C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency

Phase III
Requirements of Participation (RoP)
Implemented by November 28, 2019 

Highlights 

1. QAPI Plan/Program Governing Body
2. Person-Centered Care Planning
3. Trauma Informed Care / Behavioral Health Services for History of Trauma PTSD
4. Infection Preventionist
5. Compliance and Ethics Program
6. Physical Environment
7. Training Requirements Competencies of Staff
8. Dietary 

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

The last few weeks have been a whirlwind with the Harmony Healthcare International (HHI) trainings across the country. The focus is on the phases of the Requirements of Participation as well as the Regulatory and Survey climate. Skilled Nursing Facilities are working diligently to implement the changes.  

The intent of this blog post is to review all phases and associated requirements in a checklist fashion. 

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

Interview with Deb Fournier, Chief Operations Officer at Maine Veterans Homes

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Deb Fournier, Chief Operations Officer at Maine Veterans Homes, in the 2017 AHCA Provider Lounge.  Deb discusses navigating through the new Requirements of Participation.  Prioritization is the key to maintaining award-winning levels of excellence throughout their six facilities.   (Audio transcription below).

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

The Requirements of Participation raised the bar for the nursing home industry. The 700 plus page document defines the criterion for Quality.  That is, Quality of Care and Quality of Life. 

The concept of person-centered care is evolving into a standard versus a notion.  Healthcare Providers are re-thinking the historical service delivery model and inspecting the mechanism for change.

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

Every year this is opportunity to evaluate the current census in your facility and obtain Medicare Part A and Medicare Part B insurance for current residents.  This blog provides you with a system and sample roster for your usage.  

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

Phase Two of the Requirements of Participation (RoP) is right around the corner.  I extracted the information from the regulation and “distilled and synthesized” for you to assimilate, share with staff and apply in a user-friendly fashion.  Remember: Breathe and Chunk.  (Meaning stay calm and learn this piece by piece).  Harmony Healthcare international (HHI) has your back and is working tirelessly to keep you abreast of the regulatory changes.

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

Of the many changes closing in with Phase 2 of the Requirements of Participation, there is the much-discussed Facility Assessment.  This document is due November 28, 2017 and then annually thereafter.

The intent of the Facility Assessment is for Skilled Nursing Facilities to define their facility, via a written report which describes the: 

• Patient Population
• Resources
• Risk Assessments 

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency

In the Fall of 2016, the Requirements of Participation (RoP) included a ruling that caused a significant amount of concern within the Skilled Nursing industry.  The rule 

"prevented facilities from entering into pre-dispute arbitration agreements with any resident or his or her representative or requiring that a resident sign an arbitration agreement a as condition of admission to the LTC facility." 

Interview with Paul Liistro, Owner & CEO - Arbors of Hop Brook

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Paul Liistro, Owner and CEO of Arbors of Hop Brook (CT), in the AHCA Provider Lounge.  Paul relates his previous experiences of working in a family run nursing home with one piece of technology to working in his current facilities that utilize multiple software systems and cloud technology.  With so much data, Paul discusses the importance of data analytics, including the possibility of even hiring a Data Analytics Nurse. (Audio transcription below).

Interview with Deb Meade, Owner - Health Management

Kris Mastrangelo, President of Harmony Healthcare International (HHI) interviews Deb Meade, Owner of Health Management, in the AHCA Provider Lounge.  Deb discusses her facilities' biggest challenge:  staffing.   Deb believes that a profession in long-term care is not just a job, it's a calling.  With that in mind, her top priorities (as well as challenges) are staff retention and continuing education in order to meet the Requirements of Participation.  (Audio transcription below).