Implementing New Nursing Facility Requirements of Participation from CMS’ Perspective

Recorded Thursday, November 9, 2017


Karen Tritz; Evan Schulman; Victoria Walker, MD, CMD; Susan Levy, MD, CMD

This webinar describes changes in the federal nursing home regulations (Requirements of Participation) as revised in a Final Rule published in October 2016, including themes of person-centered care, Quality Assurance/Process Improvement (QAPI), pharmacy issues, behavioral health, and more. Hear directly from Centers for Medicare & Medicaid Services’ (CMS) Nursing Home Division senior staff who will discuss implementation of the first two phases and offer their outlook for the future. There will be a particular emphasis on changes impacting the medical director, attending physicians, nurse practitioners, physician assistants, and other clinicians who work in the skilled nursing facility setting.

Learning Objectives

  • Describe major changes of the new Requirements of Participation (RoPs) and how they impact medical directors and other clinicians. 
  • Prepare for implementation of the new regulations, considering the timing of each phase of adoption.
  • Explain new requirements for QAPI and antibiotic stewardship


1.5 CME, 1.5 CMD management
CME/CMD Credits Available until November 2020

Member Non-Member


Speaker Biography:

Karen Tritz, MSW, is the Director of the Nursing Homes Division within the Survey and Certification Group at the Centers for Medicare & Medicaid Services’ (CMS) Center for Clinical Standards and Quality.

Evan Shulman is the Deputy Director - Division of Nursing Homes, Centers for Medicare & Medicaid Services (CMS).

Susan Levy, MD, CMD, AGSF, earned her medical degree from the University of Maryland and completed an Internal Medicine residency at the Medical University of South Carolina. She also completed a geriatric fellowship at the Mount Sinai Medical Center in New York. Dr. Levy currently resides in Delaware where she is medical director of two nursing homes. Dr. Levy is board certified in Internal Medicine, Geriatric Medicine and Hospice and Palliative She has been a medical director for over twenty-five years; a certified medical director (CMD) since 1996. She is currently the Immediate Past-President of AMDA-The Society for Post-Acute and Long-Term Care Medicine.

Victoria Walker MD, CMD, is the Chief Medical and Quality Officer for the Evangelical Lutheran Good Samaritan Society, the largest non-profit provider of LTC and senior services. She began her career as a family practice physician in a small Midwestern community. After several years providing community care, she shifted to working in a psychiatric hospital, where she developed a special interest in caring for those with dementia with challenging neuropsychiatric symptoms, advanced illness care, and the medical director role. Dr. Walker is a Clinical Associate Professor in the Department of Family Medicine and Geriatrics at the University of South Dakota Sanford School of Medicine and is an APSA Congressional Health and Aging Policy Fellow. She currently services as Chair of the Society’s Clinical Issues Subcommittee.

Speaker Disclosures:

All members of the education and online education committees have no financial relationships to disclose. Society staff have no financial relationships to disclose. Speakers of this program have no financial relationships to disclose.