HCAD 635 long term

Week 5 Assignment 2: AIT Facility Rounding Simulation

Course Objectives for Assignment: 

  • Differentiate the diverse organizations that comprise the long-term care service delivery system including the future challenges
    faced by these organizations in the context of long-term care administration.
  • Apply management theory, concepts, and models to examine ethical best practices in long-term care administration and to foster performance excellence.
  • Develop effective written communication skills as applied to the course objectives in long-term care administration.

Assignment 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 or HHA CMS 2567 Report from the Options Provided Below. (Note: These are actual SNFs and HHAs 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 Options:

Home Health Agency (HHA) Survey 2567 Report Options:

  • HHA 1 – CMS Form 2567 Report: Pruitt HHA Health Survey – Georgia HHA Provider PDF
  • HHA 2 -CMS Form 2567 Report: Above & Beyond Homecare Complaint Survey – Indiana HHA Provider PDF
  • Identify 2 Citations & Conduct Leadership Rounds:
    • Select on two deficiencies (SNF F-Tags or HHA G-Tags) presented your selected CMS 2567 Report.
    • Apply your two tags (citations/deficiencies) to the report questions, each citation/deficiency will be part your focus for this assignment.
    • You will act as though you are physically rounding your SNF or HHA, identifying potential issues based on your deficiencies, to address the questions in the guide. 
  • Access the CMS Compare Site: Include the CMS Compare Site Information with Your Report as a PDF or Jpeg
    • CMS Comparison Website: Main Page 
    • Search for Your Selected SNF or HHA. 
    • Complete Section 1 of the AIT QAPI Leadership Rounding Guide, Using the Information from the CMS Compare Site on Your Selected SNF or HHA. 
    • Compare Your Selected SNF or HHA to Two Other SNFs or HHA providers. (Note: Up may select up to a 200 mile radius, if desired.)
    • Include the CMS Compare Site Information in Your Report as an PDF Attachment or as a Jpeg Attachment. (Note: See example below provided in the resources section.)
  • APA 7th Edition Formatting:
    • Include a minimum of three APA 7th Edition formatted references with correlating in-text citations.
    • All scholarly references must be from the last five years.
  • Use the SNF Template, if Selecting a SNF CMS 2567 Report – Complete Each Item in the Guide and Submit this Guide:
  • Use the HHA Template, if Selecting a HHA CMS 2567 Report – Complete Each Item in the Guide and Submit this Guide:

Resources to Assist You with the Report

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

HHA G-Tags: CMS Information on HHA G-Tags List and SOM -Updated 2018 PDF (Note: Once you open the document, you will need to scroll down to view the information on the G Tags, as this document offers additional survey details.)

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 HHA QAPI and Leadership Rounding Approaches

Identify best practices from scholarly publications located in the UMGC Library or 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.