Description
Background: Preparing for a regulatory survey is essential in long term care and complying with these regulations is critical for the success an organization. Over the past several weeks, we have learned a tremendous amount of information on different departments as well as various administrative areas. Now, we will apply your knowledge to creating a proactive plan that assists your team in being prepared should regulatory bodies arrive to conduct a survey or inspection. While we do not have the time to implement and discuss a full mock survey, we will have the time for you to work on a few of the processes for a survey readiness plan.
Your Scenario-Option C: Maryland Skilled Nursing Facilities
Option C: Maryland Skilled Nursing Facilities
SNF Option 2:Chesapeake Shores located in Lexington Park Maryland
SNF Regulation Option 3: Federal CMS SNF Regulation: Food and Nutrition
Services 483.60 o Regulatory Reference: Provided Diet Meets Needs of Each Resident
483.60 o Regulatory Tag:F800
Regulatory Information: Page 2 of the CMS SNF F Tags June 2021 PDF and Pages 564 to 565 of the CMS State Operations Manual Appendix PP for LTC Facilities.
Resources for this Scenario:
How to locate the specific regulations for this scenario: You can you the Control F function on your PC or Command F function on your Mac to search for a specific regulatory reference/tag/rule. Type in the information that you want to search for in the specific document that you are reviewing, using this search function, to locate your information:
CMS SNF F Tags June 2021 PDF
CMS State Operations Manual Appendix PP for LTC Facilities PDF
E-Tags Emergency Preparedness CMS State Operations Manual Appendix Z for All Certified Federal Level Providers PDF
Website link to CMS Provider Compare– Main Page: CMS Provider Compare Search Page
Website link to CMS – Emergency Preparedness Rule Page: CMS Emergency Preparedness Rule Landing Page
****DIRECTIONS***
Creating the PowerPoint Presentation:
Survey Readiness PowerPoint:
Must be no less than 10 slides, excluding the introduction slide(s) and reference page slide(s).
Presenter Notes:
Every slide must have presenter notes except for the reference page(s).
Your presenter notes will be the information that you will be sharing with your team.
Your notes should be detailed and contain APA in-text citations.
References:
Minimum of eight scholarly references, professional publications, and/or academic journals from the last five years.
Include any references from your assigned LTC facility or setting such as the website, company information, facility website, service-level website, etc.
Every reference must have a correlating in-text citation(s).
APA 7th Edition Style:
PowerPoint slides, cover page, and reference page.
The PowerPoint Must Contain the Following Content Aspects for Your Assigned Scenario: Aspect A: Introduction Slide(s)
APA Cover Page – Include the title of the presentation, your name, your instructor’s name, course name, your assigned LTC facility or setting, your assigned regulation, and date submitted.
Provide bulleted points to identify each Content Aspect that will be presented in the presentation.
Aspect B: Regulatory Survey Readiness Analysis Slide(s)
Provide an analysis of the regulatory survey process that includes the importance of survey readiness; a mock survey overview; and an assessment of being survey ready, as a means for creating successful survey outcomes.
Aspect C: Stakeholders Evaluation and Leadership Selection Analyses Slide(s)
Include an evaluation of at least three stakeholders for the regulatory survey process.
You must include the internal stakeholders of the patients and/or residents.
The other stakeholders that you present, as part of your evaluation, may be internal or external.
Include at least two of the applicable items from this list in your evaluation of the stakeholders: (a.) survey awareness; (b.) survey process understanding; (c.) survey engagement; (d.) stakeholder contribution; (e.) stakeholder justification; and/or (f.) importance of the stakeholder.
Identify at least three specific leadership roles that will be involved in the mock survey process and provide an analysis of the assigned facility-level or service-level leaders involved in the mock survey.
You must include the Administrator, Executive Director, or a top leader of the LTC facility or service in your analysis.
The other two leadership roles may be any manager or director-level position at your assigned LTC facility or service for your analysis.
Aspect D: Regulation Assessment Slide(s)
State the regulation that you assigned from your scenario and provide an assessment of this regulation to your assigned LTC facility or setting.
You must include the regulatory standard, condition, rule, and/or tag in the assessment.
Include an evaluation of the mock survey process for the assigned regulation, applying this information to your assigned LTC facility or setting.
Apply your assigned specific regulation for one mock survey step, as this will act as an introduction for your LTC employees to understand the entire mock survey process. (Note – Remember you are only introducing the mock survey process to your staff, so this should be an overview of the potential regulatory mock survey steps.)
Aspect E: Conclusion Slide(s)
Highlight the key takeaways of your presentation and include an explanation to why the information presented in the PowerPoint is essential for the staff to know.
Include one call to action and share with your team any next steps for the upcoming mock survey.
Aspect F: APA Reference Page Slide(s)
Provide the list of all references presented in the PowerPoint, formatted in APA 7th Edition.
