Comprehensive coverage of regulations regarding long-term care facilities
As the U.S. population ages, the number of individuals requiring short or long stays in nursing homes and long-term care facilities will continue to rise. In this environment it is essential that healthcare leaders and others involved in senior care maintain compliance with current regulations while striving to provide high-quality, cost-effective care to residents and families.
The Nursing Home Administration Regulations Course offered by the University of Delaware provides students with an understanding of the regulations that govern long-term care facilities as well as the rationale behind the regulation in order for participants to fully integrate these rules into practice. Participants will be challenged to identify interventions that improve the current delivery of long-term care services in the community and to find ways to improve the nursing, psychosocial and medical care affecting residents, families and staff.
The program emphasizes relevant federal and Delaware regulations and focuses on the impact of these rules on the delivery of resident care.
- September 17—Resident Rights, Abuse/Neglect/Admissions/Discharge Policies
- September 24—The Minimum Data Set (MDS), Risk Assessments, Care Planning
- October 1—Quality of Life and Quality of Care
- October 8—The Delivery of Healthcare Services, Pharmacy, Dietary and Rehabilitation Services
- October 15—Administration
- October 22—Delaware State Regulations
Who Should Participate?
- Nursing home or assisted living administrators
- Professionals seeking licensure in the field of nursing home administration
- Business leaders interested in elder care
- Nursing home surveyors, inspectors or ombudsmen
- Social workers or counselors working at nursing homes
- Nurses and nurse practitioners
- Anyone working in aging services or elder services
- Assisted living professionals seeking advancement
- Home health agency or adult care providers
Continuing Education Credit
Application is being made for continuing education credits through the National Association of Long Term Care Administrator Boards (NAB), the nation’s leading credentialing organization for licensing, credentialing and regulating administrators of organizations along the continuum of long term care.
Recommended Course Materials
Class discussion will focus intensively on Delaware and federal regulations pertaining to long-term care facilities. It is highly recommended that participants download the federal regulations and Delaware regulations and have them available to reference in class by printing them out or by accessing them on a tablet or other electronic device.
Session 1 Goals
- Identify three examples of abuse or neglect and identify three factors in which nursing home administrators can empower staff to decrease the incidence of abuse/neglect.
- Identify three examples within the resident right of “change in condition” and discuss the ramification of how/why notification of physician and family are required.
- Discuss the regulations regarding admission policies and identify three examples in which a resident may be given a 30-day notice of discharge from a long-term care facility.
Session 2 Goals
- Identify the two principle ways in which Minimum Data Set (MDS) assessments are used in a long-term care setting.
- Identify three ways in which the Braden Scale may inadvertently lead to the underestimation of pressure ulcer risk.
- Identify the process by which the MDS, care plan and progress notes are linked.
Session 3 Goals
- Identify five interventions to address the risk of falls.
- Identify three methods in which therapeutic activities and social work can improve the quality of life for long-term care residents.
- Identify three non-pharmacological interventions that can be used prior to administering psychotropic agents.
Session 4 Goals
- Identify four common issues involving the delivery, preparation and storage of food.
- Identify two potential issues with the pharmacy provider and the pharmacy consultant.
- Identify three ways in which a facility needs to document the provision of rehabilitation services that are consistent with the MDS and nursing observations.
Session 5 Goals
- Identify three responsibilities of the medical director that require the oversight/involvement of the administrator.
- Identify three ways in which clinical records may be cited as deficient.
- Using a scenario, conduct a root-cause analysis and develop a plan of action to address the issue.
Session 6 Goals
- Identify the PPD (per patient day) guidelines for Delaware and discuss the implications of this minimum staffing standard on the delivery of care.
- Identify the process for treating residents who are positive for tuberculosis in a long-term care setting.
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