Click the  button found in the upper right corner of your screen 

OR 

Follow these three easy steps below! 

Step 1	Click the orange log in button in the upper left hand corner. Use your user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.   Don’t have an account or can’t remember? Click the CREATE ACCOUNT button. Non-members can create an account with your first, last name and email.  AHCA/ NCAL Members - *Please note* you must add your member facility name to your login Once you are in and can see your name in the upper left hand corner, you are ready to go!
Step 2	From the home page click on a category (Resources, Training, Webinars or On-Demand Training) For this demonstration, let’s try Webinars- Upcoming Live.  On the “upcoming webinars” page go to a product in which you are interested. Click the green REGISTER button. Or click the title of the webinar and you will be redirected to the page where you can view the overview, handouts or resources associated with that product. You can also click REGISTER in the upper right hand corner. The content will be available in your dashboard.
Step 3	Almost there! If the resource you are trying to access is a paid-for product, fill out the registration details and voila! The products are yours to use and can be found in your dashboard. Need further help? Email us at educate@ahca.org We’ll walk you through it.

This toolkit includes: 

• Talking Points
• Template Letter for Families
• Template Letter for Referral Sources/Payors

© 2022 American Health Care Association. All rights reserved. 

All Communication Tools materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

Success in achieving positive resident/patient outcomes is even more critical now than ever before.  The link between quality and payment in long term and post-acute care is growing stronger, as evidenced by the SNF Value Based Purchasing Program (VBP), Improving Post-Acute Care Transformation (IMPACT) Act, SNF Quality Reporting Program (QRP) and more.  In addition, regulatory activity is intensifying through focused surveys on adverse events, dementia care and MDS.  The Five-Star Rating system and Nursing Home Compare have been revised and will add items in the future as it broadens public reporting and transparency.  Most importantly, consumers expect and deserve high quality care. 

The Association’s Clinical Practice Committee designed a framework series that outlines guiding elements such as individualized care approaches, effective transitions of care, QAPI concepts, safety, risk management, team-based care, and diagnostic quality.  Care providers that use these resources can more effectively apply knowledge through organizational approaches and clinical care that leads to optimal patient outcomes and quality of life. 

We hope you find this Series useful to your practice to improve lives of the individuals who stay and live in centers across the nation.

© 2022 American Health Care Association. All rights reserved. 

All Building Prevention into Every Day Practice materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

It is critical for nursing centers and assisted living communities to address and mitigate resident-to-resident occurrences or potential incidents of resident-to-resident mistreatment. While mistreatment may or may not meet the definition of abuse, it would include negative and aggressive physical, sexual, or verbal interactions between long-term care residents that is unwelcome and have high potential to cause physical or psychological distress in the recipient.

Objectives:

1. Conduct a thorough investigation with proper documentation, follow up, and monitoring and care planning as needed.  
2. Create a structured self-assessment process to address the resident-to-resident occurrence and minimize or mitigate similar events for all residents. This includes a need to:
   • Document immediate interventions;
   • Conduct a root cause analysis process to identify the specific/source, root cause or causal factor of the problem; and 
   • Identify future actions to ensure sustained efforts to identify and prevent potential resident-to-resident mistreatment.
3. Identify existing AHCA/NCAL resources to support providers in addressing resident-to-resident mistreatment. 

Note: These tools were developed by members of AHCA/NCAL’s Survey/Regulatory Committee to assist centers and communities in addressing adverse events and potential adverse events, documenting and tracking the steps they have taken, and identifying best practices for ongoing improvement. Use of these tools does not guarantee regulatory compliance nor mitigate potential liability. Providers should adapt their tools, policies, and processes as needed to ensure compliance with current federal and state requirements and use both professional judgement and the advice of legal counsel in determining whether or how to share these mitigation tools.

© 2022 American Health Care Association. All rights reserved. 

All Provider Self-Assessment and Mitigation Tools for Resident to Resident Occurrences materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

Phase 3 of the RoPs goes into effect on November 28, 2019. AHCA has developed resources to help you navigate the new requirements. This package includes resources applicable to Behavioral Health and Trauma Informed Care. Such as:

• Trauma-Informed Care: How Do I Start
  
• Trauma-Informed Care Providing Mental Health Services in Long Term Care
• Toward Better Behavior: Yours, Mine, and Everyone Else's
  
• Sex, Drugs and Rolling Walkers
• Sexuality and the Resident With Dementia
• Behavioral Health and Trauma Informed Care Action Briefs (available in Requirements of Participation Action Briefs)

© 2022 American Health Care Association. All rights reserved. 

All Behavioral Health and Trauma Informed Care materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

How to Register in ahcancalED 

Easy as 1, 2, 3 !

click the  button found in the upper right corner of your screen or follow these three easy steps below! 

Step 1	Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner. Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.   Don’t have one or can’t remember? Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”. *Please note* you must add your member facility name to your login Once you are in and can see your name in the upper left hand corner, you are ready to go.
Step 2	From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays.  Under “upcoming webinars” go to a product in which you are interested. Click on the title. You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.
Step 3	Almost there! Click the green “register” button. Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard. FYI: after registering, you will be automatically notified when the recording of the webinar is ready. Need further help? Email us at educate@ahca.org We’ll walk you through it.

The use of opioid medications to manage chronic pain is complex and challenging, especially in long-term care and post-acute settings. As the care of individuals with chronic pain in these settings increases, it will be imperative to understand concerns, challenges and opportunities surrounding this issue. This program focuses on the foundation of pain management and how optimal pain management can help prevent opioid abuse.

This multi-part resource offers “Steps to Opioid Reduction” which covers steps by which any center can safely and effectively attempt to reduce opioids in individuals who are on opioids as well as “Appropriate and Safe Use of Opioids As Part of Effective Pain Management” which covers key processes and practices of pain management including (but not limited to) the use of opioids in that context. 

© 2022 American Health Care Association. All rights reserved. 

All Opioid Use: What Do We Do & How? materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

How to Register in ahcancalED 

Easy as 1, 2, 3 !

click the  button found in the upper right corner of your screen or follow these three easy steps below! 

Step 1	Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner. Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.   Don’t have one or can’t remember? Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”. *Please note* you must add your member facility name to your login Once you are in and can see your name in the upper left hand corner, you are ready to go.
Step 2	From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays.  Under “upcoming webinars” go to a product in which you are interested. Click on the title. You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.
Step 3	Almost there! Click the green “register” button. Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard. FYI: after registering, you will be automatically notified when the recording of the webinar is ready. Need further help? Email us at educate@ahca.org We’ll walk you through it.

It is critical to address and mitigate adverse events and potential adverse events. An action plan, otherwise known as a mitigation plan, is a necessary response to adverse events and potential adverse events. For many such events, it is important to respond and start the mitigation process immediately.

Examples of adverse events/potential adverse events include:

• Falls (not following the care plan, use of gait belt, one vs. two-person transfers)
•  Falls with a mechanical lift
•  Elopement
•  Allegation of abuse or neglect
•  Water too hot
•  Smoking (supervised vs. unsupervised, with oxygen, defined smoking area, all about safety)
•  Bedrails (entrapment, assessment for use)
•  Significant medication errors such as cardiac medications, chemo, insulin, morphine, Coumadin
•  Infection Control – outbreaks (e.g. scabies, bedbugs, MRSA, C-Difficile, Noro Virus, Legionella)
•  Lack of timely or complete evaluation of a change in condition
•  Pressure ulcer – lack of prevention or following prevention measures
•  Grievances and resident/tenant council feedback

Objectives:

1. Identify adverse events that could potentially have a negative impact on residents/tenants as well as on a community’s regulatory compliance.   
2.  Establish a routine root cause analysis process to identify the specific/source, root cause or causal factor of the problem.  
3.  Create a structured process for developing a mitigation plan to address the adverse event/potential adverse event and minimize similar events for all residents/tenants:
   1. Complete the Initial Mitigation Action Plan 
   2. QAPI members complete the formal documentation of the Mitigation Action Plan
4.  Use information learned by sharing results and Plan with the QAPI committee for continued monitoring.

Note: These tools were initially developed by members of AHCA’s Survey/Regulatory Committee and adapted for assisted living communities to assist providers in addressing adverse events and potential adverse events, documenting and tracking the steps they have taken, and identifying best practices for ongoing improvement. Communities may use different titles or terms than the action plans, such as Director of Health Services instead of Director of Nursing, or service plan instead of care plan. Please adapt the plans to reflect your AL community. 

Use of these tools does not guarantee regulatory compliance nor mitigate potential liability. Providers should adapt their tools, policies, and processes as needed to ensure compliance with current federal and state requirements and use both professional judgement and the advice of legal counsel in determining whether or how to share these mitigation tools. 

© 2022 American Health Care Association. All rights reserved. 

All Assisted Living Action Plan Response for Adverse Events materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

You are also encouraged to register for the following free resource: 

Tools to Prevent and Address Resident to Resident Mistreatment

How to Register in ahcancalED 

Easy as 1, 2, 3 !

click the  button found in the upper right corner of your screen or follow these three easy steps below! 

Step 1	Go to the ahcancalED site at https://educate.ahcancal.org/and log in using the orange button in the upper left hand corner. Use your usual user name and password that you would use for LTC Trend Tracker or the AHCA NCAL website.   Don’t have one or can’t remember? Click the log in button and follow the directions found under the search button that reads-“If you need help retrieving your Username or Password, click here”. *Please note* you must add your member facility name to your login Once you are in and can see your name in the upper left hand corner, you are ready to go.
Step 2	From the home page click on a category (Resources, Training, Webinars or Trending Now) For this demonstration, let’s try hovering over Webinars until upcoming webinars displays.  Under “upcoming webinars” go to a product in which you are interested. Click on the title. You’ll be redirected to the site where you can register for the product. This allows you to view the overview, handouts or resources associated with that product.
Step 3	Almost there! Click the green “register” button. Fill out the registration details and voila! The products are yours to use indefinitely and can be found in your dashboard. FYI: after registering, you will be automatically notified when the recording of the webinar is ready. Need further help? Email us at educate@ahca.org We’ll walk you through it.

It is critical for nursing centers and assisted living communities to address and mitigate adverse events and potential adverse events. An action plan, otherwise known as a mitigation plan, is a necessary response to adverse events and potential adverse events. For many such events, it is important to respond and start the mitigation process immediately.

Examples of adverse events/potential adverse events include:

• Falls (not following the care plan, use of gait belt, one vs. two-person transfers)
• Falls with a mechanical lift
• Elopement
• Allegation of abuse or neglect
• Water too hot
• Smoking (supervised vs. unsupervised, with oxygen, defined smoking area, all about safety)
• Bedrails (entrapment, assessment for use)
• Significant medication errors such as cardiac medications, chemo, insulin, morphine, Coumadin
• Served/consumed wrong consistency of food or liquids
• Infection Control – outbreaks (e.g. scabies, bedbugs, MRSA, C-Difficile, Noro Virus, Legionella)
• Fluid restriction not managed or monitored by facility, physician parameters not followed
• Lack of timely or complete assessment of a change in condition
• Pressure ulcer – lack of prevention or following prevention measures
• Grievances and resident council feedback

Objectives:

1.  Identify adverse events that could potentially have a negative impact on residents as well as on a center’s regulatory compliance.   
2.  Establish a routine root cause analysis process to identify the specific/source, root cause or causal factor of the problem.  
3.  Create a structured process for developing a mitigation plan to address the adverse event/potential adverse event and minimize similar events for all residents:
   •  Review the guidance for determination of avoidable versus unavoidable event
   • Complete the Initial Mitigation Action Plan
   • QAPI members complete the formal documentation of the Mitigation Action Plan
4. Use information learned by sharing results and Plan with the QAPI committee for continued monitoring.

Note: These tools were developed by members of AHCA’s Survey/Regulatory Committee to assist centers and communities in addressing adverse events and potential adverse events, documenting and tracking the steps they have taken, and identifying best practices for ongoing improvement. Use of these tools does not guarantee regulatory compliance nor mitigate potential liability. Providers should adapt their tools, policies, and processes as needed to ensure compliance with current federal and state requirements and use both professional judgement and the advice of legal counsel in determining whether or how to share these mitigation tools. 

© 2022 American Health Care Association. All rights reserved. 

All Nursing Centers Action Plan Response for Adverse Events materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

You are also encouraged to register for the following free resource: 

Tools to Prevent and Address Resident to Resident Mistreatment