Medication Related Changes Phase 1&2
|
|
- Conrad Nathan Poole
- 5 years ago
- Views:
Transcription
1 Medication Related Changes Phase 1&2 Medicare and Medicaid Programs Reform of Requirements for Long-Term Care Facilities Published January 23, 2017
2 Medication- Related Changes* Changes will be implemented in three phases Effective dates: November 28, 2016 (Phase 1) November 28, 2017 (Phase 2) November 28, 2019 (Phase 3) *This summary is focused on medication-related requirements and is not a comprehensive list of all new LTC facility requirements in the CMS Final Rule. This summary also is not intended to represent legal advice, but instead provide a general overview of medication-related provisions. Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities; 2
3 Pharmacy Related F-Tags Old F309 F329 F334 F425 F428 F431 F441 New F675 Quality of Life F684 Quality of Care F697 Pain Management F698 Dialysis F744 Dementia Care F757 Unnecessary Drugs F758 Psychotropic Drugs F883 Influenza & Pneumococcal Immunizations F755 Pharmacy Services F756 Drug Regimen Review F758 Psychotropic Drugs F761 Labeling/Storage of Drugs & Biologicals F880 Infection Control F881 Antibiotic Stewardship F882 Infection Preventionist ** Centers for Medicare and Medicaid Services. State Operations Manual Appendix PP: Guidance to Surveyors for Long Term Care Facilities June 30. 3
4 Pharmacist must report irregularities on a separate, written report that is sent to: Attending Physician Director of Nursing Medical Director Report must include resident s name, relevant drug & irregularity Phase 1: started 11/28/2016 Respond to Pharmacist Reports attending physician must document in medical record: The irregularity that has been reviewed The action that has been taken to address the irregularity If no change, document the rationale in medical record P&P for Drug Regimen Review Facility must develop & maintain: 1. Policies and Procedures for the monthly Drug Regimen Review 2. Policy must identify timeframes for different steps in the procedures 3. Identify steps the consultant pharmacist must take when an irregularity is identified that requires urgent action 4
5 Phase 1: started 11/28/2016 Updated definition of Irregularity Irregularity includes but not limited to unnecessary drug. F757 **Unnecessary drug is any drug when used in: Excessive dose (including duplication of therapy) Excessive duration Without adequate monitoring Without adequate indication for its use In the presence of adverse consequences which indicate dose should be reduced or discontinued **(Rev. 168, Issued: , effective: 3/08/17, Implementation: 3/08/17) 5
6 Phase 1 started 11/28/16 Phase 2 started 11/28/17 Phase 1: Began 11/28/16 Phase 2: Begins 11/28/17 Updated definition of Psychotropic Drug F758 (Phase 1) PRN Psychotropic Drugs (Phase 2) PRN Antipsychotics (Phase 2) Monthly review of residents medical record (Phase 2) Antibiotic Stewardship (Phase 2) 6
7 Phase 1 Updated definition of Psychotropic Drug Any drug that affects brain activities associated with mental processes and behavior Includes, but not limited to: Antipsychotics Antidepressants Anti-Anxiety Hypnotics *opioid analgesics are excluded from this definition 7
8 Phase 2 All psychotropic drugs will be held to the same standards PRN Psychotropic Medications GDR s, behavioral interventions for all psychotropics Based on a comprehensive assessment of a resident the facility must ensure that: Residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the medical record Residents who receive these drugs must receive gradual dose reductions and behavioral interventions, unless otherwise contraindicated, in an effort to discontinue these drugs 8
9 F758 Psychotropic Drugs Gradual Dose Reductions Other Psychotropic Meds Mood stabilizers Anticholinergic meds OTC s Muscle Relaxants Antihistamines ETC When attempting to decrease an antipsychotic med other psychotropic medications should not increase A GDR is required for any psychotropic med being used for a psychiatric diagnosis or for expressions or indications of distress related to dementia. 9
10
11 PRN Psychotropic drugs PRN orders for psychotropic drugs are limited to 14 days* Includes: Antidepressants Antianxiety Hypnotics To extend a PRN order past 14 days, the prescriber must: Document their rationale in the medical record Evaluate for appropriateness of the medication Indicate the duration for the PRN order *PRN orders for Antipsychotic drugs are limited to 14 days, NO EXCEPTIONS 11
12 PRN Antipsychotics PRN orders for antipsychotics drugs are limited to 14 days and cannot be renewed unless the prescriber evaluates the resident for the appropriateness of that medication. After evaluation, a new order could be written for 14 days No exclusions (Haldol EOL Care) Guidance the required evaluation of a resident before writing a new PRN order for an antipsychotic entails the attending physician or prescribing practitioner directly examining the resident and assessing the resident s current condition and progress to determine if the PRN antipsychotic medication is still needed. (note: Report of the resident s condition from facility staff to the attending physician or prescribing practitioner does not constitute an evaluation.) 12
13 Monthly Review of Residents Medical Record With regard to Drug Regimen Review (DRR) F756, Consultant Pharmacist is required to review the residents medical records concurrently with the DRR when: Resident is new to the facility whether short or long stay without exception A prior resident returns or is transferred from a hospital or other facility During each monthly DRR when the resident has been prescribed or is taking a psychotropic drug, and antibiotic, or any drug the QAA committee has requested be in the Consultant Pharmacist Monthly Drug Reviews. 13
14 The Drug Regimen of each resident must be reviewed at least once a month by a licensed pharmacist This review must include a review of the residents medical chart Monthly Review of Residents Medical Record Guidance Medication Regimen Review or Drug Regiment Review is a thorough evaluation of the medication regimen of a resident, with the goal of: Promoting positive outcomes Minimizing adverse consequences and potential risks of medications MRR includes review of the medical record in order to: Prevent Identify Report Resolve medication related problems Med errors or other irregularities MRR also involves collaborating with other members of IDT, including resident, their families, and/or representative 14
15 Infection Prevention & Control Program (IPCP) F880 Phase 2 IPCP The facility must establish and maintain an infection prevention and control program (IPCP) that must include: An Antibiotic Stewardship Program that includes antibiotic use protocols and a system to monitor antibiotic use (Phase 2) Follows accepted national standards (Phase 1) Revision and review at least annually and as necessary (Phase 1) CDC: up to 75% of antibiotics prescribed in nursing homes are given incorrectly meaning either the drug is unnecessary or the prescription is for the wrong drug, dose, or duration 15
16 Phase 2 Antibiotic Stewardship Antibiotic Stewardship F881 To improve resident outcomes and reduce antibiotic resistance The facility must develop an antibiotic stewardship program which includes the development of protocols and a system to monitor antibiotic use. Development should include leadership support and accountability via the participation of the Medical Director, Consultant Pharmacist, Nursing and Administrative Leadership, and individual with designated responsibility for the infection control program if different. 16
17 Phase 2 Antibiotic Stewardship Antibiotic Stewardship F881 Leadership Commitment Accountability Drug Expertise Action Tracking Reporting Education 17
18 STREAMLINE EMPIRIC ANTIBIOTIC ORDERS What can long-term care facilities do? Antibiotic Stewardship F881 Ensuring residents who require an antibiotic are prescribed the appropriate antibiotic Utilization of infection assessment tools Develop and implement systems to monitor use of antibiotics in facility Implement timely follow up after empiric* prescribing of broad spectrum antibiotics to determine if orders can be changed to a narrower spectrum agent and/or if duration of therapy can be limited *Empiric: the practice of initially prescribing antibiotic treatment based on clinical experience, usually without objective data to support its use, such as a culture and sensitivity (e.g., a best guess ) 18
19 Antibiotic Order Requirements DON T FORGET TO CHECK FOR MEDICATION ALLERGIES A correct antibiotic order should include: Name of medication Strength of medication Dose to be given Route of administration Frequency of dosing Indication for use Stop date Any monitoring that may be required such as vancomycin trough proactively reducing warfarin dose and checking INRs more frequently 19
20 Medication Errors F759 F760 Medication Errors Phenytoin & Enteral Nutrition Administration Administration must be separated to minimize this interaction, according to drug and enteral formula manufacturer recommendations Surveyor should consider the simultaneous administration of phenytoin & enteral nutritional formula a med error. 20
21 Resident Centered Care: Medication Errors Timing of Med Administration F759 F Resident has the right to choose medication administration times to meet individuals needs these needs and preferences must be considered by facility 2. Please note: the physician s orders/instructions must still be followed Manufacturer guidelines Time sensitive medications 3. Resident has the right to choose health care schedules 21
22 F865: QAPI Program 11/28/2019 Each facility must develop implement, and maintain an effective, comprehensive, data-driver QAPI program that focuses on indicators of the outcomes of care and quality of life. Identify high risk or problem prone areas Exceptions must be centered around safety, quality, rights, choice & respect 22
23 Phase 3 11/28/2019 F882: Infection Control Infection Preventionist Facilities must designate one or more individuals as the infection preventionist who are responsible for the facility's IPCP Must have professional training in nursing, medical technology, microbiology, epidemiology, or other related field Work at least part time at facility Completed specialized training in infection prevention and control One team member must be on the facility s QAA Committee 23
24 For More Information Contact your Consultant Pharmacist or Account Manager Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Issue Section Federal Register page #; Oct. 4, 2016 Comprehensive Person-centered Care Planning Discharge Planning p , Baseline Care Plan p Pharmacy Services Drug Regimen Review p Infection Control IPCP and Vaccines p Resident Rights Self Administration p Quality of Care Pain Management p Pharmacy Services Psychotropic Drugs p Infection Control Antibiotic Stewardship p QAPI Program p CMS Nursing Home Web Page: Dept. of Health and Human Services, Center for Medicaid and Medicare Services, LTC Regulations Team, Sheila Blackstock, Ronisha Blackstone, Diane Corning, Lisa Parker. (410)
3/6/2017. CMS nursing home requirements have not been comprehensively updated since 1991 despite significant changes in the industry.
Debra Brown, PharmD Pharmaceutical Consultant II Specialist Licensing and Certification QCHF/CAHF Spring Legislative Conference March 2017 1 Describe impact of 2016 CMS Final Rule on SNF pharmacy services
More informationPharmacy Services. Division of Nursing Homes
Pharmacy Services Division of Nursing Homes 1 483.45 Pharmacy Services Overview The Pharmacy Services section of Appendix PP contains all Pharmacy Services requirements and interpretive guidelines (IG)
More informationCMS Mega Rule: Implications for Pharmacists and Pharmacies
CMS Mega Rule: Implications for Pharmacists and Pharmacies Curt Wood, RPh, BCGP, FASCP Disclosure and Conflict of Interest Curt Wood declares no conflicts of interest, real or apparent, and no financial
More informationCMS RULES FOR PARTICIPATION/LTC REGULATIONS: WHAT YOU NEED TO KNOW
CMS RULES FOR PARTICIPATION/LTC REGULATIONS: WHAT YOU NEED TO KNOW SATURDAY/3:15-4:15PM ACPE UAN: 0107-9999-17-242-L04-P 0.1 CEU/1.0 hr Activity Type: Knowledge-Based Learning Objectives for Pharmacists:
More informationReviewing regulatory requirements for top ten federal Nursing Home Tags issued in Minnesota. Eva Loch, MDH Nursing Evaluator
Reviewing regulatory requirements for top ten federal Nursing Home Tags issued in Minnesota. Eva Loch, MDH Nursing Evaluator F282- Comprehensive Care Plans Regulatory language (SOM): 483.21(b)(3) Comprehensive
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
Use for a resident who has potentially unnecessary medications, is prescribed psychotropic medications or has the potential for an adverse outcome to determine whether facility practices are in place to
More informationDeveloping and Action Plan: Person Centered Dementia Care and Psychotropic Medications
Developing and Action Plan: Person Centered Dementia Care and Psychotropic Medications Lisa Bridwell Program Specialist Telligen QIN-QIO March 2018 Objectives Review interpretive guidance F758 (Free from
More informationCaring in the Carolinas 11/5/2016
The Mega Rule: Reform of Requirements for Long- Term Care Facilities Robert Smith, Pharm D, BCPS, CGP, FASCP Director of Clinical Services Neil Medical Group Disclosures I have no conflicts of interest
More informationHighlights of the New LTCSP and Regulations
Highlights of the New LTCSP and Regulations New York State Department of Health Division of Nursing Homes and ICF/IID Surveillance November 15, 2017 November 15, 2017 2 Resources https://www.cms.gov/medicare/provider-enrollment-andcertification/guidanceforlawsandregulations/nursinghomes.html
More informationHOW WE GOT HERE 1935: Social Security Act Private nursing homes
1 LeadingAge Oklahoma Annual Conference March 8, 2017 CMS Revised Pharmacy Regulations: Lessons Learned from Phase 1, Guidance for Phase 2 William M. Vaughan RN, BSN Vice President, Education and Clinical
More informationCMS Final Rule Pharmacy Services Update: What You Need to Know!
CMS Final Rule Pharmacy Services Update: What You Need to Know! Presented by: Dr. William C. Hallett, Pharm.D., MBA, CGP, C-MTM Guardian Consulting Services, Inc. (855) 675-6235 whallett@guardianconsulting.com
More informationThe Changing Role of Physicians in LTCF
The Changing Role of Physicians in LTCF David Gifford MD MPH Boise ID Feb 9 th, 2017 CMS Changes to SNF Regs New rule makes extensive changes to SNF Requirements of Participation (RoP) Last major update
More informationMedicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Proposed Rule
Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Proposed Rule Summary of Major Provisions Summary adapted from Proposed Rule (with AHCA Comments) July 14, 2015 Updates
More informationUpdate on Pharmacy Issues in Long Term Care Lisa Nichols RPh, CGP
Update on Pharmacy Issues in Long Term Care Lisa Nichols RPh, CGP 1.Review What a Consultant Pharmacist Does and the Role of Pharmacy for Long Term Care Facilities 2.Identify Key Components of a Medication
More informationThe CMS State Operations Manual Overview and Changes
The CMS State Operations Manual Overview and Changes Omnicare, Inc. Page 1 Overview of the CMS State Operations Manual Executive Summary Historical Perspective The Requirements Pharmacy Services Labeling
More informationA Changing Landscape Regulatory Impact on Medication Management
2015 Remedi SeniorCare Annual Conference August 30, 2018 A Changing Landscape Regulatory Impact on Medication Management William M. Vaughan RN Vice President, Education / Clinical Affairs Remedi SeniorCare
More informationFederal Requirements of Participation for Nursing Homes Summary of Key Changes in the Final Rule Issued September 2016 Phase 2
Federal Requirements of Participation for Nursing Homes Summary of Key Changes in the Final Rule Issued September 2016 Phase 2 On September 28, 2016, the Centers for Medicare & Medicaid Services (CMS)
More informationAntibiotics - Are they OVERUSED? 4/6/2018. Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes. Pathway Health 1.
Antibiotic Stewardship Key Clinical Strategies for Successful Outcomes Louann Lawson, BA, RN, RAC-CT, CIMT Nurse Consultant Clinical Reimbursement Team Leader/Clinical Education Manager Pathway Health
More informationFind Your Purpose with the Phase 2 Regulations!
Find Your Purpose with the Phase 2 Regulations! The New MegaRule! MONTANA HOSPITAL ASSOCIATION OVERVIEW OF PHASE 2 REQUIREMENTS WWW.PATHWAYHEALTH.COM Objectives Understand the new and revised final rule
More informationCMS PROPOSED REVISIONS OF THE NURSING HOME REGULATIONS
We are almost done here for the day! CMS PROPOSED REVISIONS OF THE NURSING HOME REGULATIONS SNF Regulatory Day September 17, 2015 CMS s Major Initiatives Reduce unnecessary readmissions Reduce Healthcare
More informationThe Updated CMS Nursing Facility Regulations
The Updated CMS Nursing Facility Regulations NHELP Conference December 5, 2016 Lori Smetanka, Consumer Voice Toby Edelman, Center for Medicare Advocacy Objectives Understand the important changes made
More informationCMS Final Rule: The Good, the Bad and the Ugly. Live Webinar Wednesday, February 8, :00 p.m. ET
CMS Final Rule: The Good, the Bad and the Ugly Live Webinar Wednesday, February 8, 2017 1:00 p.m. ET Q+A Submit a question below the slides Resources List To the right of the slides. Download presentation
More informationNEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017
NEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017 Disclaimer: The information contained in this presentation is representative of the current information provided
More informationThe Core Elements of Antibiotic Stewardship with CMS and QAPI Updates
The Core Elements of Antibiotic Stewardship with CMS and QAPI Updates Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections New York State Department of Health February 8, 2017
More informationUpdate on the Mega Rule
Update on the Mega Rule What is it looking like already? Joanne Hirshfield, RPh, FASCP, MBA, BCGP President-Elect American Society of Consultant Pharmacists Texas State Chapter ASCP January 27, 2017 Disclosure
More informationFinal Rule to Reform the Requirements for Long-Term Care Facilities
Final Rule to Reform the Requirements for Long-Term Care Facilities Karen Tritz Division of Nursing Homes Director Clinical Standards Group Long-Term Care Team Survey & Certification Group Division of
More informationThe RoPs are here! Do you know what s changing?
The RoPs are here! Do you know what s changing? Mary Madison, RN, RAC-CT, CDP Clinical Consultant, LTC/Senior Care Briggs Healthcare March 7, 2017 2 What we ll cover today CMS goals behind the updated
More information3/27/2017. SNF Requirements for Participation. Objectives. New Rules to Live By RoP Changes for 2017 and Beyond Sunday, April 2, :30 5:30pm
Disclosure of Commercial Interest Commercial Interest Employed by a consulting organization Name of Employer Pathway Health, Inc. Title Director of Quality and Government Services Description Pathway Health
More informationAn Overview of the new LTCF Requirements of Participation: Are You Ready?
An Overview of the new LTCF Requirements of Participation: Are You Ready? David Gifford MD MPH Sr VP for Quality & Regulatory Affairs Feb 9 th 2017 3:15 pm 4:45 pm Boise ID CMS Changes to SNF Regs New
More informationOverview of New Federal Nursing Facility Regulations * What s happened? When are the new regs effective?
Overview of New Federal Nursing Facility Regulations * Alison Hirschel (Grand Blanc) Director & Managing Attorney, Michigan Elder Justice Initiative Salli Pung (Rochester Hills) State Long Term Care Ombudsman
More informationPsychotropic Drug Use To Medicate or Not to Medicate?
Psychotropic Drug Use To Medicate or Not to Medicate? Presented by: Lydia Restivo, RN CDONA Regulatory Compliance Consultant West & Restivo Quality Consulting Cell: 516 318-9088 Email: lydrestivo@verizon.net
More informationThe Consultant Pharmacist: The IDT Approach to Pharmacotherapy Care and Compliance with the CMS Final Rule
The Consultant Pharmacist: The IDT Approach to Pharmacotherapy Care and Compliance with the CMS Final Rule Dr. William G. Day Continuing Education Information 1.0 contact hours of continuing education
More informationNursing Home Online Training Sessions Session 4: Antibiotic Stewardship
National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 4: Antibiotic Stewardship Health Services Advisory Group (HSAG) Objectives 1 Welcome and overview. 2 Define
More informationForm CMS (5/2017) Page 1
Use this pathway for a resident who has pain symptoms or can reasonably be expected to experience pain (i.e., during therapy) to determine whether the facility has provided and the resident has received
More informationQAA/QAPI Meeting Agenda Guide
QAA/QAPI Meeting Agenda Guide Date of Meeting The facility is required to have a QAA committee (do not need to use this name) that meets at least quarterly and as needed to coordinate and evaluate activities
More informationInformRx. Transition from Hospital to the LTC Facility: Preventing Medication Errors to Reduce Risk of Hospital Readmission
CLINICAL & REGULATORY NEWS BY PHARMERICA NOV/DEC 2016 Transition from Hospital to the LTC Facility: Preventing Medication Errors to Reduce Risk of Hospital Readmission Transition from the hospital to the
More informationMonitoring Medication Storage & Administration
Monitoring Medication Storage & Administration Objectives Review F-Tags pertaining to medication management Discuss proper medication storage and administration Understand medication cart and medication
More informationWyoming State Survey Agency
LeadingAge Wyoming September 6, 2018 Wyoming State Survey Agency Laura Hudspeth, MSc, RD, LD, Director Pat Davis, PE, LEED AP, Life Safety and Construction Branch Chief Julia Van Dyke, RN, Healthcare Surveillance
More informationCopyrighted - American Society of Consultant Pharmacists - September 29,
Practical Tips to Prepare for and Implement the New Pharmacy Sections of the Nursing Home Survey Guidelines Carla Saxton McSpadden, RPh, CGP Assistant Director of Policy and Advocacy American Society of
More informationPhase 2: 4/24/2017. Implementation Phases. Objectives. Phase 1: November 28, Phase 3: November 28, 2019
NEW Requirements for Participation for Skilled Nursing Facilities The Elements of Compliance for Phase 2 April 28, 2017 1:30pm 2:45pm Objectives Identify the new and revised regulations in the Final Rule
More information8/27/2015. Background Overview Overarching Themes & Highlights of the Proposed Rule Areas of Concern Submitting Comments Resources Questions
OHCA WEBINAR CMS PROPOSED REQUIREMENTS FOR PARTICIPATION AUGUST 27, 2015 Carol Rolf, Senior Partner, Rolf Goffman Martin Lang LLP Mandy Smith, Regulatory Director, OHCA WHAT WE WILL COVER Background Overview
More informationNotes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care
Notes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care Page 594 Prepared by Cathy Lieblich, Director of Network Relations, Pioneer Network G. Benefits of Final Rule: This
More informationAntimicrobial Stewardship and the New Regulations
Antimicrobial Stewardship and the New Regulations Robin Trotman, DO, FIDSA CoxHealth Infectious Diseases Specialty Clinic March 3, 2017 Outline: Introduction to new CMS regulations Rationale for these
More informationWhat to Expect on Your Next Survey
What to Expect on Your Next Survey Linda M. Elizaitis RN, BS, RAC-CT President CMS Compliance Group, Inc. E. lmelizaitis@cmscg.net T. 631.692.4422 cmscompliancegroup.com @lindaelizaitis @cmscompliance
More informationAntibiotic Stewardship Program (ASP)
Introduction: Antibiotics are among the most frequently prescribed medications in nursing centers, with up to 70% of nursing home patients receiving one or more courses of systemic antibiotics in a year.
More informationQAPI: Driving Quality or Just Driving You Crazy
QAPI: Driving Quality or Just Driving You Crazy Julie Kueker, MBA, MT(ASCP) Nursing Home QIN-QIO Task Lead Objectives Review the Final Rule Changes and Updates for QAPI Describe the format of QAPI methodology
More information2/23/2017. Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities. Objectives
Preparing to Meet New Infection Prevention Requirements in Skilled Nursing Facilities Aimee Ford, Qualis Health Patricia Montgomery, WA State Department of Health Washington Health Care Association Winter
More informationCMS REVISED RULES OF PARTICIPATION
CMS REVISED RULES OF PARTICIPATION Webinar #3 December 1, 2016 Rebecca J. Bartle, RN, MSN, HFA Hoosier Owners and Providers for the Elderly Ref: S&C 17-07-NH (11/9/16) Centers for Medicare and Medicaid
More informationGet Ready for Phase 1 of the New Requirements of Participation
Pennsylvania Health Care Association November 7, 2016 Get Ready for Phase 1 of the New Requirements of Participation Paula G. Sanders, Esquire Post & Schell, P.C. Gail Weidman Dawn Murr-Davidson Pennsylvania
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICA SERVICES OMB NO. 0938-0391 (X1) PROVER/SUPPLIER/CLIA ENTIFICATION NUMBER: A. BUILDING NAME OF PROVER OR SUPPLIER (X4) 245473 B. WING
More informationTelePsychiatry in the Long Term Care Setting
TelePsychiatry in the Long Term Care Setting Presented by: Richard Nockowitz, M.D. Founder & President, My Psychiatric Partner, LLC rnockowitz@mypsychiatricpartner.com Mobile: 614-648-2005 1) What is telepsychiatry?
More informationData Stewardship: Essential Skills for Long Term Care Facility Managers
Data Stewardship: Essential Skills for Long Term Care Facility Managers PRESENTED BY LEAH KLUSCH EXECUTIVE DIRECTOR THE ALLIANCE TRAINING CENTER ALLIANCE, OHIO 330-821-7616 leahklusch@sbcglobal.net Data
More informationMEDICATION ASSISTANCE AND ADMINISTRATION POLICY AND PROCEDURES *
MEDICATION ASSISTANCE AND ADMINISTRATION POLICY AND PROCEDURES * Policy: A. PossAbilities requires written authorization from the participant or their legal representative in order to provide assistance
More informationSafe Medication Assistance and Administration Policy
Safe Medication Assistance and Administration Policy It is the policy of New Challenges Inc. to provide safe medication setup, assistance and administration: When assigned responsibility in the person
More informationWEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control
WEBINAR: Making the Numbers Count-Using Your Pharmacy Data to Support Antibiotic Stewardship and Infection Control New England Nursing Home Quality Care Collaborative Webinar Will Begin Shortly. Call-In
More informationPharmacy Pain Management Protocol Pharmacy Policy and Protocol
Line of Business: Medicare and Medi-Cal Effective Date: November 18, 2015 Renewal Date: August 16, 2017 Pharmacy Pain Management Protocol Pharmacy Policy and Protocol This protocol has been developed through
More informationNORTH CAROLINA. Downloaded January 2011
NORTH CAROLINA Downloaded January 2011 10A NCAC 13D.2306 MEDICATION ADMINISTRATION (a) The facility shall ensure that medications are administered in accordance with standards of professional practice
More informationObjectives. Industry Landscape. Infection Prevention and Control Changes, Updates and Quality Results!
Infection Prevention and Control Changes, Updates and Quality Results! Sue LaGrange, RN, BSN, NHA, CDONA, FACDONA, CIMT Director of Education Pathway Health 1 Objectives 1.Describe the recent industry
More informationAntimicrobial Stewardship Program in the Nursing Home
Antimicrobial Stewardship Program in the Nursing Home CAHF San Bernardino/Riverside Chapter May 19 th, 2016 Presented by Robert Jackson, Pharm.D. Pharmaceutical Consultant II, Specialist CDPH Licensing
More informationNURSING FACILITY ASSESSMENTS
Department of Health and Human Services OFFICE OF INSPECTOR GENERAL NURSING FACILITY ASSESSMENTS AND CARE PLANS FOR RESIDENTS RECEIVING ATYPICAL ANTIPSYCHOTIC DRUGS Daniel R. Levinson Inspector General
More informationGoodbye Grace Period. What will be expected from your Facility Assessment in the Coming Year. Ellen Kuebrich Chief Strategy Officer, Providigm
Goodbye Grace Period What will be expected from your Facility Assessment in the Coming Year Ellen Kuebrich Chief Strategy Officer, Providigm Final Rule Final Rule Effective Date These regulations are effective
More informationCHAPTER 9 PERFORMANCE IMPROVEMENT HOSPITAL
CHAPTER 9 PERFORMANCE IMPROVEMENT HOSPITAL PERFORMANCE IMPROVEMENT Introduction to terminology and requirements Performance Improvement Required (Board of Pharmacy CQI program, The Joint Commission, CMS
More informationHey Recruit? You Ready for This?
Pharmacy Regulations 101: Understanding the good, the bad and the ugly within the Interpretive Guidelines. Presented By: Dr. William G. Day Hey Recruit? You Ready for This? 1 Objectives Participants should
More informationPharmaceutical Services Instructor s Guide CFR , (a)(b)(1) F425
Centers for Medicare & Medicaid Services (CMS) Pharmaceutical Services Instructor s Guide CFR 483.60, 483.60(a)(b)(1) F425 2006 Prepared by: American Institutes for Research 1000 Thomas Jefferson St, NW
More informationMINNESOTA. Downloaded January 2011
MINNESOTA Downloaded January 2011 4658.1300 MEDICATIONS AND PHARMACY SERVICES; DEFINITIONS. Subpart 1. Controlled substances. "Controlled substances" has the meaning given in Minnesota Statutes, section
More informationCMS RAI MANUAL ERRATA DOCUMENT
CMS RAI MANUAL ERRATA DOCUMENT SECTION I UTI S In Chapter 3, page I-9, under Coding Tips in I: Active Diagnoses in the Last 7 Days, a third bullet has been added: If the diagnosis of UTI was made prior
More informationCore Elements of Antibiotic Stewardship for Nursing Homes
Core Elements of Antibiotic Stewardship for Nursing Homes Welcome! Holly Harmon, RN, MBA, LNHA Senior Director Clinical Services 1 Leonard Russ Immediate Past Chair AHCA Board of Governors Antibiotic Stewardship
More informationPOLICIES AND PROCEDURES. Pharmacy Services for Nursing Facilities
POLICIES AND PROCEDURES Pharmacy Services for Nursing Facilities Contents I. GENERAL POLICIES AND PROCEDURES A. Organizational Aspects 1. Provider Pharmacy Requirements... 1 2. Consultant Pharmacist Services
More informationNew MDS Items for October 2017
New MDS Items for October 2017 for clients of: www.teamtsi.com 800.765.8998 Content developed and presented by: Polaris Group 3030 N. Rocky Point Drive, Suite 240 Tampa, FL 33607 800.275.6252 www.polaris-group.com
More informationMedication Control and Distribution. Minor/technical revision of existing policy. ± Major revision of existing policy Reaffirmation of existing policy
Name of Policy: Policy Number: 3364-133-17 Department: Pharmacy Approvingofficer: Chief Executive Officer THE unrversity OF TOLEDO MEDICAL CERITER Responsible Agent: Scope: Director of Pharmacy University
More informationPart 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotic Management Toolkit
Part 1: Overview of AHCA/NCAL Clinical Considerations of Antipsychotic Management Toolkit Dr. Cathy Lipton, MD Dr. Anna Fisher, PhD Holly Harmon, RN, MBA, LNHA Introduction Holly Harmon 1 Objectives Summarize
More informationTag Description Page. F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125. F622 Transfer & Discharge 155
Tag Description Page F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125 F622 Transfer & Discharge 155 F626 Permitting Residents to Return to Facility 170 F656 Comprehensive Care Plans
More informationWelcome and Introduction
Welcome and Introduction 1 Webinar Speakers Lynn Tabor, MS, RN, WCC, IP-BC, ASCOM Director of Education and Training, American Medical Technologies Jan Ruhl, BSN, RN, IPCO Golden Age Nursing Home, Guthrie
More informationUpcoming Changes in Infection Prevention: What Skilled Nursing Facilities Need to Know
Upcoming Changes in Infection Prevention: What Skilled Nursing Facilities Need to Know Aimee Ford, QI Consultant, Qualis Health June 8, 2016 Qualis Health A leading national population health management
More information5/1/2017 THE BEST DEFENSE IS A GOOD OFFENSE OBJECTIVES. Preparing for a Home Health Medicare Recertification Survey
THE BEST DEFENSE IS A GOOD OFFENSE Preparing for a Home Health Medicare Recertification Survey OBJECTIVES To gain an understanding how the Medicare Conditions of Participation (CoPs), the individual G-tags,
More informationCore Elements for Antibiotic Stewardship in Nursing Homes
Core Elements for Antibiotic Stewardship in Nursing Homes 1 http://www.cdc.gov/longtermcare/pdfs/coreelements-antibiotic-stewardship.pdf 2 Antibiotic Stewardship A set of commitments and activities designed
More informationFrequently Asked Questions Related to Long Term Care Regulations, Survey Process, and Training
Related to Long Term Care Regulations, Survey Process, and Training Updated 01/12/2018 Table of Contents A. 483.10 Resident Rights... 1 B. 483.12 Freedom from Abuse, Neglect, and Exploitation... 1 Reporting
More informationPHARMACY SERVICES/MEDICATION USE
25.01. 10 Drug Reactions & Administration Errors & Incompatibilities. Drug administration errors, adverse drug reactions and incompatibilities must be immediately reported to the attending physician and
More informationStorage, Labeling, Controlled Medications Instructor s Guide CFR (b)(2)(3)(d)(e) F431
Centers for Medicare & Medicaid Services (CMS) Storage, Labeling, Controlled Medications Instructor s Guide CFR 483.60(b)(2)(3)(d)(e) F431 2006 Prepared by: American Institutes for Research 1000 Thomas
More informationQuality Assurance and Performance Improvement (QAPI)
Quality Assurance and Performance Improvement () Carol Hill, MSN, RN, RAC-MT, DNS-CT, QCP-MT, CPC Objectives Identify the 5 key elements that form the framework of a program Recognize process tools that
More informationPERFORMANCE MEASURE DATE / RESULTS / ANALYSIS FOLLOW-UP / ACTION PLAN
Resident-to-Resident Assaults AIM: To decrease incidents of Resident to Residents assaults by 5% in the Fiscal Year (FY) 2011-2012. MONITORING: Data is collected from all instances in which State of California
More informationThe New Survey Process What To Expect Paula G. Sanders, Esq.
PHCA Webinar February 14, 2018 The New Survey Process What To Expect Paula G. Sanders, Esq. DEPARTMENT OF HEALTH ENFORCEMENT TRENDS How to Read State Tags DOH CMPs Per Year 2014-2017 2014 $79,250.00 2015
More informationCenter for Clinical Standards and Quality/Survey & Certification Group
DRAFT DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2 21 16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality/Survey
More informationPharmaceutical Services Report to Joint Conference Committee September 2010
Pharmaceutical Services Report to Joint Conference Committee September 21 Background: Pharmaceutical Services staffing has increased by 31 FTE from 26 due to program changes and to comply with regulatory
More informationPractice Tools for Safe Drug Therapy
Practice Tools for Safe Drug Therapy Practice Tools for Safe Drug Therapy Pharmacists and pharmacy technicians make sure the right person gets the right dose of the right drug at the right time and takes
More informationMinutes of the Bureau of Health Provider Standards/ Medical Directors Advisory Committee Meeting July 27, 2012
Minutes of the Bureau of Health Provider Standards/ Medical Directors Advisory Committee Meeting July 27, 2012 ATTENDEES: James Yates, MD, CMD, President Elect Regina Harrell, MD, CMD, Secretary/Treasurer
More informationThe Centers for Medicare & Medicaid Services (CMS) Partnership to Improve Dementia Care
The Centers for Medicare & Medicaid Services (CMS) Partnership to Improve Dementia Care Ohio Psychotropic Medication Nursing Facility Quality Improvement Project Ohio KePRO Nursing Home Quality Care Collaborative
More informationUnderstanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS
Understanding Antimicrobial Stewardship: Is Your Organization Ready? A S H LEIGH MOUSER, PHARM D, BCPS Objectives Discuss the need for antimicrobial stewardship programs Explain the components of an effective
More informationMHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative
MHA/OHA HIIN Antibiotic Stewardship/MDRO Collaborative Place picture here Sept. 12, 2017 Reminders For best sound quality, dial in at 1-800-791-2345 and enter code 11076 Please use the chat box to ask
More informationImproving Resident Care: A look at CMS quality of care initiatives
Improving Resident Care: A look at CMS quality of care initiatives W H I T E P A P E R by Diane L. Brown dbrown@hcpro.com What do reduction in rehospitalization, caring for dementia patients and preventing
More informationNursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview
National Nursing Home Quality Care Collaborative Nursing Home Online Training Sessions Session 5: Clostridium difficile Part One: Clinical Overview Health Services Advisory Group (HSAG) Objectives 1 Welcome
More informationOIG Risk Areas: Comprehensive Care Plans, Restorative/Personal Care Services & Medication Management
OIG Risk Areas: Comprehensive Care Plans, Restorative/Personal Care Services & Medication Management Presented by: Nan Impink, Esq. Kelly Priegnitz, Esq. Harvey Tettlebaum, Esq. Where We ve Been & Today
More informationPharmacy Department Orientation
Pharmacy Department Orientation June 26, 2015 Brittany N. White, PharmD, BCPS Pharmacy Ext. 7238 Main Pharmacy Department Located on the 6 th floor Open 24 hours a day 7 days a week Children s Located
More informationAccreditation Program: Long Term Care
ccreditation Program: Long Term are National Patient Safety Goals indicates scoring category ; indicates scoring category ; indicates situational decision rules apply; indicates 2009 The Joint ommission
More informationGet Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care
Get Ready for Phase 2: How to Use the Facility Assessment to Drive Person-Centered Care Today s Objectives Analyze progress on major Arizona Nursing Home Quality Care Collaborative (NHQCC) goals. Describe
More informationUsing Electronic Health Records for Antibiotic Stewardship
Using Electronic Health Records for Antibiotic Stewardship STRENGTHEN YOUR LONG-TERM CARE STEWARDSHIP PROGRAM BY TRACKING AND REPORTING ELECTRONIC DATA Introduction Why Use Electronic Systems for Stewardship?
More informationBLENDED SURVEY PROCESS
BLENDED SURVEY PROCESS UPDATE OF LESSONS LEARNED UNDER THE NEW SURVEY PROCESS KATHY CREEGAN-TEDESCHI DIRECTOR LTC VDH APRIL PAYNE, LNHA VP OF QUALITY IMPROVEMENT & DIRECTOR OF VCAL VHCA-VCAL NEW LONG TERM
More informationExamining Inappropriate Use of Antipsychotic Drugs Part One: How Seven States Cite Antipsychotic Drug Deficiencies
Examining Inappropriate Use of Antipsychotic Drugs Part One: How Seven States Cite Antipsychotic Drug Deficiencies The misuse of antipsychotic drug is a pervasive problem in American nursing facilities.
More informationNew Programs and Required Reporting for Long Term Care (LTC)
New Programs and Required Reporting for Long Term Care (LTC) New Centers for Medicare and Medicaid Services (CMS) Requirements Slide: D. Burdsall 1 The mission of the U.S. Centers for Medicare & Medicaid
More informationGet Ready for Phase 1 of the New Requirements of Participation
PADONA Convention March 30, 2017 Get Ready for Phase 1 of the New Requirements of Participation Paula G. Sanders, Esquire New Requirements of Participation (RoPs) Published October 4, 2016 (81 Fed. Reg.
More information