The SNF Requirements of Participation Phase 3 Survey guidance were supposed to have been released a few years ago but were delayed due to the pandemic. The Phase 3 Requirements and Survey guidance have finally been released and became effective on 10/24/2022.
This webinar will delineate the new requirements for investigating clinical issues to complete root cause analysis and develop effective resident specific care planning. New guidance requires the governing body to ensure the facility Quality Assurance and Performance Improvement (QAPI) program is developed and implemented correctly, has adequate resources, and receives consistent reports from the committee. The Infection Preventionist has newly been added to required members of the QAPI team. The new requirements detail reports that must be presented monthly to the QAPI team by the Infection Preventionist. Education of all staff related to the QAPI program is mandatory.
There are also requirements for presenting the facility’s QAPI plan to the survey team upon their arrival at the facility. This webinar will clearly detail the newly added requirements.
Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC
Carol Maher is a Board Certified Gerontological Registered Nurse with over 30 years of long term care experience and has worked in long term care in many roles. She worked as the MDS Coordinator in a 300 bed SNF in Pennsylvania for 8 years before moving to CA to become the MDS Coordinator/Director for a 1200 bed SNF in San Francisco. She has also worked as the MDS Coordinator in a SNF that typically had 60-75 residents on Medicare in addition to 160 long-term care residents. Most recently she was the Senior VP of Utilization Services and Director of Reimbursement for large multi-facility organizations.
Carol has worked as one of the Gold Standard nurses for MDS 3.0, serving on the RAP workgroup to prepare the way for the CAAs for MDS 3.0, and participating on a number of Technical Expert Panels related to MDS, Quality Measures and care planning. A sought-after speaker, she has given presentations at AANAC, AHCA and Leading Age national conferences as well as many state organization presentations. She is also a frequent author of articles related to the RAI process and PPS. Carol served as a member of the AANAC Board of Directors for 9 years. She is presently serving as the chair of the AANAC Expert Advisory Panel and as an AANAC Master Teacher of the RAC-CT and RAC-CTA certification courses. Ms. Maher is the Director of Education for Hansen Hunter & Co. P.C., providing MDS and Medicare classes across the country, presenting monthly educational webinars and completing compliance audits. She is the author of Long-Term Care MDS Coordinator’s Field Guide (HCPRO 2016).
- 1.25 credit hours for RNs
- 1.5 credit hours for NABs
This pre-recorded webinar expires on September 30, 2024.