During this year long series, we will focus on the top deficiencies cited nationally with the new Long Term Care Survey Process (LTCSP). Each session will concentrate on top-cited F-Tags with a review of the regulation and an analysis of the associated Interpretive Guidance. Survey procedures, such as associated Critical Element Pathways and/or Surveyor Probes used to guide the investigative process will be discussed. Actual citation examples will be shared and examined. Tools to assist the facility interdisciplinary team in monitoring compliance and incorporating performance improvement activities into the facility QAPI processes will be a focal point.
Projected Learning Outcomes/Course Objectives:
◆ Identify the regulatory requirements related to the monthly F-Tag topic
◆ Identify survey procedures that describe how the F-Tag topic is reviewed for compliance during the annual survey process
◆ Identify examples of how the F-Tag is commonly cited in the new LTCSP
◆ Explore tools for the leadership team to use for monitoring compliance with the F-Tag topic
◆ Describe strategies for incorporating survey preparedness into facility QAPI processes
1. Overview of the F-Tag Regulations and Interpretive Guidance
2. Survey procedures for assessing compliance with the F-Tag and citation examples
3. Strategies for monitoring compliance and incorporating survey preparedness into facility QAPI processes
4. Closing Comments/Q&A
Based on CASPER Data from 2017 Standard Health Inspection Surveys
the Planned Monthly F-Tag Topics will be:
Note: Topics are tentative and subject to change based on CASPER data for surveys occurring after November 28, 2017 to ensure series focuses on top citations in the new LTCSP
Due to Daylight Savings Time:
March – October sessions begin at 9:00 am HST
November – December sessions begin at 10:00 am HST
Registration: See individual sessions to register.
Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing Staff and Leaders, Quality Assurance Director, Social Services, Rehabilitation Services.
NAB Approved Contact Hours: 1.25 each
This program is pending approval by National Association of Social Workers – Hawai`i Chapter for up to 1 Social Work continuing education contact hour.
This program is pending approval by the Oregon Nurses Association to award 1.25 nursing contact hours. Oregon Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
State licensure boards have final authority on the acceptance of individual courses.
There is no conflict of interest for any planner or presenter with this learning activity.
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