Services (CMS).
CAHs have their own Medicare Conditions of Participation (CoP) and separate payment methods. These are listed in the "Code of Federal Regulations" at 42 CFR 485 subpart F. CAHs must be in compliance with the Federal requirements set forth in the CoP to receive Medicare/Medicaid payment. The CoP covers areas such as staffing, services, and patient care. For example, CAHs must have at least one MD or DO physician, but they are not required to be onsite. Advanced practice providers, such as physician assistants and nurse practitioners, can be an independent part of the medical staff and can provide direct service to patients, including emergency services. CAHs must also have agreements or arrangements with Medicare-participating providers or suppliers to furnish other services to their patients, including services of doctors of medicine or osteopathy, additional or specialized diagnostic and clinical laboratory services, and food and other services to meet inpatients' nutritional needs.
In terms of patient care, CAHs must maintain no more than 25 inpatient beds that can be used for inpatient or swing-bed services and must maintain an annual average length of stay of 96 hours or less per patient for acute inpatient care. CAHs must also comply with Federal health, safety, and quality standards to assure that patients receive safe and quality care and services.
Jefferson County Hospital is a critical care facility that offers 24/7 emergency services, medically complex skilled nursing care, inpatient and outpatient rehabilitation, and imaging services. It is operated by Duncan Regional Hospital and includes the services of an 18-bed Critical Access Hospital.
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CAHs must be more than 35 miles from the nearest hospital or 15 miles in areas with challenging terrain
Critical Access Hospitals (CAHs) are located in 45 states across the US. To obtain CAH designation, eligible hospitals must meet specific conditions. One of the key requirements is related to the hospital's location. CAHs must be located in rural areas, defined as any area outside of a Metropolitan Statistical Area as outlined by the Office of Management and Budget (OMB) or recognised as rural by the Centers for Medicare and Medicaid Services (CMS).
In addition to the rural location criterion, CAHs must also meet specific distance criteria. They must be more than a 35-mile drive on primary roads from the nearest hospital or another CAH. Alternatively, they can be located more than 15 miles from another hospital in areas with challenging terrain, such as mountainous terrain or areas with only secondary roads. These distance requirements ensure that CAHs are accessible to individuals in rural or remote areas who may otherwise face significant travel times to receive healthcare services.
The distance criteria for CAHs have been subject to changes and exemptions over time. Prior to 2006, hospitals designated by their state as Necessary Providers were exempt from the distance requirements. However, this exemption was eliminated in 2006, and CAHs can no longer obtain the Necessary Provider status to bypass the distance rules. This change has had a significant impact on the designation of CAHs, with many hospitals now struggling to meet the location requirements.
It is important to note that CAHs are not required to provide emergency medical services like emergency departments. However, they play a crucial role in serving the healthcare needs of rural communities. The location and distance requirements for CAHs are essential factors in ensuring that these communities have access to timely and essential healthcare services without having to travel excessive distances.
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Jefferson County Hospital is an 18-bed critical care facility offering 24/7 emergency services
Jefferson County Hospital is an 18-bed critical care facility offering a range of essential services to its patients and the local community. With 18 beds, the hospital provides critical care services and 24/7 emergency care, ensuring that patients have access to timely and potentially life-saving treatment. The hospital's emergency department is always operational, providing peace of mind to the citizens it serves.
In addition to critical and emergency care, Jefferson County Hospital offers medically complex skilled nursing care. This service ensures that patients requiring specialised nursing can receive the necessary care and attention. The hospital's skilled nursing facility is an integral part of its operations, enhancing the quality of care provided to patients with various medical complexities.
The hospital also provides a range of inpatient and outpatient rehabilitation services. These rehabilitation services are designed to assist patients in their recovery and help them regain their health and well-being. Whether admitted to the hospital or visiting as an outpatient, individuals can benefit from the rehabilitation programmes tailored to their specific needs.
Furthermore, Jefferson County Hospital is equipped with an attached rural health clinic, known as Waurika Family Care. This clinic plays a vital role in serving the healthcare needs of the local community, providing convenient access to primary and preventative care services. By offering family care, the clinic addresses the diverse health concerns of individuals of all ages, fostering a culture of holistic well-being.
Imaging services, including radiology, are also available at Jefferson County Hospital. These services utilise advanced medical imaging technologies to aid in the accurate diagnosis and treatment of patients. With radiology services on-site, healthcare providers can promptly obtain the necessary imaging scans, facilitating timely decision-making and enhancing patient care.
Jefferson County Hospital, operated by Duncan Regional Hospital, is dedicated to delivering exceptional and compassionate care. Through its range of services, including critical care, emergency services, skilled nursing, rehabilitation, and imaging, the hospital strives to meet the diverse healthcare needs of its community. With a commitment to quality and compassion, Jefferson County Hospital ensures that its citizens have access to essential healthcare services around the clock.
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CAHs are subject to surveys to ensure compliance with Federal health, safety, and quality standards
Critical Access Hospitals (CAHs) are subject to surveys to ensure compliance with federal health, safety, and quality standards. The Social Security Act mandates that the federal government establishes minimum health and safety standards that must be met by providers and suppliers participating in the Medicare and Medicaid programs. These standards are found in Title 42 Code of Federal Regulations. The Act designates those providers and suppliers that are subject to federal health care quality standards. The Medicare Conditions of Participation, Conditions for Coverage, and Requirements for SNFs and NFs are sets of requirements for acceptable quality in operating health care entities. There is a set of conditions or requirements for each type of provider or supplier subject to certification.
State Survey Agencies (SAs) carry out the Medicare certification process and are authorized to set and enforce standards for CLIA and Medicaid. The CMS regional office authorizes a survey, and the state agency contacts the facility to arrange a survey date. The survey verifies that the CAH meets the federal facility requirements. The survey is conducted in accordance with the appropriate protocols and substantive requirements in the statute and regulations to determine whether a citation of non-compliance is appropriate. Survey protocols and Interpretive Guidelines are established to provide guidance to personnel conducting surveys. They clarify and explain the intent of the regulations, and all surveyors are required to use them in assessing compliance with federal requirements.
CAHs must meet the requirements for the services they choose to provide. For example, if a CAH provides obstetrical services, it must meet the same relevant conditions of participation as a general acute care hospital. CAHs must also continue to meet their state licensure laws if those are stricter than the Medicare CoPs. CAHs that were granted a Necessary Provider designation before January 1, 2006, and choose to rebuild in a new location that does not meet the current distance requirements, are treated in the same manner as if they were building a replacement facility at the original location. To maintain their CAH status, the new facility must satisfy specific requirements, including meeting the same criteria that led to its original state designation.
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Frequently asked questions
Yes, Jefferson Healthcare Hospital is a critical access hospital located in Port Townsend, Washington.
Critical Access Hospitals (CAHs) are hospitals that are designated as providing necessary care services to residents in their area. CAHs have their own Medicare Conditions of Participation and payment methods.
Jefferson Healthcare Hospital is a 25-bed hospital that operates a level IV trauma center. It offers 24/7 emergency services, inpatient and outpatient rehabilitation, and imaging services.
