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Requirements of Participation (RoP): Tools

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

  • Policies & Procedures - Checklist of All Required
    This tool provides a list of all required polices and procedures and a checklist of required information in the P&P.
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  • The Requirements of Participation and Baldrige Criteria
    This document contains a crosswalk of the Baldrige Criteria and the Requirements of Participation.
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  • The Requirements of Participation and Baldridge Connection
    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!
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  • Exercise on QAPI team – hi-low performing team
    This document helps you determine the differences between high performing and low performing QI teams.
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  • QAPI Detailed Checklist (Phase 1) § 483.75
    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.
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  • Infection Preventionist Role & Competencies
    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.
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  • Infection Prevention & Control Program § 483.80 Tool
    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.
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Requirements of Participation (RoP): Case Studies

  • Survey Tips and Friendly Reminders (for State Affiliates)
    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.
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  • Mr. McNally Cardset
    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.
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  • Learning from Julie Jones_ A Case Study
    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.
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  • Learning from Julie Jones: Presentation Slides
    You can use the PowerPoint slides to supplement this activity and guide discussion.
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  • Accompanying Residents at Discharge or Transfer §483.15(c)(2)
    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.
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