Centers for Medicare and Medicaid Services (CMS) Implements Enhanced Barrier Precautions

The Centers for Medicare and Medicaid Services (CMS) have issued QSO-24-08-NH regarding the implementation of enhanced barrier precautions (EBPs) in nursing homes to prevent the spread of multi-drug resistant organisms (MDROs).

Please view the original memo here which issues formal guidance under F880 Infection Prevention and Control to SSAs and long term care facilities on the use of EBP, aligning with the existing national standards effective to April 1.

Implementation of EBP

EBPs are used in conjunction with standard precautions and expand the use of personal protective equipment (PPE) during high-contact resident care activities both inside and outside the residents’ room, which can result in transferring MDROs to staff hands and clothing. EBPs should be followed when performing transfers or assisting during bathing in a shared/common shower room and when working with residents in the therapy gym, specifically when anticipating close physical contact while assisting with transfers and mobility.

For further education and resources regarding EBP, check out these sources:

• The CDC provides several resources for providers when implementing EBP, including educational materials and signage.
• The CDC offers a short video regarding EBP in LTC centers on its YouTube channel.
• The CDC TRAIN environment provides additional resources.
• A CDC Frequently Asked Questions site is also available.