Application of New CMS Quality Indicator Process in Healthcare Food Service
OVERVIEW
“The Centers for Medicare & Medicaid Services (CMS), in
collaboration with public and private partners, are transforming how they
conduct business and operations, connecting providers, and empower
consumers and their beneficiaries. Driving quality improvements are
a core function of CMS. This commitment is evident as CMS enhances
its partnerships in a delivery system where providers are supported in
achieving better outcomes in health and health care at lower
cost for the beneficiaries and communities they serve. CMS
strategically implemented these efforts to ensure that providers meet their
goals, quality of life improves forbeneficiaries and consumers, and
patients receiving care are healthy and safe” .
This Webinar purpose is to serve as an Annual
Refresher/Introduction to changes, as of November 2016, for Food and Nutrition
Services, Quality Assurance and Performance Improvement Projects for
Long Term Care, Hospitals Healthcare Operations, as well as to “Introduction
to” “Compliance”, and Implementation for Behavioral Health
Centers,§483.60 Food and Nutrition Service (November 2019). This
Webinar sets the stage for Administrators, Directors, Managers and Staff on (CMS)
Guidelines for §483.75Quality Assurance and Performance Improvements, Tags
(F520, F692, F693, F694) effective November 28th, 2017, and Behavioral
Health Services organizations(November 2019).
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WHY SHOULD YOU ATTEND
•(QAPI) program. Each LTC facility, including a facility that is
part of a multiunit chain, must develop, implement, and maintain an effective,
comprehensive, data-driven QAPI program that focuses on indicators of the
outcomes of care and quality of life. The facility must –
(1) Maintain documentation and demonstrate evidence of
its ongoing QAPI program that meets the requirements of this section.
This may include but is not limited to systems and reports demonstrating
systematic identification, reporting, investigation, analysis, and prevention
of adverse events; and documentation demonstrating the development,
implementation, and evaluation of corrective actions or performance improvement
activities;
(2) Present its QAPI plan to the State Survey
Agency no later than 1 year after the promulgation of this regulation;
•§483.25(g)(1)(3), 483.25(g)(2), Quality of care
Quality of care is a fundamental principle that applies to all
treatment and care provided to facility residents. Based on the comprehensive
assessment of a resident, the facility must ensure that residents receive
treatment and care in accordance with professional standards of practice, the
comprehensive person-cantered care plan, and the residents’ choices.
Including Tags (F241, Dignity, F242, Self-determination and Participation,
F272…
•§483.15 Quality of Life (Food and Nutrition Services)
The facility must promote care for residents in a manner and in
an environment that maintains or enhances each resident’s dignity and respect
in full recognition of his or her individuality. Promoting resident
independence and dignity in dining.
AREAS COVERED
Discover How Implement Food and Nutrition Services QA Projects
(a) Present documentation and evidence of ongoing QAPI program's
implementation and the facility's compliance with requirements to a State
Survey Agency, Federal surveyor or CMS upon request.
(b)Design Programs, and scope. A facility must design its
QAPI program to be ongoing, comprehensive, and to address the full range of
care and services provided by the facility. It must:
- Address all systems of care and management
practices (Food and Nutrition Services)
- Include clinical care, quality of life, and resident
choice;
- Utilize the best available evidence to define and
measure indicators of quality and
facility goals that reflect processes of care and facility operations that
have been shown to be predictive of desired outcomes for residents of a
SNF or NF.
- Reflecting on the complexities, uniqueness of care,
and services
that the facility provides.
(c)Program feedback, data systems and monitoring. A
facility must establish and implement written policies and procedures for
feedback, data collections systems, and monitoring, including adverseevent
monitoring. The policies and procedures must include, at a minimum, Quality of
Care and Quality of Life.
Tools for Food, Dining Service Directors, Managers
1.Based on a 2010 survey 40 percent of the 15,000 long term care
facilities failed to meet the bases of 42 CFR. This Webinar will focus on
the opportunity for Food Service Operations to better perform within the
intended guidelines, as well as understand and interpret intent regulation
intent.
2.This webinar may also be used as a means to introduce to
managers “Methods”, “Tools”, “Best Practices” for facilities, managers
who want to perform higher in the Quality Outcomes. Hospital’s Quality
Initiative (HQI), most notably from the Hospital Compare website. These type of
quality measures are used in other CMS hospital quality initiatives, requiring
all healthcare organizations to both measure, put in place quality improvement
measures with similar outcomes.
3.Actual Tools Offered
- Slides Presentation of Manager Training on CMS
Guidelines Quality Indicators
- Online sources “States Guidance to Surveyors for Long
Term Care Facilities, ”
- Online source of “Actual Forms” (actual inspector
notes/inspection)
- Tools Used in Food Service Audit/Survey, Operation,
documents, correct actions, improve overall quality of life for residence
- Food and Nutrition Services Dining Observations
- Monthly Meal Quality Review
- Monthly Sanitation/Infection Control Review
- Meal Audit Tool
- Kitchen/Food Service Observation
- Tools designed to discover how to best use and
keep your operation Deficiency Free
- Food Service Audit Tool
- Meal Temperature Logs
- Tray Accuracy Tool
- Test Tray Audit Tool
- Mock Survey
- Quality Indicators that have corrected Deficient Outcomes
in the past.
LEARNING OBJECTIVES
The Process of Measuring Quality of Life, Food and Nutrition
Service
Quality measures are used to gauge how well an “Entity” provides
care to its patients. The Centre for Medicaid and Medicare has linked
Value-based programs that reward health care providers with incentive payments
for the quality of care they give to people. The introduction of §483.75
Quality Assurance and Performance Improvement insures all
facilities develop, implement and maintaineffective
and comprehensive, data-driven QAPI programs that focuses on system(s)
of care, outcome(s) of care and quality of life.
For the purpose of this Webinar the focus will be on developing,
implementing and maintaining effective and comprehensive, data-driven QAPI
programs within Healthcare Food and Nutrition operations, for
Hospital’s Dietary Service operations, and November 2019
Implementation, Behavioural Health Centres that focuses on
supporting The Entities systems of care, outcomes of care and quality
of life.
WHO WILL BENEFIT
- Healthcare Administrators who want a better
understanding New §483.75 as they relate to §483.60 Food and Nutrition
team approach for Quality Indicators for their food operations.
- Hospital, Nursing Home, Assistant Living Food Service
Managers, Vendors,
- New to Food and Nutrition Service, Directors, Managers,
Food Service Supervisors, and staff who never experienced CMS survey
process.
- Facilities that have failed in the past 3 years.
- Small Nursing, Hospitals, facilities whose staff
struggle during the survey experience.
- Assistant Living, Home Health Agencies, Behaviour
Health Centres, Allied Health Organizations that want to improve positive
outcomes, be ready, get a jump on November 2019 Implementation of Food and
Nutrition Service, QIS, QUPI Outcomes.
- Anyone desiring to have a better understanding, of
tools, methods and best practices to use in implement ongoing Quality
Measures and how to hold food service staff accountable.
- Also, may apply to Assisted Living Director’s, Food
Service Managers or staff
- As well as Hospital Food Service Staff.
For more detail please click on this below link:
Email: support@trainingdoyens.com
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