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368 Results

  • TeamSTEPPS 2.0 for Long-Term Care

    Contains 1 Component(s)

    The Agency for Healthcare Research and Quality’s (AHRQ) TeamSTEPPS 2.0 for Long-Term Care curriculum reflects updates to the original TeamSTEPPS in Long-Term Care curriculum, which was released to the public in 2012. Since then, AHRQ released TeamSTEPPS 2.0, an update to the original curriculum that focuses on hospital-based teams. As a result, AHRQ has sponsored the development of an updated curriculum for use in the long-term care setting.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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 Agency for Healthcare Research and Quality’s (AHRQ) TeamSTEPPS 2.0 for Long-Term Care curriculum reflects updates to the original TeamSTEPPS in Long-Term Care curriculum, which was released to the public in 2012. Since then, AHRQ released TeamSTEPPS 2.0, an update to the original curriculum that focuses on hospital-based teams. As a result, AHRQ has sponsored the development of an updated curriculum for use in the long-term care setting.

  • Patient Driven Payment Model (PDPM) Workshop Pre-Requisite Webinar Modules

    Contains 7 Component(s) Recorded On: 02/01/2019

    Estimate 115 minutes of prep time before workshop to view pre- requisite webinar modules, and additional time to review the documents either included in your registration packet, or that you have been requested to download prior to the workshop.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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. 

    If you cannot remember your login- go here and follow the steps to access your account. 

    If you are new: click CREATE ACCOUNT button and follow the directions on this page.

    Step 2

    image
    image

    New Users: Complete all necessary fields on the "Create an account" screen and; 

    *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 add this product to your cart and checkout. 

    Step 3

    image

    Almost there!

    Click the green register button and voila! The products are yours to use indefinitely and can be found in your dashboard (shown on the left hand side of the web page). 

    Need further help? Email us at educate@ahca.org

    We’ll walk you through it.

     

    Recorded Pre-Requisite Webinar Modules on:

    a) PDPM Academy Workshop, What to Expect (5 minutes)

    b) PDPM Basics (32 minutes) 

    c) Payment Case Examples (20 minutes) 

    d) SNF Benefit Review & Interaction with Existing SNF Policies/Programs (17 minutes) 

    e) “How-To” Use CMS ICD-10 PDPM Crosswalk Tables (22 minutes)  

    f) Administrator’s Role in PDPM Training (19 minutes)


    Estimate 115 minutes of prep time before workshop to view pre- requisite webinar modules, and additional time to review the documents either included in your registration packet, or that you have been requested to download prior to the workshop. 

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  • Quality Award Application Submission – Step by Step

    Contains 1 Component(s) Recorded On: 01/30/2019

    The AHCA/NCAL National Quality Award Program application deadline is on January 31, 2019, at 8 p.m. EST! An application can be submitted regardless of whether or not you submitted an Intent to Apply payment. All applications and payments must be submitted through the Quality Award Portal. Join Quality Award staff for a step by step how to (including live Q & A) on submitting your Quality Award application and payment in the portal.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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.

     

    Please note this program is being offered at two different days and times. The first program is on January 29th at 3pm ET and the second will be on January 30th at 9am ET. Once you register for this program, you may attend whichever session is most convenient for you.

    The AHCA/NCAL National Quality Award Program application deadline is on January 31, 2019, at 8 p.m. EST! An application can be submitted regardless of whether or not you submitted an Intent to Apply payment. All applications and payments must be submitted through the Quality Award Portal. Join Quality Award staff for a step by step how to (including live Q & A) on submitting your Quality Award application and payment in the portal.              

  • The Impact of Quality Incontinent Products on Incontinence Associated Dermatitis and Operational Costs in Skilled Nursing Facilities- Clinical Research Study

    Contains 1 Component(s)

    First Quality Products Sponsored Webinar - Please join Michele Mongillo, RN, BSN, MSN RAC-CT, Senior Clinical Director at First Quality and adjunct faculty member at the University of North Carolina Chapel Hill School of Nursing for a timely education session. Michele will discuss the measurements and outcomes of a 3rd party clinical research study conducted at 3 skilled nursing facilities and the impact of quality products and education on IAD rate, laundry costs and wound care. The presentation will include specific interventions that can be utilized to improve key clinical and operational outcomes in a facility’s incontinence management program. IAD is a precursor to pressure ulcer development and it is essential for nursing staff to implement steps to prevent IAD by utilizing incontinent products appropriately with essential education.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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.

     

    First Quality Products Sponsored Webinar - Please join Michele Mongillo, RN, BSN, MSN RAC-CT, Senior Clinical Director at First Quality and adjunct faculty member at the University of North Carolina Chapel Hill School of Nursing for a timely education session.  Michele will discuss the measurements and outcomes of a 3rd party clinical research study conducted at 3 skilled nursing facilities and the impact of quality products and education on IAD rate, laundry costs and wound care. The presentation will include specific interventions that can be utilized to improve key clinical and operational  outcomes in a facility’s incontinence management program. IAD is a precursor to pressure ulcer development and it is essential for nursing staff to implement steps to prevent IAD by utilizing incontinent products appropriately with essential education.


    Michele Mongillo, RN, BSN, MSN RAC-CT (Moderator)

    Senior Clinical Director at First Quality and adjunct faculty member at the University of North Carolina Chapel Hill School of Nursing

  • AHCA PDPM MDS Accuracy Toolkit – Resident Classification

    Contains 3 Component(s)

    The AHCA PDPM MDS Accuracy Toolkit – Resident Classification was designed to furnish tools to providers during preparations leading up to PDPM implementation to better understand the specific MDS items and claim information that determine how the five case-mix adjusted component classifications and per-diem payment rates are determined. All members can access template PDPM MDS worksheets (including ~40 new items providers will report on October 1, 2019), template PDPM workbooks that enable manual determination of resident case mix classifications and rates, and a PT, OT, and NTA variable per-diem and RUG-IV rate tables. These tools will permit members to compare the relative impacts of PDPM rates versus RUG-IV rates on current residents, which can help in planning changes in operational and clinical processes prior to PDPM implementation. PDPM Academy Registrants can also access example resident MDS and resident classification workbooks to facilitate team training efforts. Additional tools and resources to be added as developed.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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 AHCA PDPM MDS Accuracy Toolkit – Resident Classification was designed to furnish tools to providers during preparations leading up to PDPM implementation to better understand the specific MDS items and claim information that determine how the five case-mix adjusted component classifications and per-diem payment rates are determined.  All members can access template PDPM MDS worksheets (including ~40 new items providers will report on October 1, 2019), template PDPM workbooks that enable manual determination of resident case mix classifications and rates, and a PT, OT, and NTA variable per-diem and RUG-IV rate tables.  These tools will permit members to compare the relative impacts of PDPM rates versus RUG-IV rates on current residents, which can help in planning changes in operational and clinical processes prior to PDPM implementation.  PDPM Academy Registrants can also access example resident MDS and resident classification workbooks to facilitate team training efforts.  Additional tools and resources to be added as developed.

  • AHCA PDPM Hospital Discharge Toolkit

    Contains 2 Component(s)

    The AHCA PDPM Hospital Discharge Toolkit was designed to facilitate the collection of clinical information from the referring hospital prior to admission to better assure that information related to a residents SNF care needs upon admission, and appropriate PDPM case-mix group classification, is obtained and documented prior the end of the residents SNF PPS 5-day assessment reference date. The tools can also be used to help facilitate discussions with referring hospitals regarding how to better coordinate the transfer of health information relevant to PDPM resident classification. All members can access a SNF pre-admission checklist tool and a reference document identifying all MDS item fields that apply to PDPM case-mix adjusted components. PDPM Academy Registrants can also access an additional “High-Impact” MDS items reference document. Additional tools and resources to be added as developed.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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 AHCA PDPM Hospital Discharge Toolkit was designed to facilitate the collection of clinical information from the referring hospital prior to admission to better assure that information related to a residents SNF care needs upon admission, and appropriate PDPM case-mix group classification, is obtained and documented prior the end of the residents SNF PPS 5-day assessment reference date.  The tools can also be used to help facilitate discussions with referring hospitals regarding how to better coordinate the transfer of health information relevant to PDPM resident classification.  All members can access a SNF pre-admission checklist tool and a reference document identifying all MDS item fields that apply to PDPM case-mix adjusted components.  PDPM Academy Registrants can also access an additional “High-Impact” MDS items reference document.  Additional tools and resources to be added as developed.

  • AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit

    Contains 1 Component(s)

    The AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit will include several tools and resources to help providers prepare for successful transition to PDPM. These include ideas and tools on how to address compliance risk areas identified by the Centers for Medicare and Medicaid Services, The Office of Inspector General, and other government agencies. All members can access the Compliance Policies and Procedures Checklist Tool. Best practice policies be added for PDPM Academy Registrants as developed.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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 AHCA PDPM Compliance Guide and Best Practice Model Policies Toolkit will include several tools and resources to help providers prepare for successful transition to PDPM.  These include ideas and tools on how to address compliance risk areas identified by the Centers for Medicare and Medicaid Services, The Office of Inspector General, and other government agencies.  All members can access the Compliance Policies and Procedures Checklist Tool.  Best practice policies be added for PDPM Academy Registrants as developed.

  • Bronze Early Submission - Step by Step

    Contains 1 Component(s) Recorded On: 01/14/2019

    January 14, 2019 is the early Bronze application submission date! Join Quality Award staff for a step by step how to (including live Q & A) on submitting your Bronze Quality Award application and payment. Meet this early submission and be entered into a raffle for a waived application fee.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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.

     

    January 14, 2019 is the early Bronze application submission date! Join Quality Award staff for a step by step how to (including live Q & A) on submitting your Bronze Quality Award application and payment. Meet this early submission and be entered into a raffle for a waived application fee.

    Speaker:

    Urvi Patel
    Director Quality Improvement

    Urvi Patel (Moderator)

    Director Quality Improvement, AHCA

    image


    You are encouraged to review the National Quality Award Criteria Series before beginning your application journey. As you watch the series, remember that you can always submit questions to qualityaward@ahca.org.

    imageBronze Criteria Series 

    Applicants of this award level are encouraged to view the Bronze Criteria Series, developed to help applicants understand and meet the demands of the Bronze Criteria. 

    image Silver Criteria Series 

    Before beginning the application process, you should review the 2019 Silver Application Packet, containing the important program information and instructions, as well as the Silver criteria

    image Gold Criteria Series

    At this level, applicants must show superior performance in areas of the criteria including leadership, strategic planning, and customer and staff satisfaction. View the Gold Criteria Series before beginning the application process. 

  • How do I use LTC Trend Tracker as a Skilled Nursing Facility?

    Contains 9 Component(s)

    Learn how to use LTC Trend Tracker as one of your tools for Quality Improvement. In these videos, you will learn how to utilize and modify the skilled nursing dashboard, provide an overview of several key LTC Trend Tracker features & reports, and uploading skilled nursing data.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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.

     

    image


    Learn how to use LTC Trend Tracker as one of your tools for Quality Improvement. In these videos, you will learn how to utilize and modify the skilled nursing dashboard, provide an overview of several key LTC Trend Tracker features & reports, and uploading skilled nursing data. 

    Learning Objectives:

    1. Learn how to utilize and customize the skilled nursing dashboard
    2. Select benchmark groups to best demonstrate your facility’s strengths
    3. Understand the measures and upload data

    Speaker:

    Lonnita Myles, MBA, Manager, Quality & LTC Trend Tracker, AHCA

  • Assisted Living Action Plan Response for Adverse Events

    Contains 5 Component(s)

    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. 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.

    image

    How to Register in ahcancalED 

    Easy as 1, 2, 3 !

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

     

    Step 1

    image

    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

    image

    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

    image

    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. 

NCAL AHCA