AADNS Facility-Wide Assessment Workbook

Beginning Nov. 28, 2017, as part of the Phase 2 Requirements of Participation regulation, skilled nursing facilities must “conduct and document a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update that assessment, as necessary, and at least annually. The facility must also review and update this assessment whenever there is, or the facility plans for, any change that would require a substantial modification to any part of this assessment.” 483.70(e)  

Use the AADNS Facility-Wide Assessment Workbook to:  

• Help your facility comply with the F838 new Facility Assessment
• Identify areas where staff education and competency-based training needs to occur
• Ensure the safety of residents during normal operations and during emergencies  
  

The AADNS Facility-Wide Assessment Workbook, a spreadsheet-based tool, guides the user in assembling the various subparts to comply with the regulation, including:  

Resident population

• Both the resident census and facility’s resident capacity
• Care required
• Staff competencies
• Physical environment
• Ethnic/culture/religious factors, such as activity/food/nutrition services
  

Facility’s resources

• Physical structures and vehicles
• Equipment non-medical/medical 
• Services provided 
• All personnel education level/ competencies r/t resident care
• Contracts/memos of understanding and third party agreements
• Equipment access including after hours/emergencies
• Health information technology resources 

Facility-based and community-based risk assessment

• All-hazards approach 

The Facility-Wide Assessment Workbook comes with a comprehensive user's guide to assist you in filling out this tool.

Antibiotic Stewardship Program in Long-Term Care Virtual Workshop

AADNS has partnered with the American Society of Consultant Pharmacists (ASCP) to offer this program.

AADNS Speaker: Amy Franklin RN, DNS-MT, QCP-MT, RAC-MT
ASCP Speaker: Stacey Ranucci, RPh., CGP, CDE, Clinical Consultant Pharmacist

Duration: 4 sessions at 1.5 hours in length each, 6 hours total.

Continuing Education: This course qualifies for six hours of nursing and pharmacy CE. Participants must complete an entire session to earn CE.

Virtual Workshop Curriculum:

Session 1: Regulatory Compliance and Commitment
Session 2: Facility Gap Analysis ASP Committee Duties
Session 3: Advancing ASP Quality Assurance/Performance Improvement (QAPI) Program
Session 4: Consultant Pharmacist & Infection Prevention Roles in ASP

Currently within long-term care, CMS regulation requires infection control practice to include preventing infectious disease from spreading and reporting the use of antimicrobials. The new federal regulation, F881, requires facilities to implement an antibiotic stewardship program (ASP) by November 28, 2017, that covers accountability, surveillance, analysis, and has governance in controlling and utilizing protocols for the use of antimicrobials. The goal is to mitigate antimicrobial drug resistance within long-term care in a safe, measurable, and efficient manner.  

Following this course, you will:   

• Be able to implement a comprehensive antibiotic stewardship program that will provide the governance, surveillance, protocols, and day-to-day management of antimicrobial use within the LTC facility

• Perform a gap/risk assessment the will assist in the development of an implementation plan

• Identify and initiate a process measure and outcome measure required for compliance