WHCA Winter ConferenceFebruary 22 – 23, 2018

Hotel RL Olympia by Red Lion

Nursing Homes

Nursing Homes • LTC Survey FAQs - Updated 02/06/2018 [PDF, 701KB]

• Appendix PP State Operations Manual (Revised 11/22/2017) [PDF, 3MB]

• List of Revised FTags [Effective November 28, 2017] [PDF, 152KB]

• S&C Memo: Revision to State Operations Manual Appendix PP for Phase 2 (Includes Training Information and Related Issues) [PDF, 121KB]

• F-Tag Crosswalk [XLSX, 495KB]

• Training for Phase 1 Implementation of New Nursing Home Regulations [PDF, 108KB]

• New Long-term Care Survey Process – Slide Deck and Speaker Notes [PPTX, 8MB]

• Entrance Conference Form Beneficiary Notice Worksheet (Updated 12/06/2017) [ZIP, 164KB]

• LTC Survey Pathways - Updated 12/13/2017 [ZIP, 2MB]

• LTCSP Procedure Guide [PDF, 1MB]

• LTCSP Initial Pool Care Areas - Updated 11/17/2017 [ZIP, 1MB]

• Survey Resources - Updated 01/18/2018 [ZIP, 10MB]

• Matrix with Instructions - Content Unchanged [PDF, 299KB]

• LTCSP Mapping Document [PDF, 740KB]

• LTCSP Interim Revisit Instructions [PDF, 171KB]

Emergency Preparedness Rule

Emergency Preparedness Rule

• Facility Transfer Agreement - Example [PDF, 56KB] • 17 Facility- Provider Supplier Types Impacted [PDF, 89KB] • Frequently Asked Questions (FAQs) Round One [PDF, 312KB] • Frequently Asked Questions (FAQs) Round Two Revised 6-1-17 [PDF, 40KB] • Frequently Asked Questions (FAQs) Round Three Revised 6-1-17 [PDF, 221KB] • Frequently Asked Questions (FAQs) Round Four [PDF, 24KB] • Frequently Asked Questions Round Four Definitions [PDF, 48KB] • Frequently Asked Questions (FAQs) Round Five [PDF, 81KB] • General Presentation - Overview of EP [PPTX, 3MB] • Advanced Copy-Emergency Prep Interpretive Guidelines [PDF, 783KB] • Surveyor Tool- EP Tags [XLSX, 62KB] • CMS Online Training for Emergency Preparedness [PDF, 114KB] • CMS and NHPP Letter-Healthcare Coalitions [PDF, 299KB]

https://surveyortraining.cms.hhs.gov/index.aspx

Nursing Home Incident Command Systemhttps://www.cahfdisasterprep.com/nhics

• NHICS 201: Incident Briefing and Operational Log (pdf) (doc)

• NHICS 202: Incident Objectives (pdf) (doc)

• NHICS 203: Organization Assignment List (pdf) (doc)

• NHICS 204: Assignment List (pdf) (doc)

• NHICS 205: Incident Communications Plan (pdf) (doc)

• NHICS 206: Staff Injury Plan (pdf) (doc)

• NHICS 207: Organizational Chart (pdf) (doc)

• NHICS 214: Activity Log (pdf) (doc)

• NHICS 215A: Incident Action Plan Safety Analysis (pdf) (doc)

• NHICS 251: Facility System Status Report (pdf) (doc)

• NHICS 252: Section Personnel Time Sheet (pdf) (doc)

• NHICS 253: Volunteer Staff Registration (pdf) (doc)

• NHICS 254: Master Emergency Admit Tracking Form (pdf) (doc)

• NHICS 255: Master Resident Evacuation Tracking Form (pdf) (doc)

• NHICS 257: Resource Accounting Record (pdf) (doc)

• NHICS 258: Facility Resource Directory (pdf) (doc)

• NHICS 259: Master Facility Casualty & Fatality Report (pdf) (doc)

• NHICS 260: Individual Resident Evacuation Tracking Form (pdf) (doc)

Emergency Preparedness Guide for Assisted Living https://www.ahcancal.org/facility_operations/disaster_planning/Pages/resources.aspx

The Emergency Preparedness Guide for Assisted Living is a comprehensive resource that will assist members with developing emergency operations plan and includes the planning process. The guide includes templates and numerous resources for members to utilize.

NCAL EOP Guide 2015

Transfer and Discharge

What is a “facility Initiated Discharge”F 622

A transfer or discharge which the resident objects to, did not originate through a resident’s verbal or written request, and/or is not in alignment with the resident’s stated goals for care and preferences.

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Transfer and Discharge

Valid Facility Initiated Discharge Criteria:

• Resident no longer needs Nursing Facility level of care

• Resident poses a health or safety risk to themselves or others

• The facility can no longer meet the residents level of care needs

• The resident has failed to pay

• The facility ceases to operate

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Transfer and Discharge

What to Document

• Do Not need to use DSHS Form• Do Need to include:

• The reason for transfer or discharge;• The effective date of transfer or discharge;• The location to which the resident is

transferred or discharged;• A statement of the resident’s appeal rights, • Ombuds information• For residents with Intellectual Disability or

Mental Health Disorder, Information regarding Disability Rights WA

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Transfer and Discharge

Who to Notify

• Resident

• Resident’s Representative

• State Ombuds

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Transfer and Discharge

After notification

• If resident appeals notice, cannot discharge during appeal process

• If resident a Medicaid client, ask case manager for assistance in D/C process

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Discharge to the Hospital

• Residents who are sent to the emergency room or Hospital, must be permitted to return to the facility, unless the resident meets one of the criteria under which the facility can initiate discharge.

• The Facility may NOT evaluate the residents behavior based on the behavior at the time of the transfer to the hospital

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Hotel RL Olympia by Red Lion