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Changes in the state operations manual: implications for consultant pharmacy practice.

Caren McHenry Martin1, Carla Saxton McSpadden

  • 1Greensboro, North Carolina, USA.

The Consultant Pharmacist : the Journal of the American Society of Consultant Pharmacists
|January 25, 2007
PubMed
Summary

New regulations from the Centers for Medicare and Medicaid Services will increase accountability for consultant pharmacists in long-term care facilities regarding medication use during annual reviews.

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Last Updated: Jul 17, 2026

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Published on: March 17, 2023

Area of Science:

  • Pharmacy Practice
  • Healthcare Regulation
  • Geriatric Medicine

Background:

  • Long-term care facilities undergo annual surveys by federal regulators.
  • The Centers for Medicare and Medicaid Services (CMS) sets the standards for these reviews.
  • Current regulations guide surveyor actions and facility compliance.

Purpose of the Study:

  • To highlight recent revisions to the State Operations Manual.
  • To inform stakeholders about impending changes in accountability for consultant pharmacists.
  • To emphasize the impact of regulatory updates on medication management in long-term care.

Main Methods:

  • Analysis of updated State Operations Manual guidance.
  • Review of Centers for Medicare and Medicaid Services regulations.
  • Examination of surveyor protocols for long-term care facilities.

Main Results:

  • Revisions to the State Operations Manual introduce new accountability measures.
  • Consultant pharmacists face heightened scrutiny regarding medication use.
  • Surveyors' guidance reflects an increased focus on medication management oversight.

Conclusions:

  • The updated manual signifies a shift in regulatory expectations for consultant pharmacists.
  • Enhanced accountability aims to improve medication safety and efficacy in long-term care.
  • Facilities and pharmacists must adapt to new compliance requirements to ensure quality care.