Page:United States Statutes at Large Volume 124.djvu/730

124 STAT. 704 PUBLIC LAW 111–148—MAR. 23, 2010 employees and other agents, such as by requiring participa- tion in training programs or by disseminating publications that explain in a practical manner what is required. ‘‘(E) The organization must have taken reasonable steps to achieve compliance with its standards, such as by utilizing monitoring and auditing systems reasonably designed to detect criminal, civil, and administrative viola- tions under this Act by its employees and other agents and by having in place and publicizing a reporting system whereby employees and other agents could report violations by others within the organization without fear of retribu- tion. ‘‘(F) The standards must have been consistently enforced through appropriate disciplinary mechanisms, including, as appropriate, discipline of individuals respon- sible for the failure to detect an offense. ‘‘(G) After an offense has been detected, the organiza- tion must have taken all reasonable steps to respond appro- priately to the offense and to prevent further similar offenses, including any necessary modification to its pro- gram to prevent and detect criminal, civil, and administra- tive violations under this Act. ‘‘(H) The organization must periodically undertake reassessment of its compliance program to identify changes necessary to reflect changes within the organization and its facilities. ‘‘(c) QUALITY ASSURANCE AND PERFORMANCE IMPROVEMENT PRO- GRAM.— ‘‘(1) IN GENERAL.—Not later than December 31, 2011, the Secretary shall establish and implement a quality assurance and performance improvement program (in this subparagraph referred to as the ‘QAPI program’) for facilities, including multi unit chains of facilities. Under the QAPI program, the Secretary shall establish standards relating to quality assurance and performance improvement with respect to facilities and provide technical assistance to facilities on the development of best practices in order to meet such standards. Not later than 1 year after the date on which the regulations are promulgated under paragraph (2), a facility must submit to the Secretary a plan for the facility to meet such standards and implement such best practices, including how to coordinate the implementation of such plan with quality assessment and assurance activities conducted under sections 1819(b)(1)(B) and 1919(b)(1)(B), as applicable. ‘‘(2) REGULATIONS.—The Secretary shall promulgate regula- tions to carry out this subsection.’’. SEC. 6103. NURSING HOME COMPARE MEDICARE WEBSITE. (a) SKILLED NURSING FACILITIES.— (1) IN GENERAL.—Section 1819 of the Social Security Act (42 U.S.C. 1395i–3) is amended— (A) by redesignating subsection (i) as subsection (j); and (B) by inserting after subsection (h) the following new subsection: ‘‘(i) NURSING HOME COMPARE WEBSITE.— ‘‘(1) INCLUSION OF ADDITIONAL INFORMATION.— Plans. Standards. Deadlines.