longterm care Assigmt2

General Facility Information – Section 1

Provide a response to each item listed below and adjust spacing as needed for your responses.

HHA Provider Name:

City and State of the HHA:

List Services Offered:

Ownership Type:

Health Inspection Details from CMS Compare Website -Section 1

Provide a response using the View Details information under the Quality Rating and View Survey Details under the Patient Survey Rating . Adjust spacing as needed for your responses.

Total Number of Patient Surveys Completed:

Patient Survey Response Rate:

Select 3 Total Measures from the Quality Rating of Patient Care Information to Present in this Report from Managing Daily Activities, Treating Symptoms, Preventing Harm, Preventing Unplanned Hospital Care, and Payment & Value of Care.

Measure 1:

Measure 2:

Measure 3:

Select 2 Total Measures from the Patient Survey Rating to Present in this Report from the Details located under the View Survey Details.

Measure 1:

Measure 2:

CMS 5-Star Ratings

Quality Rating

Patient Survey Rating

Note: Use the Section 1 information, along with any other relevant details, from the CMS Compare Site on your selected facility to complete the rounding questions in Section 3.

CMS 1567 Report: G-Tag Selection Information– Section 2

Provide a response to each item listed below and adjust spacing as needed for your responses.

G-Tag Citation 1 Information

G-Tag Number and Tag Title:

Code of Federal Regulations (Regulatory Reference):

G-Tag Citation 2 Information

G-Tag Number and Tag Title:

Code of Federal Regulations (Regulatory Reference):

Example of HHA Citation (G-Tag) Information:

(Information can be located under ID Prefix Tag on the 2567 and by using the HHA G-Tags List and SOM Updated 2018 document located within the assignment prompt.)

G-Tag Number and Tag Title: G572 Standard: Plan of care

Code of Federal Regulations (Regulatory Reference ): 484.60 Care planning, coordination

of services, and quality of care.

Compare Your Selected HHA to 2 Other HHAs: Submit PDF as Part of the Assignment

· Remember to Select 2 Comparable HHAs to your selected HHA (3 HHAs in total), up to a 200-mile radius, using the compare function on the CMS Compare Site.

· You can use the Print function on the CMS Compare website and save the information in PDF format to include the information in your submission. See example PDF in assignment prompt.

Section 3 - Questions to Consider Before Conducting Your HHA Rounds

Provide a response to question listed below and adjust spacing as needed for your responses.

1) Identify one to three leaders that will conduct rounds with you for your 2567 deficiencies, include their titles and/or department and/or role:

2) Provide two questions to ask your patients and clients during your home visits. One question must be based on the G-Tag citation as a way to identify how your facility can improve.

3) Provide at least one question to ask your employees during your rounding. These questions should be positive, engaging, and promote an excellent workplace experience while focusing on providing the highest quality of care delivery.

Section 3 - Rounding Experience Simulation

Visualize your HHA as though you are rounding with your leadership team, consider your G-tag citations, and provide a response with supporting external scholarly evidence, as needed, for each question. Adjust spacing as needed for your responses.

1) Based on your first citation discussed in Section 2, and based on your research regarding your G-Tag citation, what will be two to three items that you will look for during your rounds and why?

2) Based on your second citation discussed in Section 2, and based on your research regarding your G-Tag citation, what will be two to three items that you will look for during your rounds and why?

3) Describe in one to two paragraphs, how you will identify other areas of concern during your rounds? Be sure to include a specific process on how you will note such potential areas of concern.

Section 3 - QAPI Tool for Rounding Follow-Up Leadership Meeting

Provide a response to each question below, adjust spacing as needed, and be sure to include scholarly external evidence.

1) You are going to redesign your QAPI Program. Your first step will be to identify your QAPI Steering Committee. Identify the HHA Department Leaders that will be on your QAPI steering committee.

Information from the QAPI at a Glance Guide from CMS and the AHRQ to assist you with the question presented above (Agency for Healthcare Research, 2021):

Here are some ways leadership can take action:

Develop a steering committee, a team that will provide QAPI leadership: The steering committee has overall responsibility to develop and modify the plan, review information, and set priorities for PIPs. The steering committee charters teams to work on particular problems. It reviews results and determines the next steps. The steering committee must learn and use systems thinking—a nursing home has many competing interests and needs.

Top leadership such as the Administrator and the Director of Nursing must be part of this structure.

It is also important to have a medical director who is actively engaged in QAPI. It is possible to adapt your Quality Assurance committee to become your “Steering committee” to oversee QAPI. For this to work, the QA Committee may need to meet more often, include more people, and establish permanent and time-limited workgroups that report to it (p.9).

2) Based on the two G-Tags that you presented in Section 2, describe what some of the potential best practices are to resolve your citations, ways you want to approach these deficiencies to prevent them in the future, or provide other relevant information to addressing these areas of concern. Your response should be two to three paragraphs long and include scholarly supporting external evidence.

3) Based on your HHA rounding simulation, in one to two paragraphs, share your thoughts on this experience include items such as benefits, challenges, new knowledge obtained, greatest learning opportunity, or any other factor that you would like to share from an AIT student viewpoint.