FHCA 2014 Annual Conference & Trade Show · 2014-06-20 · FHCA 2014 Annual Conference & Trade Show...
Transcript of FHCA 2014 Annual Conference & Trade Show · 2014-06-20 · FHCA 2014 Annual Conference & Trade Show...
FHCA 2014 Annual Conference & Trade Show
CE Session #2 – ALF Administrator 101 Tuesday, July 8 – 8:15 to 9:15 a.m.
Crystal K – Assisted Living
Upon completion of this presentation, the learner will be able to:
identify the primary sources of licensure, survey, and regulatory information;
navigate online sources to support routine operational compliance and survey readiness; and
bookmark authoritative resources for reference: free and paid.
Seminar Description: ALF administrators are "Jacks of all trades," juggling resident care and services, human resources, coordination of third party services, adverse incident reporting, physical plant demands and much more. Being equipped with the right regulatory information supports administrators across all their responsibilities. This session is all about showing ALF administrators how to find and use the best, authoritative regulatory resources. Presenter Bio(s): Lee Ann Griffin is the Director of Quality & Regulatory Services for Florida Health Care Association. Over a 15-year career, Lee Ann has developed extensive expertise in the rules, laws, and policy interpretations for nursing homes and assisted living facilities. Lee Ann holds a degree in Information Studies, has worked as a CNA, served as an appointee to the Florida Board of Nursing’s CNA Council and, most recently, completed the ALF Administrator’s Core Training. Peggy Rigsby serves as Director of Government Affairs for Florida Health Care Association. She is responsible for tracking state and federal laws and rules and assisting members in complying with requirements. In addition, she tracks legislation that affects long term care, and works with legislators, staff, members and lobbyists to implement FHCA’s Legislative Agenda. Peggy liaisons with the FHCA Legislative Committee and the FHCA Rules and Regulations Committee to coordinate and prioritize issues important to FHCA members, as well as reviewing and modifying new and existing rules and laws.
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PERSONAL PRACTICE · RESPONSIBILITY
• ELIGIBILITY: INITIAL · MAINTENANCE
• CONTINUING EDUCATION
• MANDATORY REPORTING
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PERSONAL PRACTICE·RESPONSIBILITY
ELIGIBILITY
INITIAL
• HIGH SCHOOL DIPLOMA OR GED
• ALF CORE TRAINING• 26 HOURS
• STATE EXAM• 75%
• WITHIN 3 MONTHS OF HIRE DATE AS ADMIN
MAINTENANCE OF STATUS
• CONTINUING EDUCATION
• NO NEED TO RENEW; DOES NOT EXPIRE
• NO BOARD; NO SPECIFIC DISCIPLINE
PERSONAL PRACTICE·RESPONSIBILITY
CONTINUING EDUCATION
• 12 CONTACT HOURS EVERY TWO YEARS
• TOPICS RELATED TO ASSISTED LIVING
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PERSONAL PRACTICE·RESPONSIBILITY
MANDATORY REPORTING
• ANY PERSON…WHO KNOWS OR HAS REASONABLE CAUSE TO SUSPECT THAT A VULNERABLE
ADULT HAS BEEN OR IS BEING ABUSED, NEGLECTED, OR EXPLOITED SHALL IMMEDIATELY REPORT
SUCH KNOWLEDGE OR SUSPICION TO THE CENTRAL ABUSE HOTLINE.
• 415.1034 (1)(a)4. FAC
OPERATIONS · MANAGEMENT
• GENERAL
• FACILITY
• RESIDENT
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• Agencies & Departments
• Assisted Living Facilities
• Legislature and Governor
• Citizens
Elect Write Laws
Write Rules
Care and Services
OPERATIONS · MANAGEMENT
GENERAL –FLOW OF POLICY
OPERATIONS · MANAGEMENT
GENERAL – FLORIDA STATUTES
• 408 PART II - HEALTH CARE LICENSING GENERAL PROVISIONS
• AUTHORITY FOR INSPECTION 408.811, F.S.
• PURPOSE OF INSPECTION 408.806(7)(a), F.S.
• 429 PART I - ASSISTED LIVING FACILITIEShttp://www.flsenate.gov/Laws/Statuteshttp://www.flsenate.gov/Laws/Statutes
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OPERATIONS · MANAGEMENT
GENERAL – ADMINISTRATIVE RULES
• CHAPTER 59A-35 , FLORIDA ADMINISTRATIVE CODE
• CHAPTER 58A-5 , FLORIDA ADMINISTRATIVE CODE
• CHAPTER 58T-1, FLORIDA ADMINISTRATIVE CODE http://www.flsenate.gov/Laws/Statuteshttps://www.flrules.org
OPERATIONS · MANAGEMENT
GENERAL –SURVEY PROCESS
Survey Process
Rules
Statutes
http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/MCHQ/Current_Regs.shtml
Aspen Regulation Set
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OPERATIONS · MANAGEMENT
FACILITY – LICENSURE APPLICATION
• 3110-1008, MAY 2013
OPERATIONS · MANAGEMENT
FACILITY – LICENSURE APPLICATION
• CHECKLIST = CHEAT SHEET
http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/mchq/HQALicensureForms/index.shtml
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OPERATIONS · MANAGEMENT
FACILITY – LICENSURE
120
90
60
30
Expiration or Effective
Courtesy Notice from
Agency to ALF
Renewal or Effective by Window
OPERATIONS · MANAGEMENT
FACILITY – LICENSURE · AGENCY RESPONSE
Agency Receives Application
30
60Survey Window
Agency notifies ALF of
omissions; problems
Agency approves or
denies
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OPERATIONS · MANAGEMENT
FACILITY – IN BETWEEN SURVEYS• CHANGES TO
• ADMINISTRATOR · WITHIN 10 DAYS
• OWNER · 60 DAYS PRIOR
• SPECIALTY LICENSE
• NUMBER OF BEDS
• FACILITY NAME
• ADVERSE COURT ACTION CONCERNING FINANCIAL VIABILITY · WITHIN 7 DAYS
• ADVERSE INCIDENTS · WITHIN 1 AND 15 DAYS
3110-1008, 5/13 start with the checklist
Which survey is announced ahead of time?
OPERATIONS · MANAGEMENT
FACILITY – SURVEY PROCESS
• 5 TYPES
• INITIAL
• RENEWAL - BIENNIALLY
• RENEWAL ABBREVIATED - BIENNIALLY
• COMPLAINT
• FOLLOW-UP (REVISIT)
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OPERATIONS · MANAGEMENT
FACILITY –SURVEYOR RESOURCES
http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted_Living/alf.shtml
OPERATIONS · MANAGEMENT
FACILITY – INCIDENT REPORTING
• HTTP://WWW.FDHC.STATE.FL.US
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OPERATIONS · MANAGEMENT
FACILITY – CRIMINAL HISTORY SCREENINGS
• CARE PROVIDER BACKGROUND SCREENING CLEARINGHOUSE
• HTTP://AHCA.MYFLORIDA.COM/MCHQ/CENTRAL_SERVICES/BACKGROUND_SCREENING
• FHCA’S BACKGROUND SCREENING RESOURCE GUIDE
• HTTP://WWW.FHCA.ORG/FACILITY_OPERATIONS/AGENCY_FOR_HEALTH_CARE_ADMINISTRATION_AHCA/
OPERATIONS · MANAGEMENT
FACILITY – EMERGENCY PREPAREDNESS1. WRITTEN COMPREHENSIVE EMERGENCY MANAGEMENT PLAN
a) APPROVED ANNUALLY BY THE LOCAL EMERGENCY MANAGEMENT OFFICE
b) AGENCY’S 10/95 COMPREHENSIVE EMERGENCY MANAGEMENT PLANNING CRITERIA
2. DESIGNATE SAFETY LIAISON AS PRIMARY CONTACT DURING EMERGENCY OPERATIONS
3. UTILIZE AN ONLINE DATABASE TO REPORT INFORMATION REGARDING EMERGENCY STATUS,
PLANNING, OR OPERATIONS
a) AGENCY’S EMERGENCY STATUS SYSTEM TO DOH EMRESOURCEHTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/ALF.SHTML
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OPERATIONS · MANAGEMENT
FACILITY – EMERGENCY PREPAREDNESS
• REGULATORY AUTHORITY
• s. 429.41 (1) (b), FL STATUTES
• s. 58A-5.026, EMERGENCY MANAGEMENT, FL ADMIN CODE
• S. 58A-5.020(2)(h), EMERGENCY FOOD AND WATER SUPPLY
• COMPREHENSIVE EMERGENCY MANAGEMENT PLANNING CRITERIA
• HTTPS://WWW.FLRULES.ORG/GATEWAY/REFERENCE.ASP?NO=REF-04010
• s. 408.821, FL STATUTES
OPERATIONS · MANAGEMENT
FACILITY – STAFF RESOURCES
DEPARTMENT OF HEALTH LICENSEE SECTION
• HTTP://WWW.FLORIDAHEALTH.GOV
1. VERIFY A LICENSE
2. FILE A COMPLAINT
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OPERATIONS · MANAGEMENT
FACILITY – INSPECTIONS• COUNTY HEALTH DEPARTMENT
• SANITARY PRACTICES AND FOOD SERVICE DIRECTION, S. 64E-12, FAC
• FOOD HYGIENE FOR ALFS, S. 64E-11, FAC
• BIOMEDICAL WASTE, S. 64E-16, FAC
• LOCAL FIRE MARSHAL• UNIFORM FIRE SAFETY STANDARDS, 429.41, F.S.
• UNIFORM FIRE SAFETY STANDARDS FOR ALFS, 69A-40, FAC
https://www.flrules.orghttp://www.floridahealth.gov/healthy-environments/group-care-facilities/residential-group-care.html
OPERATIONS · MANAGEMENT
FACILITY – INSPECTIONS• COUNTY HEALTH DEPARTMENT
• HTTP://WWW.FLORIDAHEALTH.GOV/PUBLIC-HEALTH-IN-YOUR-LIFE/COUNTY-HEALTH-DEPARTMENTS/CHDLISTING.HTML
• FIRE INSPECTION FIELD OFFICES• HTTP://WWW.MYFLORIDACFO.COM/DIVISION/SFM/BFP/INSPECTIONS
•AGENCY FOR HEALTH CARE ADMINISTRATION• HTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/AL
F.SHTML
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OPERATIONS · MANAGEMENT
RESIDENT – 1823
• HTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/ALF.SHTML
OPERATIONS · MANAGEMENT
RESIDENT –MEDICATION MANAGEMENT
• HTTP://ELDERAFFAIRS.STATE.FL.US/DOEA/PUBLICATIONS.PHP
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COMPLIANCE PHILOSOPHIES
• PASSIVE
• WATCH FOR COMMUNICATION
• THE AGENCY FOR HEALTH CARE
ADMINISTRATION
• THE DEPARTMENT OF HEALTH
• COUNTY HEALTH DEPARTMENTS
• FIRE INSPECTION FIELD OFFICES
COMPLIANCE PHILOSOPHIES• ASSERTIVE
• IDENTIFY GAPS IN KNOWLEDGE
• LOCATE AND TAP INTO THE RIGHT SOURCES OF INFORMATION
• PARTICIPATE IN ASSOCIATION THAT REPRESENTS ASSISTED LIVING FACILITIES
• ANTICIPATING CHANGES• LEGISLATIVE
• REGULATORY
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BEYOND COMPLIANCE
TAPPING INTO THE RIGHT SOURCES
• AGENCY FOR HEALTHCARE RESEARCH AND QUALITY
• HTTP://INNOVATIONS.AHRQ.GOM
• ADVANCING EXCELLENCE
• HTTP://WWW.NHQUALITYCAMPAIGN.ORG
• INTERACT
• HTTP://WWW.INTERACT2.NET/
BEYOND COMPLIANCE
PARTICIPATING IN AN ASSOCIATION• FLORIDA HEALTH CARE ASSOCIATION · WWW.FHCA.ORG
• TIMELY UPDATES ON CHANGES TO THE REGULATORY OR LEGISLATIVE ENVIRONMENT
• RESOURCES TO SUPPORT COMPLIANCE AND TRAINING
• EDUCATIONAL AND NETWORKING OPPORTUNITIES
• COMMITTEE INVOLVEMENT
• ADVOCACY AND GRASSROOTS ACTIVITY
• NATIONAL CENTER FOR ASSISTED LIVING
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“It takes all the running you can do to keep in
the same place. If you want to get somewhere
else you must run at least twice as fast.”
Red Queen, Through the Looking Glass.
• LEE ANN GRIFFIN · [email protected]
• PEGGY RIGSBY · [email protected]