what to expect and how to prepare for a State and Federal Survey.
- “Mock” Survey – for Hospital, Swing Bed, Nursing Home (NF or SNF), Assisted Living
- Our qualified consultants look at all areas of your facility and make an assessment in terms of compliance to the regulations and give you a report of the results, along with recommendations on how to correct problem areas.
- Survey for “Critical Access Hospital” designation
- Understanding Level 1 and Level 2 of the survey process
- Mandatory tasks
- Critical Care Areas
- The New Survey Process for Long Term Care
- Investigation Protocols of the new survey process, including: Abuse, Weight Loss, Dining Room, Pressure Sores, Hydration, Staffing, and Adverse Drug Reactions.
- Surveyors are mandated to review Quality Indicators over 75% as well.
- The Seven Survey Tasks:
- Off-Site Survey Preparation
- Entrance conference – on site
- Initial Tour
- Sample Selection
- Information Gathering
- Information Analysis for deficiency determination
- Exit Conference
- Sentinel Events
- The three Sentinel events: pressure sores, fecal impaction, dehydration
- How to ensure events don’t occur and if they do, the documentation needed and care provided.
- Quality Indicators links Care
- Review the 24 quality indicators and how their use can impact resident care
- Review how the quality indicators impact the survey process
- Complaint / EMTALA : Emergency Medical Treatment Active Labor Act
- EMTALA regulations
- How to comply
- Risk Management
- Regulations for Kansas or Nebraska
- Help in setting up your program
- Setting policies for your facility
- Documentation needed
- Reporting requirements
We offer in-services to fit every employee in your facility – from Managers to Aides –everyone is important and everyone has a role and a responsibility in the care of the resident!
- Director of Nursing
- Leadership
- Role responsibilities
- Charge Nurses
- Duties of the charge nurse
- Importance of being a leader
- Empowering the Nursing Assistant
- Importance of the Nursing Assistant as a vital part of the team
- How the Nursing Assistant’s care impacts the resident/survey process
- Staff Competency / Evaluations
- Importance of doing staff competency evaluations
- When to do them
- Staff Development
- What is staff development
- Importance of staff development
- Abuse Regulations
- New survey regulations reviewed
- How to perform an investigation
We have experts who can help your employees have a better understanding in each of these areas with the result of a better quality of care to your residents.
- Activities
- Activities regulations
- Documentation needed
- How to assess residents’ Activity needs
- Activities’ role in MDS / Resident Care
- Consumer Satisfaction
- Importance of consumer satisfaction
- Techniques for achieving greater consumer satisfaction
- Documentation
- The importance of documentation in the liability of the facility
- How documentation should support the care given
- HIPAA Implementation Education & Tool
- The importance of compliance with regulations
- What steps to take to implement HIPAA within your facility
- MDS/CAAs/Care Planning
- Importance of the accuracy of RAI process
- How to write a Resident centered careplan
- Importance of documentation as a corporate compliance issue
- Medications
- Adverse Drug Reactions / Medications Administration Review
- The Beers List and documentation needed to support use of medication on the list
- How surveyors are reviewing medication administration and medication errors
- How to reduce psychotropic drug use and document appropriate use
- Medication Aide Responsibility
- Pain Management
- How to set up a program
- Documentation needed
- Pressure Sores
- New Survey protocols
- Review regulations concerning pressure sores
- Documentation needed
- Interventions to prevent pressure sores
- Description of avoidable and unavoidable pressure sores
- Quality Assurance
- Review Quality Assurance regulations
- How to strengthen your Quality Assurance Program
- The role committee plays in facility
- Restorative Nursing: Bowel / Bladder, Dining Room, ADL’s
- Review regulations, clinical indicators and how surveyors review this process
- What restorative nursing can offer
- Skilled Nursing Facility Implementation
- Skilled Nursing Facility regulations
- Documentation needed to ensure skilled services are warranted
- How to bill for Skilled Nursing Services to Medicare Part A and Medicare Part B
- Social Services
- Social service regulations
- Documentation needed to ensure the psychosocial needs of the resident are being met.
- Social Service’s role in MDS / Care.
- Swing Bed Regulations and Documentation
- Who qualifies
- Documentation needed
- The Three D’s: Delirium, Depression, Dementia
- How to assess and differentiate between the D’s
- Review care and how to care plan for the D’s
- Understanding Dementia Care
- Discuss the seven stages of dementia
- Learn dementia care techniques
- Review care plans and behavior management for each stage
Insuring your facility is compliant with the new HIPAA regulations is essential. Our personnel can assist you through the process of implementation and providing the tools to assure compliance in the new health information privacy regulations. Please call to see what RHD can do for your facility.
- Maintenance Department
- Regulations affecting the maintenance department
- Documentation needed to fly through surveys
- Housekeeping Department
- Regulations affecting the housekeeping department
- Documentation needed to soar through surveys
- Infection Control
- Infection Control regulations
- Documentation needed to ensure proper infection control techniques are being followed in the facility
- Safety / Restraints – Chemical & Physical
- Review restraint regulations
- How to recognize potential restraints
- Review the importance of assessments and documentation in restraint use in affording residents the proper care
- Dietary Regulations
- Regulations affecting the dietary department
- New survey protocols
- Documentation needed to prevent deficiency and to ensure proper nutritional needs for residents.
- Weight loss / Dehydration / Nutritional Risks
- New survey protocols including the WHP group (weight loss, hydration, pressure sores)
- Residents at nutritional risk
- Documentation and care that should be provided
- Hydration
- Risk factors
- Documentation needed
- Compliance hints
- Dining Room Experience
- New survey protocols
- How to set up a dining room enhancement committee to meet the residents’ needs
RHD has experience recruiting excellent administrator candidates, and we believe in working with our managed facilities on selecting the optimal fit for their community. With a management contract, RHD will employ the administrator. This provides both the facility and the administrator with many benefits. RHD can often attract a stronger administrator candidate than an independent facility can on its own, as RHD has the advantage of being able to offer the administrator benefits that an independent facility might not be able to afford to offer all of its employees (health insurance, 401(k) matching, etc). RHD also provides many continuing education hours to our administrators, keeping them up-to-date on the evolving world of health care management. Additionally, the facility can see additional efficiencies because RHD is better equipped to keep a pulse on the day-to-day happenings of the facility by directly employing the administrator.
We can help your health system develop and implement a strategic plan for the current and future health needs of your community. Go from surviving to thriving with the RHD team!
- Identify Health Needs
- Analyze: Strengths, Weaknesses, Opportunities, and Threats
- Set Goals
- Create an Action Plan
- Place the Plan in Motion
- Rural Health Feasibility Studies
- RHC Certifications
- Independent RHC Cost Reports
RHD has assisted over 350 clinics across the country in becoming an Independent or a Provider Based Rural Health Clinic. We do cost reports for the IRHCs in all regions within each of the various Fiscal Intermediaries. Personnel are available for clinic operational analysis whether it is a fee-for-service or an RHC. Workshops or seminars, to include topics such as billing, coding, documentation, management strategies for RHCs or perhaps cost reporting fundamentals, that your community would like presented are also part of our services. Personnel are available by phone to answer your questions.