This study examines how rural medical centers in Northwest Missouri achieve emergency planning compliance with the current Centers for Medicare and Medicaid Services (CMS) emergency preparedness rule. This 2017 study focused on rural hospitals, critical access hospitals, and long‐term care facilities. An exploratory qualitative research study with an interpretive phenomenological approach was applied. Data were gathered from 11 face‐to‐face interviews with medical centers’ emergency and disaster planners in Northwest Missouri. Several categories and subcategories were identified in the data and developed into themes. Thematic analysis indicated significant barriers, including a CMS unfunded mandate, preparedness conducted by a single individual with other duties, lack of a whole community approach, and a lack of financial planning by medical center administration, hinder compliance with the CMS rule, necessary to mitigate nationwide emergencies. All participants agreed to the development of the emergency operations plan, which is essential for compliance. The findings from this study support the need for additional planning staff, time, and training to understand the elements of preparedness. Compliance with the CMS emergency preparedness rule cannot be achieved unless identified barriers are addressed.

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CMS应急准备规则：对农村医疗中心的挑战

这项研究研究了密苏里州西北部的农村医疗中心如何实现紧急医疗计划与现行的医疗保险和医疗补助服务中心（CMS）紧急准备规则的一致性。2017年的这项研究重点关注农村医院，急诊医院和长期护理设施。采用具有解释性现象学方法的探索性定性研究。数据来自密苏里州西北部医疗中心的紧急情况和灾难规划人员的11次面对面采访。在数据中确定了几个类别和子类别，并将其发展为主题。主题分析表明存在重大障碍，包括CMS无资金支持的任务，由承担其他职责的单个人进行的准备工作，缺乏整个社区的方法，而且医疗中心行政部门缺乏财务计划，阻碍了CMS规则的执行，这是缓解全国紧急情况所必需的。所有参与者都同意制定紧急行动计划，这对于合规至关重要。这项研究的结果表明，需要更多的计划人员，时间和培训来了解准备工作的要素。除非解决确定的障碍，否则无法达到CMS应急准备规则的要求。并进行培训以了解准备工作的要素。除非解决确定的障碍，否则无法达到CMS应急准备规则的要求。并进行培训以了解准备工作的要素。除非解决确定的障碍，否则无法达到CMS应急准备规则的要求。