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HCPro Boot Camps
Formerly HRAI Coding Specialists
200 Hoods Lane,
Marblehead, MA 01945
Phone: (877) 207-4036
Fax: (800) 738-1553
Copyright 2000-2008,
HCPro, Inc., All Rights Reserved
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Survey Prep Boot CampSM - Long-Term Care Version
Learning Objectives
Module 1: Overview of OBRA '87 and how it began the current era of nursing home regulation
- Define how OBRA '87 changed how nursing homes are operated
- Describe the elements of the resident assessment instrument
- Explain the different components of the State Operations Manual
- Find the nursing home survey and certification letters on the CMS Web site
Module 2. Relationship between quality of care and the survey process
- Demonstrate how to find survey regulations in the State Operations Manual
- Explain why surveyors are required to cite nursing homes for seemingly minor infractions
- Predict how surveys will change in the future due to the government's Nursing Home Action Plan
Module 3: What is a Quality Indicator Survey (QIS)?
- Recognize the main differences between the Quality Indicator Survey and the traditional CMS nursing home survey
- Conclude why CMS felt it was necessary to update the survey process
- Identify the states that will first undergo the new survey process
- Classify the different types of Quality Indicator Surveys as to their cause
- Identify the QIS survey tasks
- Demonstrate one of CMS' new quality measurement tools for the survey
Module 4: Traditional Surveys
- List the types of surveys separate from the QIS
- Distinguish between the purpose of state surveyors and federal surveyors
- Recognize the surveyor forms review process
- Summarize how you can use the forms to manage your own survey process
Module 5: The Survey Process
- Define the survey window and survey frequency
- Illustrate how the resident sample selection process works
- Name the distinct phases of a typical nursing home survey
- Determine the focused areas for review for a case scenario phase two survey
- Explain how to read a Statement of Deficiency
- Illustrate the different deficiency severity levels
Module 6: Offsite Survey Preparation Tasks of Importance, or, "How are surveyors armed when they arrive at your facility?"
- Analyze a quality indicator report to determine where surveyors will put their focus during survey
- State what might cause a quality indicator score to be inflated, though not an effect of poor resident care
- Review transmitted Minimum Data Set records to determine nursing home compliance
- Review prior survey history using OSCAR reports and the Nursing Home Compare Web site
- State the ultimate value of the Nursing Home Compare Web site
Module 7: Predicting Your Survey
- Identify the resident sample of a survey's phase one using a case scenario
- Determine the focus of a survey for phase two using a case scenario
- State how you can influence phase two of a survey in a positive manner
Module 8: F-Tag Fun
- Recall the recently revised F-Tags by CMS
- List two upcoming F-Tags that will be revised within the next few years
- Explain the difficulty of complying with F-Tag #314, Pressure Ulcers
- Discuss the difficulty of complying with F-Tag #315, Incontinence
- Demonstrate how to look up deficiencies in the Compendium
- Identify a deficiency that is on the top 10 survey deficiencies list and give your strategies for complying with it
Module 9: Survey Citations
- Argue strategy to fight deficiencies before surveyors cite your facility
- Demonstrate how to write an acceptable Plan of Correction
- Use the informal dispute resolution process
- Recognize other types of survey appeals
- Use F-Tags to uncover miscoding on the Minimum Data Set
- Relate how you would defend a nursing home from a survey citation in a case scenario
Module 10: Mock Surveys and Role Playing
- Differentiate between surveyor personality types and how to handle them
- Construct a staff training strategy to train different levels of staff for survey
- Evaluate a mock survey and determine what the nursing home staff could have done differently
- Classify the survey forms by their different uses
Module 11: Life Safety Code Surveys
- Contrast the difference between a Life Safety Code survey and a traditional state survey
- State the purpose of the Life Safety Code Survey
- Defend your nursing home from common Life Safety Code deficiencies
Module 12: Enforcement issues
- Define trends in civil money penalties CMS surveyors are awarding
- Describe how to recover from a Denial of Payment for New Admissions (Payment Ban)
- Explain the timeline for termination from the Medicare program
Module 13: Continuous Quality Improvement
- Define what constitutes a continuous quality improvement program
- State CMS' latest guidance for quality assessment and assurance
- Organize an interdisciplinary care team meeting that will satisfy quality assurance requirements
- Determine the success of your current quality assurance and assessment efforts
- Perform follow up to quality issues
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