Requirements of Participation: Tools

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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

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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

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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

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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.

 

Tools - are an instrument designed to assist you in implementing the requirements

Key:

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Policies & Procedures - Checklist of All Required
Open to download resource.
Open to download resource. This tool provides a list of all required polices and procedures and a checklist of required information in the P&P.
The Requirements of Participation and Baldrige Criteria
Open to download resource.
Open to download resource. This document contains a crosswalk of the Baldrige Criteria and the Requirements of Participation.
The Requirements of Participation and Baldrige Connection
Open to download resource.
Open to download resource. In implementing the Requirements of Participation (RoP), AHCA encourages member providers to take a step back and look at the big picture. At its core, the RoP are tied together by three key themes that focus on knowing your residents, your staff, and your center. Check this resource out to learn more!
Exercise on QAPI team – hi-low performing team
Open to download resource.
Open to download resource. This document helps you determine the differences between high performing and low performing QI teams.
QAPI Detailed Checklist (Phase 1) § 483.75
Open to download resource.
Open to download resource. Purpose & Intent of 483.75: To develop, implement, and maintain an effective comprehensive, data-driven QAPI program that focuses on systems of care, outcomes of care, and quality of life.
Infection Preventionist Role & Competencies
Open to download resource.
Open to download resource. Purpose & Intent of §483.80: Designated Infection Preventionist (IP) Role & Competencies. CMS requires each center to designate one or more individual(s) as the infection preventionist(s) (IPs) who are responsible for the center’s Infection Prevention and Control Program.** AHCA has outlined information for centers to consider when developing the role of the Infection Preventionist.
Infection Prevention & Control Program § 483.80 Tool
Open to download resource.
Open to download resource. Purpose and Intent of § 483.80:Designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.
Integrating the Requirements of Participation into Your Community Morning Meeting/Routine Monitoring Practices/Audits/QAPI Process Tool
Open to download resource.
Open to download resource. This tool was created by the AHCA Survey & Regulatory Committee, with input from AHCA staff. The intent of this tool is to support Administrators, Directors of Nursing and the Interdisciplinary Team members with integrating the new CMS Requirements of Participation (RoP) into community practices. Although extensive, this checklist can be used to assist a community with RoP compliance, the AHCA Quality Awards journey, and potentially to increase CMS Five-Star ratings. For communities with a new Interdisciplinary Team, this tool may be used daily. As the team becomes familiar with the requirements, this tool may be used for auditing purposes and QAPI processes. For example, the Administrator could choose a section to review each day and cycle through it a few times until it becomes routine. Team members would become aware of requirements that are their responsibility and would be able to bring that information to the morning meeting, or to track and trend. Identified areas for improvement may be integrated into the QAPI program. Note that this is not an exhaustive list of requirements but is a guide to support daily operations and longer-term planning within your community. This tool can be used for the following: Agenda for Morning Meeting Assign sections to specific members of Interdisciplinary Team to report on Pathway to create auditing tools Review for QAPI Meetings A checklist for survey preparedness
What is "Your Resident Profile"?
Open to download resource.
Open to download resource. Purpose & Intent of § 483.70: Facilities need to know themselves, their staff, and their residents.
Facility Assessment Elements (Phase II)_§ 483.70 Administration_Tool
Open to download resource.
Open to download resource. Intent & Purpose: Facilities need to know themselves, their staff, and their residents.
Discharge Planning Process – 483.21(c)(1)
Open to download resource.
Open to download resource. Purpose & Intent 483.21(c)(1): To develop a discharge plan to help as many residents who want to return back to the community, to be effectively discharged from the nursing center back to the community.
Comprehensive Person-Centered Care Planning – §483.21
Open to download resource.
Open to download resource. Purpose & Intent: To develop a baseline care plan within 48 hours of admission to direct the care team while a comprehensive care plan is developed that incorporates the resident’s goals, preferences, and services that are to be furnished to attain or maintain the resident’s highest practicable physical, mental, and psychosocial well-being.
Admission, Transfer, and Discharge Rights §483.15(c)(1)
Open to download resource.
Open to download resource. Purpose & Intent: To provide documentation that a physician has determined a discharge or transfer is necessary.
Case Studies
Mr. McNally Cardset
Open to download resource.
Open to download resource. A case study about a resident who came into a nursing home for short-term rehab after a stroke. He declined rapidly in ways there were avoidable. Originally developed by B&F Consulting for Improving the Nursing Home Culture Pilot by Quality Partners of Rhode Island.
Learning from Julie Jones: A Case Study
Open to download resource.
Open to download resource. Learn from the story of Ms. Julie Jones to gain a better understanding of systems and process improvement, person-centered care and various Phase II requirements. This story is presented in four parts in the PDF document. Intended approach is to pause after reading each part of the story, discuss what you just read with your team, consider what stands out to you as flags or key information and think about how you would approach each of the areas listed in the bullet points under the story part. Move on to the next part and repeat process. Share your thoughts, concerns, ideas with your colleagues and think about how your collective learning from the story of Ms. Julie Jones can inform your own center’s systems and process improvement efforts.
Learning from Julie Jones: Presentation Slides
Open to download resource.
Open to download resource. You can use the PowerPoint slides to supplement this activity and guide discussion.
Accompanying Residents at Discharge or Transfer §483.15(c)(2)
Open to download resource.
Open to download resource. Purpose & Intent 483.15(c)(2): To improve care coordination by providing information to the receiving health care organization and provider that can help them provide quality care to the resident.
Survey Tips and Friendly Reminders (for State Affiliates)
Open to download resource.
Open to download resource. This resources is recommended for AHCA State Affiliates- Since the new requirements of participation went into effect November 28, 2016, here are some reminders of several issues you should be prepared for in regards to your next survey.
NCAL AHCA