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.

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.

This tool provides a list of all required polices and procedures and a checklist of required information in the P&P.

This document contains a crosswalk of the Baldrige Criteria and the Requirements of Participation.

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!

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.

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.

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.

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.

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.

You can use the PowerPoint slides to supplement this activity and guide discussion.

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.