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Creating Home: The New Quality of Life Revisions to LTC Surveyor Guidance

Follow Up to the Webinar Series for Providers

          
Presented by Pioneer Network, American Association of Homes and Services for the Aging (AAHSA) and American Health Care Association (AHCA)

June 10 & 11 and June 17 & 18, 2009

Links to Q&A from each session are posted below.  Please check back for additional and updates. Hand outs and archived recordings for each session are posted by date with their individual session description below.

Additional information is available in our Resource Section.

The Centers for Medicare & Medicaid Services (CMS) issued a new survey and certification letter that revises guidance to surveyors for several requirements related to quality of life and environment. As a result, surveys after June 17, 2009 will be conducted with a sharpened focus on elements of quality of life. These revisions were developed following a national symposium on person-centered living environments, Creating Home in the Nursing Home, co-sponsored by CMS and Pioneer Network.
 
The new guidelines enhance instructions to surveyors on how to evaluate compliance with areas such as resident choices about daily schedule, (including when to get up, go to bed, eat, and bathe) visitation issues, homelike environment, food procurement, and expand significantly on guidance related to lighting.

The series offered a unique, valuable and timely opportunity for providers to hear directly from CMS Division of Nursing Homes Deputy Director, Karen Schoeneman, MPA, who developed, wrote, and oversees the enforcement of these new guidelines.  Ms. Schoeneman participated in both Webinars and provided participants with the background, intent and implications of the new guidelines for each of the F Tags.  Debra Swinton-Spears, MS, Nurse Consultant with CMS Division of Nursing Homes who authored both F371 and its revision, provided additional clarification on the food procurement portion and its revision.   Ms. Schoeneman and Ms. Swinton-Spears were joined by nationally recognized consultants with significant experience helping nursing homes adopt the resident-centered care delivery systems and personalized physical environments that are the focus of these new guidelines who shared proven methods and processes for incorporating these culture change practices into every day nursing home life.

Session One
Making Choices and Adapting the Physical Environment
June 10 or 11
Click here for follow up Questions & Answers from Session One
  • F242 Self-Determination and Participation
  • F371 Sanitary Conditions (food procurement revision only)
  • F246 Accommodation of Needs
  • F461 Private Closet Space
  • F256 Adequate and Comfortable Lighting
  • F463 Resident Call System
To register to view the recording of this webinar click here. The cost is $89 per session.

SESSION HANDOUTS



Resource Section
Session Two  
Feeling At Home 
June 17 or 18
Click here for follow up Questions & Answers from Session Two
  • F172 Access and Visitation
  • F175 Married Couples
  • F241 Dignity
  • F247 Notice Before Room or Roommate Change
  • F252 Safe, Clean, Comfortable and Homelike Environment
To register to view the recording of this webinar click here. The cost is $89 per session.

SESSION HANDOUTS
Resource Section




















Meet the Presenters

Barbara Frank, MPA, Co-founder B and F Consulting

Karen Schoeneman, MPA, Deputy Director of the Division of Nursing Homes at CMS

Debra Swinton-Spears, MS, Nurse Consultant, CMS Division of Nursing Homes

Betsy Brawley, IIDA, AAHID, CID President, Design Concepts Unlimited

Kim Clayton, BA, NHA, Senior Policy Analyst 

Sue Misiorski, BSN, Director of Organizational Culture Change, PHI

LaVrene Norton, MSW, Executive Leader, Action Pact, Inc. 

Hosts
Evvie Munley, Senior Health Policy Analyst for American Association of Homes and Services for the Aging
Diane De La Mar, Vice President for Regulatory Services for American Health Care Association



With special thanks to The Commonwealth Fund.