homework

Instructions - You will complete this week's task by submitting:

1. A completed AIT QAPI Leadership Rounding Guide 

2. Attach Your CMS Comparison Report as from the CMS Compare Site in PDF format/or JPeg format 

3. Include APA 7th Edition Reference Page

Select a Facility : Select one SNF: Park Pointe Healthcare and rehab, IL (Selected)

  (Note: These are actual CMS 2567 Reports, accessed from the CMS Websites, which consumers, providers, administrators, and the general public have access to in real life.)

Skilled Nursing Facility (SNF) Survey 2567 Report selected:

· SNF 1 - CMS Form 2567 Report:  Park Point Annual Survey Illinois SNF Provider PDF

Resources to Assist You with the Report: 

QAPI Guide from CMS:  CMS QAPI at a Glance: Application for Regulatory Compliance PDF

SNF F-Tags with SNF Scope and Severity Overview:  CMS SNF F Tags List - Updated June 2021 PDF  and  CMS Scope & Severity Grid Updated 2018 PDF

State Operations Manuals: 

State Operations Manual SNF Updated 2018 PDF

HHA State Operations Manual Updated 2020 PDF

General Resources: 

QIO: Nursing Home Resources Landing Page

CMS: Regulations and Guidance Landing Page

Rounding Simulation Tips : 

Act as though you are physically conducting rounds at your SNF or at your HHA, which would include visiting patients' homes by conducting rounds with other members of your leadership team.

Visualize your SNF and your SNF's organization as though you were walking through the facility or visualize your HHA's organization while visiting patients' homes as though you were visiting each patient and/or client.

Review your citations (F-Tags or G-Tags) from your CMS 2567 Report as you tour your SNF or HHA. 

Assess what you can do as a leader, and as a leadership team, to assist with preventing these citations from occurring in the future, using a QAPI approach. 

Review the F-Tag or G-Tag information as you examine how to prevent, reduce, or eliminate these types of deficiencies in the future. Your thoughts will be reflected in the questions presented in the AIT QAPI Leadership Rounding Guide. 

Tips for Conducting Your Research for Your Citations & Ways to Assess Your SNF or QAPI and Leadership Rounding Approaches : 

Identify best practices from scholarly publications through professional organizations.

Research your citations, learn more about them, and explore different resources that may assist you by reviewing QAPI processes, the state operations manual, CMS websites, or studies that may support you in addressing your citations.

Visit the AHRQ's website for more information on the QAPI processes and identify some of their tools for quality improvement. 

Seek online examples regarding plan of corrections; explore survey preparation processes; access your selected online state's licensure page or regulatory page; review potential mock survey information; identify checklists on the issues; or visit other public and private regulatory websites as you research and assess your citations. 

If you visit the organization's website or specific provider's website, then be sure to provide appropriate references and in-text citations for such information.

If you visit or utilize any information from a website such as CMS ,the Quality Improvement Organizations (QIO), or any website for your report, then be sure to provide appropriate references and in-text citations for this information.