Five-Star Quality Rating Boot CampSM for Long-Term Care
Course Outline
Your customers, lenders, and vendors are using your 5–star rating to make decisions that will impact your bottom line. Let us help you to improve or maintain your rating!
Module 1: Overview of the Five–Star Quality Rating System
- Introduction to the Nursing Home Compare Website and the Five–Star Quality Rating System
- History and implementation of OBRA 1987 and how it began the current era of nursing home regulation
- Regulation Research: End your confusion over the CMS Web site and find what you need
Module 2: Details of the Five–Star Quality Rating System
- Health inspection component of the Five–Star Quality Rating System
- Types of surveys
- Complaint surveys (or abbreviated surveys)
- Federal oversight surveys
- Methods to manage and minimize complaints and complaint surveys
- Meeting staffing expectations under the Five–Star program
- Linking quality measurement to your Five–Star rating
Module 3: The Traditional Survey Process
- Offsite preparation
- Onsite Survey Tasks and Phases of the Survey
- Statement of Deficiency (CMS-2567)
- Deficiency Categorization: Scope and Severity and impact on your Five–Star rating
Module 4: Quality Indicator Survey (QIS) Process
- Impact of the QIS evaluation project and implementation timetable
- Review of the QIS process and transition process
- Major differences between the QIS and traditional survey process
Module 5: Offsite Survey Preparation Tasks
- Quality Measurement Overview
- Publicly reported QMs
- Making sense of the QM/QI Reports
- Analyzing the reports and improving your QM rating
Module 6: Comprehensive Care Reviews
- Importance of the interview process
- Overall review of the facility's completion of the RAI and MDS processes –24% of the survey is derived from MDS data!
- Implementation of the care plan and resident response
- Medical record review (validate MDS coding for accuracy)
- Review of nursing home deficiency requirements, documentation, patterns, and terms
Module 7: Focus on Survey Deficiencies (F–Tags)
- Overview of nursing home deficiency requirements and patterns
- Focus on recent Quality of Care F-Tag revisions
- Focus on recent Quality of Life Changes
Module 8: Responding to Citations, Immediate Jeopardy
- Plan of Correction
- IDR process
- Additional appeals process
- Determination of Immediate Jeopardy
- Enforcement process and penalties
Module 9: Mock Survey
- Overview of Survey Preparation Techniques
- Process and problem identification
- Ensuring Your facility is always survey–ready
Module 10: Operational Focus Required for Optimal Ratings
- Auditing current processes
- Staffing changes to yield best results
- Benchmarking and implementing changes
Module 11: CQI Requirements and Process to Relationship to the Five–Staff Quality Rating System
- CQI Overview
- Adopting CQI Principles and practical application
- Changing and maintaining ratings
- Initiating proactive approaches and audit processes
|
