CMS SOM - Appendix P
|
|
|
- Jeffery Brooks
- 7 years ago
- Views:
Transcription
1 CMS SOM - Appendix P Revised Tasks 1-5 Traditional Survey Process Effective
2 Text Changes to Appendix P These training materials will highlight only the temporary changes. Strikethrough in Appendix P is used to denote those items that are no longer applicable related to MDS 2.0 Red font and italics used to denote new temporary processes or steps Temporary changes occur in Task 1 through Task 5 2
3 Changes to Traditional Survey Implementation of MDS 3.0 scheduled for October 1, This will temporarily result in: Inability to run Quality Measure-Quality Indicator (QM/QI) reports Inability to select offsite sample based on MDS data Identification of residents and/or concerns during onsite tour 3
4 Transition to MDS 3.0 Implementation October 1, 2010 Assessment timing based upon: Type of assessment; Last assessment completion; and Assessment Reference Dates (ARD): MDS 2.0 or MDS 3.0 Comprehensive or Non-comprehensive Assessment Transmission Within 14 days of completion to the CMS system 4
5 Task 1 Offsite Survey Preparation A resident may be selected based on offsite information such as: Results of Complaint investigations Statement of Deficiencies -CMS-2567 CASPAR Reports 3 and 4 Information on Waivers/Variances Information from the State Ombudsman Office Preadmission Screening and Resident Review Reports (PASRR) or Other Pertinent Information 5
6 Task 1 Offsite Preparation Team Coordinator will provide: Information from offsite sources and will record concerns, if any, on a Roster/Sample Matrix (CMS 802) Blank copies of the Roster/Sample Matrix (CMS 802) for surveyors to use during the initial tour to record any concerns and to identify potential residents 6
7 Roster/Sample Matrix (CMS 802) Revisions to 802 form Falls/Fractures is now a separate field from Abrasions/Bruises Behavioral Symptoms is now a separate field from Depression Resident Characteristics renumbered 7
8 Roster/Sample Matrix (CMS 802P) Provider Instructions Revisions to 802P (provider instructions) MDS 3.0 coding or manual coding instructions Resident Characteristic fields renumbered 8
9 Roster/Sample Matrix (CMS 802S) Surveyor Instructions Revisions to 802S (surveyor instructions) References to QM/QIs removed Resident Characteristic fields renumbered 9
10 Resident Census & Conditions of Residents (CMS 672) Revisions to 672 form None Revisions to 672 instructions MDS 3.0 coding replaces MDS 2.0 coding references Manual coding instructions for some fields The use of the form has NOT changed 10
11 Task 2 ENTRANCE CONFERENCE ONSITE PREPARATORY ACTIVITIES QM/QI reports are not provided Provide knowledgeable staff to accompany the surveyors during the tour Request the completion of the Roster/Sample Matrix by the end of the tour. Include each resident (including residents on bed-hold) Check off each area of concern for that particular resident. 11
12 Task 3 - Initial Tour Provide an initial review of the facility, residents, and staff Obtain an initial evaluation of the environment of the facility, including the facility kitchen Confirm or invalidate the pre-survey information about potential areas of concern, if any, and add concerns discovered onsite Identify potential residents and areas of concern to be investigated (Roster/Sample Matrix, CMS 802) 12
13 Task 3 - Initial Tour Attempt to meet as many residents as possible in order to identify residents for the sample using presurvey information, if any, and observation. It is not necessary to meet 100% of the residents Identify interviewable residents to participate in Quality of Life (QOL)Assessment Resident Interview or Group Interview 13
14 Task 4 Sample Selection Statutorily required sample - casemix stratified to capture: Both interviewable and non-interviewable residents Residents from both heavy and light care categories, Includes various stages of impairment of physical functioning/dependency, and cognitive functioning. 14
15 Sample based on: Task 4 - Sample Selection Variation in case-mix, Concerns that the team has selected to investigate, and Special factors Sampling in two phases: Phase 1 - after the tour, approximately 60% of the sampled residents are chosen, Phase 2 - Part way through the survey, the remaining 40% chosen In Phase 1 - selected number of residents receive comprehensive reviews. Remaining residents in both phases receive either focused or closed record reviews. 15
16 Task 4 - Sample Selection Phase 1 - Sample Selection Check Phase 1 on a copy of the Roster/Sample Matrix Highlight the column for each identified concern Residents/Areas of Concern: Potential residents/concerns identified during Offsite Survey Preparation; Information from the Entrance Conference such as any rooms with variances; and Residents/concerns identified during the Initial Tour. 16
17 Task 4 - WHP Sample Selection For the weight loss, hydration risk and/or pressure ulcers (WHP) sample, use Table 1 and the total resident census in order to: Determine the minimum number of residents required for the WHP sample. The number in the WHP column represents the minimum total of residents who must be selected for the Phase 1 sample to represent any or all of these conditions. These residents will be may be identified through offsite information (i.e. complaints) or during the initial tour. 17
18 Sample selection: Task 4 - Sample Selection Review information about resident characteristics gained on tour and information from the facility s Roster/Sample Matrix; Compare the residents selected offsite, if any, to the concerns selected for Phase 1 to determine if any are good candidates for the sample either current residents or closed records; Select residents to be the representatives of the areas of concern and special factors (e.g., new admissions) The team does not need to select all special factors. 18
19 Task 4 - Sample Selection All residents selected for comprehensive reviews are selected during the Phase 1 sample selection. Residents selected for focused reviews, closed record reviews, individual interviews, and/or family interviews and resident observations may be selected during Phase 1 or Phase 2 sample selection. 19
20 Task 4 - Sample Selection Select concerns for Phase 2 based on the following: Initial concerns noted during Offsite Survey Preparation or the Initial Tour that have not yet been reviewed; New concerns discovered through the Phase 1 review that have not been adequately investigated as yet; Currently un-reviewed concerns that are related to those under investigation, e.g., adding residents who have had falls based on results of the Phase 1 discovery of a problem with use of psychoactive drugs; and Current concerns for which the information gathered is inconclusive. 20
21 Task 5 - Information Gathering Comprehensive Care Review Removal of Resident Assessment Protocols Use of the Care Area Assessment (CAA) Process: Identification of potential resident conditions/issues; Identification of risks and causes of resident conditions; 21
22 Task 5 - Information Gathering Use of the Care Area Assessment (CAA) Process: Completion of the CAA Summary; Development of a care plan that meets the identified needs of the resident. For information on the CAAs, see Chapter 4 and Appendix C of the Long-Term Care Facility Resident Assessment Instrument User s Manual, Version 3.0, effective 10/1/2010, which is located on the CMS MDS 3.0 website at: ngmaterials.asp#topofpage 22
23 Task 5 - Information Gathering Record Review: Review the appropriate sections of the MDS for background information including customary routines and demographic information to provide an understanding of the resident prior to admission. For the location of the specific sections of the MDS 3.0, see Chapter 3 of the Long-Term Care Facility Resident Assessment Instrument User s Manual, Version 3.0, effective 10/1/2010, which is located on the CMS MDS 3.0 website: ngmaterials.asp#topofpage 23
24 Hydration Investigative Protocol Use this protocol for a resident with concerns related to hydration, such as: A fecal impaction; The presence of a urinary tract infection; Weight loss; or The presence of a pressure ulcer. 24
25 Appendix PP Revisions to Regulations (b)(1)(xvii) (F272) - replaces RAPs with CAAs (f)(3) (F287): Replaces transmission to the State with transmission to the CMS/MDS System Replaces transmission monthly with transmission within 14 days Formatting and editorial revisions throughout the Guidance to Surveyors References to MDS items & coding References to CAAs, ARDs, timing, & definitions Changes in guidance for staging pressure ulcers. 25
Additional Resources. What is the MDS used for? Global changes to the MDS 3.0 How will these changes affect surveyors? Lesson 1 Objectives
Additional Resources State Operations Manual http://surveyortraining.cms.hhs.gov/sp/mdsr esources.aspx http://www.cms.gov/nursinghomequalityinit s/ Lesson : Introduction to the MDS 3.0 What is the MDS
What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines
INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS The Revised Guidance Includes: Interpretive Guidelines Investigative Protocols Compliance & Severity Guidance What s new? The new guidance for
Five Star Rating System Tip Sheet
Five Star Rating System Tip Sheet In December 2008, The Centers for Medicare & Medicaid Services (CMS) enhanced its Nursing Home Compare public reporting site to include a set of quality ratings for each
Bradley N. Shiverick. Senior Vice President Healthcare Analytics. bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546
Bradley N. Shiverick Senior Vice President Healthcare Analytics bshiverick@teamtsi.com Office 256.279.6802 cell 256.677.8546 Need Help? [Toll Free] 800.765.8998 support@teamtsi.com Agenda Five Star Rating
Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s):
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident with
Home Health Survey Protocols
Home Health Survey Protocols Barbara Brown, RN, BSN Jean Macdonald, RN, BSN, MS From a presentation by Pat Servast, Survey and Certification CMS Learning Objectives At the conclusion of this lesson, you
The Role of The Physician In Improving Nursing Home Quality. Jonathan M. Evans MD MPH CMD President, AMDA
The Role of The Physician In Improving Nursing Home Quality Jonathan M. Evans MD MPH CMD President, AMDA Questions For Discussion: What should residents and families expect from their physician in the
NURSE CONSULTANT (RN), GS-610-13
ANNOUNCEMENT: NURSE CONSULTANT (RN), GS-610-13 Name: Jacinda Davidson Social Security #: Citizenship: USA Previous Federal Employment: None Veteran's Preference: None Home Address: 2620 Dunnigan, San Diego
Improving Dementia Care and Reducing Unnecessary Use of Antipsychotic Medications in Nursing Homes
Improving Dementia Care and Reducing Unnecessary Use of Antipsychotic Medications in Nursing Homes Alice Bonner, PhD, RN Division of Nursing Homes Center for Clinical Standards and Quality Centers for
Network Monitoring Handbook
The purpose of this handbook is to inform network providers on what to expect before, during, and after an on-site monitoring visit by Central Florida Cares Health System, Inc. Network Monitoring Handbook
Compliance Audit Tool
CMS FY 2011 Top 10 Hospice Survey Deficiencies Compliance Audit Tool National Hospice and Palliative Care Organization www.nhpco.org/regulatory This audit tool is based on CMS s national aggregated analysis
Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version]
![Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version]](/thumbs/39/19238377.jpg "Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version]")
Nursing Home Compare Five-Star Quality Rating System: Year Five Report [Public Version] Final Report June 16, 2014 Prepared for Centers for Medicare & Medicaid Services (CMS) AGG/Research Contracts & Grants
Center for Medicaid and State Operations/Survey and Certification Group Ref: S&C-07-30 DATE: August 10, 2007 (revised)
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-12-25 Baltimore, Maryland 21244-1850 Center for Medicaid and State Operations/Survey
Five-Star Nursing Home Quality Rating System
Five-Star Nursing Home Quality Rating System This is a summary of the information contained in the CMS Technical User s Guide July 2012. The guide in its entirety can be found at CMS.gov. Since the launch
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident receiving
Electronic Charting for the IDT Staff
Electronic Charting for the IDT Staff Hi-Tech Menu System... 2 Update Memo Alert... 2 Log In to the HTS System... 3 Create or Change a Password... 3 Electronic Signatures... 4 Notes... 5 Edit Notes Library...
483.25(i) Nutrition (F325) Surveyor Training: Interpretive Guidance Investigative Protocol
483.25(i) Nutrition (F325) Surveyor Training: 1 With regard to the revised guidance F325 Nutrition, there have been significant changes. Specifically, F325 and F326 were merged. However, the regulatory
NURSING FACILITY ASSESSMENTS
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL NURSING FACILITY ASSESSMENTS AND CARE PLANS FOR RESIDENTS RECEIVING ATYPICAL ANTIPSYCHOTIC DRUGS Daniel R. Levinson Inspector General
OREGON PROPERLY VERIFIED CORRECTION OF DEFICIENCIES IDENTIFIED DURING SURVEYS OF NURSING HOMES PARTICIPATING IN MEDICARE AND MEDICAID
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL OREGON PROPERLY VERIFIED CORRECTION OF DEFICIENCIES IDENTIFIED DURING SURVEYS OF NURSING HOMES PARTICIPATING IN MEDICARE AND MEDICAID
Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide. March 2009
Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users Guide March 2009 (Revised April 1) Introduction The Centers for Medicare & Medicaid Services (CMS) has enhanced its Nursing
CENTER OF EXCELLENCE IN REHABILITATION SERVICES. Policies Standards Survey Process
CENTER OF EXCELLENCE IN REHABILITATION SERVICES Policies Standards Survey Process INTRODUCTION The CIHQ Center of Excellence in Rehabilitation Services program recognizes specialized inpatient rehabilitation
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING 4.1 Background and Rationale Background. The Omnibus Budget Reconciliation Act of 1987 (OBRA 1987) mandated that nursing facilities provide
HOSPICE NURSING HOME INTERFACE
HOSPICE NURSING HOME INTERFACE Guidelines for Care Coordination for Hospice Patients who Reside in Nursing Homes STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES DIVISION OF QUALITY ASSURANCE P- 00252
SURVEY GUIDE LONG-TERM CARE FACILITIES. Nursing Homes, Skilled Nursing Facilities, Nursing Facilities
SURVEY GUIDE LONG-TERM CARE FACILITIES Nursing Homes, Skilled Nursing Facilities, Nursing Facilities STATE OF WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Quality Assurance Bureau of Nursing Home
Complaint Investigations of Minnesota Health Care Facilities
Complaint Investigations of Minnesota Health Care Facilities Report to the Minnesota Legislature explaining the investigative process and summarizing investigations from July 1, 2003 to June 30, 2006 and
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol for a sampled resident receiving
MDS 3.0 What s New & A Review. Focused Survey NOMNC 10/31/2014. Carol Hill, MSN, RN, RAC CT, C NE, RAC MT
MDS 3.0 What s New & A Review Carol Hill, MSN, RN, RAC CT, C NE, RAC MT Focused Survey Focused Minimum Data Set (MDS) Survey April 18, 2014 S& C:14 22 NH Pilot Began 2014 Intent to document MDS 3.0 coding
CHAPTER 2: ASSESSMENTS FOR THE RESIDENT ASSESSMENT INSTRUMENT (RAI)
CHAPTER 2: ASSESSMENTS FOR THE RESIDENT ASSESSMENT INSTRUMENT (RAI) This chapter presents the assessment types and instructions for the completion (including timing and scheduling) of the mandated OBRA
Understanding the 5-Star Ratings and Quality Measures
Understanding the 5-Star Ratings and Quality Measures Erica Holman, LMSW, LNHA, CDP Evolucent Risk Management Consultant Learner Objectives Describe the CMS 5-Star Rating system Define the relationship
Objectives. Objectives. The Facility Compliance Program Handbook 3/11/2016. Training 1
Understanding the Five Star Quality Rating System Design For Nursing Home Compare Nathan Shaw RN, BSN, MBA, LHRM, RAC CT 3.0 Director of Clinical Reimbursement March 23rd, 2015 Objectives Objectives Provide
Wyoming Nursing Facility Extraordinary Care Criteria
Wyoming Nursing Facility Extraordinary Care Criteria Recipients who have an MDS Activities of Daily Living Sum score of ten (10) or more and require special care or clinically complex care as recognized
State Operations Manual Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers
State Operations Manual Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers Transmittals for Appendix L Table of Contents (Rev. 137, 04-01-15) Part I - Ambulatory Surgical Center Survey Protocol
CHAPTER 2: THE ASSESSMENT SCHEDULE FOR THE RAI
CHAPTER 2: THE ASSESSMENT SCHEDULE FOR THE RAI This chapter presents the instructions for the completion of the mandated clinical and Medicare assessments in nursing facilities. 2.1 Introduction to the
DSM-IV PSYCHIATRIC DIAGNOSES OF PSYCHOGENIC NON-EPILEPTIC SEIZURES
DSM-IV PSYCHIATRIC DIAGNOSES OF PSYCHOGENIC NON-EPILEPTIC SEIZURES Robert C. Doss, Psy.D John R. Gates, M.D. This paper has been prepared specifically for: American Epilepsy Society Annual Meeting Washington,
MDS 3.0 QUALITY MEASURE (QM) REPORTS
11 MDS 3.0 QUALITY MEASURE (QM) REPORTS GENERAL INFORMATION...2 INTRODUCTION...2 SUPPORTING QM CONCEPTS...2 ACCESSING THE MDS 3.0 QM REPORTS...4 MDS 3.0 FACILITY CHARACTERISTICS REPORT...5 MDS 3.0 FACILITY
CORRECTIONAL MEDICAL AUTHORITY
CORRECTIONAL MEDICAL AUTHORITY PHYSICAL & MENTAL HEALTH SURVEY of in Polk City, Florida on January 14-15, 2015 CMA Staff Members Matthew Byrge, LCSW Kathryn McLaughlin, BS Clinical Surveyors James W. Langston,
LICENSING & CERTIFICATION FOR NURSING FACILITIES
LICENSING & CERTIFICATION FOR NURSING FACILITIES And The LONG TERM CARE OMBUDSMAN PROGRAM A Paper By The National Association of State Long Term Care Ombudsman Programs OCTOBER 1996 The National Association
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING 4.1 Background and Rationale The Omnibus Budget Reconciliation Act of 1987 (OBRA 1987) mandated that nursing facilities provide necessary
Managing Your Five-Star Nursing Home Rating
Managing Your Five-Star Nursing Home Rating The new consumer rating system launched by CMS forces facilities to investigate and address highlighted problems W h i t e p a p e r How many stars do you have?
AMY MULWA, RN, BSN, CLARK RETIREMENT COMMUNITY TOM BISSONNETTE, MS, RN, STATE OF MICHIGAN JPST, SEPTEMBER 29, 2015
AMY MULWA, RN, BSN, CLARK RETIREMENT COMMUNITY TOM BISSONNETTE, MS, RN, STATE OF MICHIGAN JPST, SEPTEMBER 29, 2015 OBJECTIVES: Describe the Federal and State Regulations Governing Paid Dining (Feeding)
Clinic Name and Location: 4. Clinic has specific written protocols or guidelines for treatment of TB:
TB Clinic Survey Form Clinic Name and Location: PATIENT POPULATION 1. Number of Patients eligible for initiation of TB Treatment: 2. Number of Patients Started on TB Treatment: 3. Number of these Patients
RESIDENT CENTERED CARE PLANS FOR SUCCESS! Robin A. Bleier, RN, LHRM, CLC copyright
RESIDENT CENTERED CARE PLANS FOR SUCCESS! Robin A. Bleier, RN, LHRM, CLC copyright RAI REFRESHER RAI Definition The resident assessment instrument (RAI) is a process developed to assist the facility staff
SAMPLE DESIGN RESEARCH FOR THE NATIONAL NURSING HOME SURVEY
SAMPLE DESIGN RESEARCH FOR THE NATIONAL NURSING HOME SURVEY Karen E. Davis National Center for Health Statistics, 6525 Belcrest Road, Room 915, Hyattsville, MD 20782 KEY WORDS: Sample survey, cost model
Center for Medicaid, CHIP and Survey & Certification/Survey and Certification Group
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-12-25 Baltimore, Maryland 21244-1850 Center for Medicaid, CHIP and Survey & Certification/Survey
Understanding CMS 5-Star Rating System
Understanding CMS 5-Star Rating System Michelle M. Pandolfi, LMSW, MBA, LNHA, PMP Director, Consulting Services Qualidigm This material was prepared by the New England Quality Innovation Network-Quality
Quarterly Resident Meeting May 2009 Insurance Letter----read your contract; direct questions to the Manager of Resident Services (social worker) Swine Flu informational letter from Dr. Ken Brubaker, our
42 CFR 483.25 (F309) QUALITY OF CARE. Changes to Interpretive Guidance. Training Objectives. *Overview of changes
42 CFR 483.25 (F309) QUALITY OF CARE Changes to Interpretive Guidance 1 Training Objectives Review guidance for hospice and/or ESRD services, formerly in the SOM in Appendix P; Describe when to use F309
Annual Quality Improvement Report on the Nursing Home Survey Process
Commissioner s Office 625 Robert St. N., Suite 500 P.O. Box 64975 St. Paul, MN 55164-0975 (651) 201-5000 Annual Quality Improvement Report on the Nursing Home Survey Process Minnesota Department of Health
Activities of Daily Living F 311 Minnesota Department of Health Nursing Home Surveyor Training Resource
2/2006 1 Objectives Activities of Daily Living F 311 Minnesota Department of Health Use To determine if the facility is providing maintenance and restorative programs that will not only maintain, but improve,
WAHSA Recommendations: Medicaid/Family Care Cost Savings, Program Efficiencies and Reform Measures
WAHSA Recommendations: Medicaid/Family Care Cost Savings, Program Efficiencies and Reform Measures {Note: The following was developed by WAHSA members and staff in response to DHS request to indentify
Learning Objectives 4/19/2016. The Five-Star Ratings Have Changed IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT
IMPROVING YOUR CMS FIVE-STAR QUALITY RATING KAY HASHAGEN, PT, MBA, RAC-CT Learning Objectives How to analyze the current Star Rating in each area Evaluate current operations to determine the most critical
2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF)
2.b.vii Implementing the INTERACT Project (Inpatient Transfer Avoidance Program for SNF) Project Objective: Skilled nursing facilities (SNFs) will implement the evidence based INTERACT program developed
State LNS Limited Nursing Services
State LNS Limited Nursing Services Tag Title Text Guidelines Surveyor Information ELIGIBILITY STANDARDS N 0100 A facility intending to provide limited nursing services, but not extended congregate care
DATE DUE: RESIDENT NAME: DATE(S) OF COMPLETION: STAFF COMPLETING RESIDENT REVIEW:
483.25 QUALITY OF CARE F309 CARE AND SERVICES FOR RESIDENT WITH PAIN Based on QIS CE Pathway CMS-20076 - Pain Recognition and Management http://www.aging.ks.gov/manuals/qismanual.htm Use of this tool is
STATE OF NEW YORK DEPARTMENT OF HEALTH
STATE OF NEW YORK DEPARTMENT OF HEALTH 161 Delaware Avenue Delmar, NY 12054-1393 Antonia C. Novello, M.D., M.P.H., Dr. P.H. Dennis P. Whalen Commissioner Executive Deputy Commissioner October 20, 2005
U.S. DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS RECRUITING BULLETIN
U.S. DEPARTMENT OF COMMERCE BUREAU OF THE CENSUS RECRUITING BULLETIN ISSUE DATE: CLOSING DATE: November 26, 2014 December 10, 2014 Recruiting Bulletin No. LARO-14-FSA-41051-049 EX Los Angeles Regional
State Operations Manual
State Operations Manual Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals (Rev. 1, 05-21-04) Survey Protocol Introduction Task 1 - Off-Site Survey Preparation Task 2 -
APPENDIX N. Data Validation Using Data Descriptors
APPENDIX N Data Validation Using Data Descriptors Data validation is often defined by six data descriptors: 1) reports to decision maker 2) documentation 3) data sources 4) analytical method and detection
(X2) MULTIPLE CONSTRUCTION 600 GRANT ST GARY, IN 46402 ID PREFIX TAG S000000
CENTERS FOR MEDICARE & MEDICA SERVICES STATEMENT OF DEFICIENCIES (X1) PROVER/SUPPLIER/CLIA AND PLAN OF CORRECTION ENTIFICATION NUMBER: NAME OF PROVER OR SUPPLIER 6 GRANT ST (X3) SURVEY S PROVER'S PLAN
DEMENTIA TRAININGS FOR DIRECT CARE STAFF
DEMENTIA TRAININGS FOR DIRECT CARE STAFF Assisted Living Dementia Care Training Kit CARES Online Training w/ Alz. Assoc. Certification Source Care and Compliance HealthCare Interactive, Inc. Audience Staff
HIMSS Electronic Health Record Definitional Model Version 1.0
HIMSS Electronic Health Record Definitional Model Version 1.0 Prepared by HIMSS Electronic Health Record Committee Thomas Handler, MD. Research Director, Gartner Rick Holtmeier, President, Berdy Systems
UNDERSTANDING THE REPORTS
3 UNDERSTANDING THE REPORTS KEY CONCEPTS AND TERMS...2 A QUICK GUIDE TO THE QIS/QMS...3 CHRONIC CARE MEASURES...4 POST-ACUTE CARE (PAC) MEASURES...9 COMPARISON OF OLD AND NEW RECORD SELECTION METHODS FOR
Leadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015
Leveraging the Continuum to Avoid Unnecessary Utilization While Improving Quality Leadership Summit for Hospital and Post-Acute Long Term Care Providers May 12, 2015 Karim A. Habibi, FHFMA, MPH, MS Senior
Overview of Urinary Incontinence in the Long Term Care Setting
Overview of Urinary Incontinence in the Long Term Care Setting Management Strategies for the Nursing Assistant Ann M. Spenard RN, C, MSN Courtney Lyder ND, GNP Learning Objectives Describe common types
WHAT IS INCONTINENCE?
CNA Workbook WHAT IS INCONTINENCE? Incontinence is the inability to control the flow of urine or feces from your body. Approximately 26 million Americans are incontinent. Many people don t report it because
State Operations Manual Chapter 5 - Complaint Procedures
State Operations Manual Chapter 5 - Complaint Procedures Transmittals for Chapter 5 Table of Contents (Rev. 120, 09-19-14) Sections 5000 to 5080.1 relate to all Medicare/Medicaid-certified provider/supplier
Pressure Ulcers: Facility Assessment Checklists
Pressure Ulcers: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to managing pressure ulcers in the facility, in
PROTOCOL INCONTINENCE, URINARY/FECAL Effective Date: August 4, 2010
Number: PROT0106 Submitted by: WOC Issuing Department: PATIENT CARE SERVICES Approved By: (Signature on File) Reviewed by: Date: WOC Nursing Service 7/27/10 Med Surg CPT 8/10 Date: 08/2010 Supersedes:
MDS Compliance. The Key Areas with Potential for Significant Impact. Brenda Sowash, BSN, RN, RAC CT Rolf Consulting LLC
MDS Compliance The Key Areas with Potential for Significant Impact Brenda Sowash, BSN, RN, RAC CT Rolf Consulting LLC Identify key sections of the MDS that impact survey Identify key sections of the MDS
Monitoring & Evaluation for Results. Reconstructing Baseline Data for Monitoring & Evaluation -Data Collection Methods-
Monitoring & Evaluation for Results Reconstructing Baseline Data for Monitoring & Evaluation -Data Collection Methods- 2007. The World Bank Group. All rights reserved. Baseline Data Baseline data are initial
CONFORMED COPY. Method Statement Helpdesk Services. Revision History. Revision Date Reviewer Status. 23 March 2007 Project Co Final Version
CONFORMED COPY Method Statement Revision History Revision Date Reviewer Status 23 March 2007 Project Co Final Version Table of Contents 1 Objectives... 3 2 Management Supervision and Organisation Structure...
HCANJ. 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES
HCANJ 44 th Annual 20-Hour Symposium March 16, 2016 FIVE-STAR RATING SYSTEM & QUALITY MEASURES NELIA ADACI RNC, BSN, CDONA, C-NE, RAC-CT VICE PRESIDENT, The CHARTS Group LEARNING OBJECTIVES: CURRENT 5-STAR
GAO NURSING HOMES. Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses
GAO United States Government Accountability Office Report to Congressional Requesters May 2008 NURSING HOMES Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and
Getting Started Guide
Page 2 of 9 Introduction This guide is designed to provide you with the information you need to complete your Payment Gateway account set up and begin processing live payment transactions. As a quick overview,
GAO NURSING HOMES. CMS Needs Milestones and Timelines to Ensure Goals for the Five-Star Quality Rating System Are Met
GAO United States Government Accountability Office Report to Congressional Committees March 2012 NURSING HOMES CMS Needs Milestones and Timelines to Ensure Goals for the Five-Star Quality Rating System
CMS Manual System Pub. 100-07 State Operations Provider Certification
CMS Manual System Pub. 100-07 State Operations Provider Certification Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 37 Date: October 17, 2008 SUBJECT:
Nurse Aide Training Program
Nurse Aide Training Program 1. What types of training programs are approved in the State of Georgia? 2. What general guidelines are required for Approved Nurse Aide Training Programs? 3. Are there any
Quality Measure Focus: Incontinence
Quality Measure Focus: Incontinence Keith Chartier, MPH Clinical Project Manager Elaine Nelson, RN, RAC-CT Clinical Project Manager (HSAG) August 25, 2015 Objectives 2 1 How Would It Make You Feel? Embarrassed
DigiPoints Volume 2. Student Workbook. Module 10 Network Management
Network Management Page 10.1 DigiPoints Volume 2 Module 10 Network Management Summary In this module, students learn engineering and operational information about Network Management. Module Objectives
NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE
Last Updated: Version 4.3a NQF-ENORSE VOLUNTARY CONSENSUS STANARS FOR HOSPITAL CARE Measure Information Form Collected For: CMS Voluntary Only The Joint Commission - Retired Measure Set: Surgical Care
Truven Health Analytics: Market Expert Inpatient Volume Projection Methodology
Truven Health Analytics: Market Expert Inpatient Volume Projection Methodology Truven s inpatient volume forecaster produces five and ten year volume projections by DRG and zip code. Truven uses two primary
Effective October 17, 2011, the process for facility reporting incidents to the Department of Health (DOH)will change.
Division of Residential Services NYS Department of Health 1 Effective October 17, 2011, the process for facility reporting incidents to the Department of Health (DOH)will change. Facilities will complete
ICD-9 Basics Study Guide
Board of Medical Specialty Coding ICD-9 Basics Study Guide for the Home Health ICD-9 Basic Competencies Examination Two Washingtonian Center 9737 Washingtonian Blvd., Ste. 100 Gaithersburg, MD 20878-7364
Clinical Laboratory Improvement Amendments (CLIA) How to Obtain a CLIA Certificate
Clinical Laboratory Improvement Amendments (CLIA) How to Obtain a CLIA Certificate When is a CLIA Certificate Required? NOTE: Congress passed the Clinical Laboratory Improvement Amendments (CLIA) in 1988
State Operations Manual
State Operations Manual Appendix A - Survey Protocol, Regulations and Interpretive Guidelines for Hospitals Transmittals for Appendix A Introduction Task 1 - Off-Site Survey Preparation Task 2 - Entrance
The Nursing Home Inspection Process
1 The Nursing Home Inspection Process SUMMARY Both the Minnesota Department of Health (MDH) and the U.S. Department of Health and Human Services share responsibility for ensuring that Minnesota s nursing
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol to determine whether the facility
Using Root Cause Analysis to Determine Why Readmissions are High. Presentation Objectives. Background Information 11/30/2011
Using Root Cause Analysis to Determine Why Readmissions are High Nancy Seck RBN, BSN, MPH, CPHQ Director, Quality Management Glendale Memorial Hospital and Health Center Presentation Objectives Identify
Amino Acid Therapy to Restore Neurotransmitter Function
Amino Acid Therapy to Restore Neurotransmitter Function Alvin Stein, MD Neurotransmitters are chemicals manufactured by our bodies that allow our nervous system to function properly. When the body requires
Key essential skills are: Critical Thinking, Oral Communication, Problem Solving. Level 1. Level 2
NOC: 4152 Occupation: Social Worker Occupation Description: Responsibilities include providing counselling, therapy and assistance to residents and family as appropriate. Social workers may also act as
MDS 3.0 Corrections. Why Accuracy
MDS 3.0 Corrections December 2013 Why Accuracy The importance of accurately completing and submitting the MDS cannot be over-emphasized. The MDS is the basis for: the development of an individualized care
SKILLED NURSING FACILITIES OFTEN FAIL TO MEET CARE PLANNING AND DISCHARGE PLANNING REQUIREMENTS
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL SKILLED NURSING FACILITIES OFTEN FAIL TO MEET CARE PLANNING AND DISCHARGE PLANNING REQUIREMENTS Daniel R. Levinson Inspector General
Section H Bladder and Bowel
Section Bladder and Bowel Intent To gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs, urinary and bowel continence, bowel training programs,
PART 70 - ADMINISTRATION AND MANAGEMENT
CHAPTER 70-4 INTERNAL AND EXTERNAL REVIEWS 70-4.1 INTRODUCTION................ (70-4) 1 70-4.2 REVIEWING ORGANIZATIONS.......... (70-4) 1 70-4.3 MANAGEMENT CONTROL............. (70-4) 3 70-4.4 GUIDELINES
FORM APPROVED OMB NO. 0938-0391 (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: A. BUILDING B. WING ID PREFIX TAG G 0000
CENTERS FOR MEDICARE & MEDICA SERVICES STATEMENT OF DEFICIENCIES (X1) PROVER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) SURVEY AND PLAN OF CORRECTION ENTIFICATION NUMBER: NAME OF PROVER OR SUPPLIER
Social Security Administration Pt. 404, Subpt. P, App. 2
Social Security Administration Pt. 404, Subpt. P, App. 2 3. For children age 3 to attainment of age 18, at least two of the appropriate age-group criteria in paragraph B2 of 112.02. 114.10 Sjögren s syndrome.
Changes to the RAI manual effective October 1, 2013
Changes to the RAI manual effective October 1, 2013 CMS released on Friday, September 27 an updated version of the RAI manual that became effective October 1, 2013. The manual is found here: http://www.cms.gov/medicare/quality-initiatives-patient-assessment-
Eligibility / Staffing Determination EMOTIONAL DISTURBANCE. Date of Meeting:
Eligibility / Staffing Determination EMOTIONAL DISTURBANCE Date of Meeting: Student Name: DOB: Soc. Sec.#: The basis for making the determination of whether the student has a disability which meets the
DEPARTMENT OF AGRICULTURE. Food and Nutrition Service. Agency Information Collection Activities: Proposed Collection; Comment Request
This document is scheduled to be published in the Federal Register on 07/15/2014 and available online at http://federalregister.gov/a/2014-16586, and on FDsys.gov BILLING CODE: 3410-30-P DEPARTMENT OF