CMS implemented new survey guidelines on November 28, 2017. This includes Regulation Reform, F-Tag Renumbering, New Interpretive Guidance (IG), A New LTC Survey Process, LTC Surveyor Training, and State Preparation. The new survey includes aspects from both of the two prior survey processes which were the Traditional Survey and the QIS survey. Since the new protocols are dramatically different than the prior LTC surveys, many operators are reporting difficulties and questions about what to expect when their survey team arrives.
And though LTC teams may have survived their 2018 survey, subsequent year’s surveys are expected to be more complicated. This course will include a comprehensive review of each section of the new survey, to include sub-sections and expectation of each. Guidance will be offered on the newest components, to include the areas of Person-Centered Care, QAPI, Facility Assessment, and Antibiotic Stewardship. Trends will be cited regarding top-cited F-tags and the survey trends of deficiencies, fines, and IJs. Finally, example scenarios and recommendations for avoiding high-frequency F-TAGS will be shared to complete the learning experience.
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- Components from the Traditional & QIS Surveys - best of both worlds
- Comparisons in the areas of Automation, Sample Selection, Off-site Preparation,
- Information Needed Upon Entrance,
- Initial Entry to Facility, Survey Structure, and Group Interviews
- An overview of the Initial Pool Process, Survey team selects sample and
- The Entrance Conference
- The CMS Matrix Format
- Components of the Initial Pool of Residents
- Screening: First Day of Survey
- Resident Interviews
- Limited Record Review
- Observe first full meal/dining observations
- The Sample Selection
- Unnecessary Medication Review
- Resident Investigation – General Guidelines
- Critical Element Pathways
- Dining Room Observations & F-TAGs
- Observations, Interview & Investigative Probes
- Structured Guidance To Determine If CEs Are Met
- Critical Element Pathways
- Questions for Infection Control
- Example scenarios & Process Surveillance to prevent FTAG 880
- Monitor & educate staff: Rounds & Re-training
- Closed Record Reviews
- What to expect with Facility Task Investigations
- Dining, Infection Control, SNF Beneficiary Protection Notification, Kitchen Observations, Suggestions to avoid FTAG 812, Medication Administration & Storage, Resident Council Meeting, Nurse Staffing Review & Environment
- Components of the QAPI & facility assessment
- LTCSP Mapping Document for frequently cited citations
Course Goals & Objectives:
This course is intended to instruct the professional on successfully executing strategies to assure compliance for the newest regulations, to a deficiency-free LTC survey.
- Identify the similarities and differences of the new survey process, as compared to the traditional and QIS prior formats.
- Cite the three main parts to new Survey Process.
- Identify the parameters and sample size of the Initial Pool Process.
- Recognize the Sample Selection and process for the Unnecessary Medication Review.
- Identify the process for investigation with the Critical Element (CE) Pathways, for areas such as pressure ulcers and dialysis.
- Cite the process recommendations to avoid the citation of FTAG 880 for Infection Control errors.
- Identify the facility task investigations, for which the surveyor will utilize the Critical Element Pathways.
- List the steps that should be completed for the QAPI and the Facility Assessment.
"Seminar-On-Demand" course are streamed on your web browser if the online version if purchased. Our SODs are optimized for the most current versions of Safari, Google Chrome or Mozilla Firefox. A current version of Adobe Flashplayer is also required when viewing on a desktop or laptop computer. All SOD courses are mobile ready.
Contact Hours: 3 contact hours in length (check your state’s approval status in the state specific course catalog for your profession).
Target Audience: Physical Therapist, Physical Therapist Assistant, Occupational Therapist, Occupational Therapist Assistant, Speech Language Pathologist, Nurse, Nursing Home Administrator, Social Worker, and Activities Professionals.
Instructional Level: Intermediate
Criteria for Completion: Criteria for Completion: A score of 70% or more is considered passing. Scores of less than 70% indicate a failure to understand the material and the test will need to be taken again until a passing score has been achieved
This course is offered for 0.30 ASHA CEUs (Intermediate level, Professional area).
Financial – Lisa Milliken is employed by Select Rehabilitation and receives a salary. She receives payment from HomeCEU for the presentation of this course.
Nonfinancial - no relevant nonfinancial relationship exists.
No relevant conflicts of interest exist for any member of the activity planning committee
Content Disclosure: This course does not focus solely on any specific product or service
Cancellation Policy: For activity cancellation, returns, or complaint resolution, please contact Anne Osborn by email Anne@HomeCEU or by phone at 1.800.55.4CEUS (2387). We have a 100% satisfaction guarantee. Refunds will be issued for courses that have not been completed (exam not taken), or for any course that has been rejected by your board of approval. Webinar attendance must be canceled 24 hours before the scheduled start time.