Survey Readiness and Management

Survey readiness is what happens every day that the surveyor does not step onto the floor, all in preparation for the day that he or she does. Be ready. Learn about all of the trends in Survey, from Dementia and MDS focused surveys, to what’s happening in SNFs around the country with the following articles. 

  • Sept. 7 Facility Assessment Tool and State Operations Manual Revisions Call: Register Now

    By CMS - August 14, 2017
    During this call, learn about the new Facility Assessment Tool to help identify and develop the specific assessment of your facility. Also, find out about frequently asked questions related to revision of the State Operations Manual Appendix PP for Phase 2 of the Reform of Requirements for Long-Term Care Facilities final rule. A question and answer session follows the presentation.
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  • CMS S&C Memo: Survey Team Composition and Investigation of Complaints (8/17)

    By CMS - August 14, 2017

    Survey Team Composition and Investigation of Complaints: On July 31, 2017, the Federal Register issued the final rule Medicare Program: Prospective Payment - System and Consolidated Billing for Skilled Nursing Facilities (SNF) for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020. These regulations are effective on October 1, 2017.

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  • Cultivating Health Literacy to Improve Outcomes

    By Amy Stewart. RN, DNS-MT, QCP-MT, RAC-MT - August 14, 2017
    Health literacy has always been an essential component of successful transitions of care, particularly at the point of discharge to the community. Limited health literacy is associated with a greater number of hospitalizations, more frequent emergency room visits, and an increase in adverse health behaviors. 

    Older adults tend to be more at risk for adverse events because of challenges with health literacy, according to the Cumulative Index to Nursing and Allied Health Literature Nursing Guide.

    With the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) claims-based quality measure, Discharge to Community–Post Acute Care, which links successful discharge to payment, and the new publicly reported quality measure, Successful Discharge to the Community, ensuring residents’ health literacy is more important than ever for SNFs.

    Read more of AADNS curriculum development specialist Amy Stewart's article in Provider magazine.

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  • Life Safety Code: CMS S&C Memo (8/17)

    By CMS - August 14, 2017
    Fire and Smoke Door Annual Testing Requirements in Health Care Occupancies
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  • Looking for a Daily Challenge? Become a Nurse Leader in Long-Term Care

    By Glenda Nelson, RN, BSN - August 09, 2017

    Read about AADNS member, Glenda Nelson, RN, BSN, and her career journey from acute care to long-term care. Her passion for challenging herself and encouraging others is an inspiration. If you’re considering a career in LTC, Glenda’s story is a must-read.

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  • Q1 2017 Antipsychotic Medication Use Data Report From CMS (8/17)

    By CMS - August 09, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: CMS is tracking the progress of the National Partnership by reviewing publicly reported measures. The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In 2011Q4, 23.9 percent of long-stay nursing home residents were receiving an antipsychotic medication; since then there has been a decrease of 34.1 percent to a national prevalence of 15.7 percent in 2017Q1. Success has varied by state and CMS region, with some states and regions having seen a reduction of greater than 35 percent.

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  • Read Appendix PP: Here’s a Survey Study Guide

    By Caralyn Davis, Staff Writer - August 09, 2017

    “Quite a bit” of the regulatory requirements for survey won’t change with the Nov. 28, 2017, rollout of Phase 2 of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule), say officials with the Division of Nursing Homes in the Survey and Certification Group at the Centers for Medicare & Medicaid Services (CMS) during the video Appendix PP: Overview of Revised Interpretive Guidance.

    “Most of the minimum quality standards that were in the regulation remain,” they explain. “There are still strong resident rights, use of the Minimum Data Set to do assessment and care planning based on the residents’ goals and preferences, and the input of the interdisciplinary team. There are still requirements for a medical director, a full-time licensed nurse, and requirements for medication review.”

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  • F602 – F605: CMS Breaks Out New Guidance Re: Exploitation, Restraints

    By Caralyn Davis, Staff Writer - August 09, 2017

    Ten F-tags will address §483.12 (Freedom From Abuse, Neglect, and Exploitation) in the Code of Federal Regulations for the new survey process that rolls out Nov. 28, 2017. Some tags include both regulatory changes and updated interpretive guidance for surveyors in the advance copy of Appendix PP, “Guidance to Surveyors for Long-term Care Facilities,” in the State Operations Manual. However, other tags don’t have regulatory changes but still have revised interpretive guidance at the request of surveyors, say officials with the Centers for Medicare & Medicaid Services (CMS) during the surveyor training video Freedom From Abuse, Neglect, and Exploitation.

    Here are highlights of key changes for the “right to be free” tags F602 – F605:

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  • Providers Face Multiple Key Deadlines in August

    By Caralyn Davis, Staff Writer - August 08, 2017
    The word of the day at the Aug. 3, 2017, Skilled Nursing Facility/Long-term Care Open Door Forum (SNF/LTC ODF) was deadlines—for submitting data, for requesting reconsiderations, and for making comments. Here are the key deadlines that officials with the Centers for Medicare & Medicaid Services (CMS) suggest providers pay attention to (in chronological order):
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  • Mega-Rule Phase 2 Implementation: CMS Training Videos UPDATED (8/17)

    By CMS - August 03, 2017
    LTC Survey Process Videos: This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups. August 2017 update: CMS has added a Pharmacy Services training video.
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  • SNF QRP Effective Oct. 1, 2018: CMS Eases Proposed Reporting Burden

    By Caralyn Davis, Staff Writer - August 02, 2017
    As expected, the Fiscal Year (FY) 2018 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule, released on July 31, covers some significant SNF PPS payment issues. For example, the Centers for Medicare & Medicaid Services (CMS) not only updated the RUG-IV per-diem payment rates, but also revised and rebased the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, and Repair Services. Note: For more information about the payment changes, see this CMS fact sheet.
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  • SNF QRP QMs and MDS Items Finalized in FY 2018 SNF PPS Final Rule (8/17)

    By CMS - August 01, 2017
    Specifications for the quality measures and standardized resident assessment data elements for the SNF QRP as finalized in the FY 2018 SNF PPS Final Rule are now posted. 
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  • FY 2018 SNF PPS Final Rule Posted (8/17)

    By CMS - August 01, 2017

    Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2018, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, Survey Team Composition, and Correction of the Performance Period for the NHSN HCP Influenza Vaccination Immunization Reporting Measure in the ESRD QIP for PY 2020

    AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

    ACTION: Final rule.

    SUMMARY: This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2018. It also revises and rebases the market basket index by updating the base year from 2010 to 2014, and by adding a new cost category for Installation, Maintenance, and Repair Services. The rule also finalizes revisions to the SNF Quality Reporting Program (QRP), including measure and standardized resident assessment data policies and policies related to public display. In addition, it finalizes policies for the Skilled Nursing Facility Value-Based Purchasing Program that will affect Medicare payment to SNFs beginning in FY 2019. The final rule also clarifies the regulatory requirements for team composition for surveys conducted for investigating a complaint and aligns regulatory provisions for investigation of complaints with the statutory requirements. 

    DATES: These regulations are effective on October 1, 2017

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  • F-Tag Crosswalk Tool

    By AADNS - July 27, 2017
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  • F-Tag Renumbering: What Matters and What Doesn’t

    By Caralyn Davis, Staff Writer - July 26, 2017

    Effective Nov. 28, 2017, state surveyors will use an entirely new numbering system for F-tags. The Centers for Medicare & Medicaid Services (CMS) updated the F-tags to correspond with the new regulatory sections implemented through the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. “Learning the new F-tag numbering system will come with time, but memorizing the numbers shouldn’t be the priority for directors of nursing services (DNSs),” advises Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT, AADNS curriculum development specialist. “Instead, DNSs should focus on knowing what’s new.”

     

    So what do DNSs need to understand first? Here are Stewart’s two key takeaways:

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