CMS Webinar on W249 – Active Treatment Implementation

W249 CMS Surveyor Training Webinar Available for Viewing: Please click on the link below to access the webinar presented by Melissa Rice of CMS Baltimore office and David Piotrowski, Federal Contract Surveyor of ICFs/IID. The topic of the webinar is W249 – Active Treatment is implemented once the IPP is developed. The webinar was developed as a result of a Quality Assurance project conducted by CMS in which they reviewed select survey reports from various regions and reviewed the data on how often this regulation is cited. The goal of the webinar is to increase consistency across the country among survey agencies. The training provides an overview of W249, presents various scenarios for possible citation and covers the principles of documentation that should be followed when surveyors write up a finding. Run time is 99 minutes. This link will take you to the site and open up the presentation through Adobe Presenter. You may be asked to download or update your Adobe program.

 

https://webinar.cms.hhs.gov/w249-archive

CMS Webinar on W369 – Medication Errors

W369 CMS Surveyor Training Webinar Available for Viewing: Please click on the link below to access the webinar presented by Melissa Rice of CMS Baltimore office and Virginia Meehan, Federal Contract Surveyor of ICFs/IID. The topic of the webinar is W369 – All drugs are administered without error. The webinar was developed as a result of a Quality Assurance project conducted by CMS in which they reviewed select survey reports from various regions and reviewed the data on how often this regulation is cited. The goal of the webinar is to increase consistency across the country among survey agencies. The training provides an overview of W369, presents various scenarios for possible citation and covers the principles of documentation that should be followed when surveyors write up a finding. Run time is 72 minutes. This link will take you to the site and open up the presentation through Adobe Presenter. You may be asked to download or update your Adobe program.

https://webinar.cms.hhs.gov/icf-iid-archive/

CMS Updates QMRP to QIDP

The enactment of Rosa’s Law on October 5, 2010 changed all references to “mental retardation” in Federal law to “intellectual disability” and changed all references to a “mentally retarded individual” to “an individual with an intellectual disability.” These changes were codified in regulation by the Centers for Medicare & Medicaid Services (CMS) on May 16, 2012.
The attached letter implements revised Nomenclature for Qualified Mental Retardation Professional (QMRP). Previous nomenclature for a QMRP, as referenced at 42 CFR 483.430(a), is changed to Qualified Intellectual Disabilities Professional (QIDP).

Survey-and-Cert-Letter-13-28

CMS S&C Letter on Use of Audio Devices

CMS has released new guidance on the use of Audio recording devices in common areas of an ICF/IID facility. The guidance is similar to previously released information on the use of video cameras:

“The…  regulations do not unilaterally prohibit the use of audio surveillance devices within the ICF/IID. There may be instances where the use of audio surveillance devices may be helpful in ensuring that the clients are free from physical, verbal, sexual or psychological abuse, mistreatment or punishment. However, great care must be exercised to prevent any unintended violation of an individual’s rights and privacy when such equipment is used in the facility.”

Please see the link below for the full letter from CMS:

Survey-and-Cert-Letter-15-23

CMS Issues Changes to ICF Program

CMS Issues Changes to ICF Program – More than a Name Change

On May 11, 2012 CMS issued a letter regarding the Publication of Final Rule “Medicare and Medicaid Program; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction CMS-9070-F”.  These rules will take effect on July 16, 2012 and have a direct impact for ICF/IID (formerly ICF/MR) providers.

Name Change: Based on Rosa’s Law (2010), Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) will now reflect nationwide changes and be referred to as Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID).

Elimination of 12 month Time Limited Agreement: The rule eliminates the mandatory 12 month ICF/IID annual survey and replaces the requirement with an open ended agreement which, consistent with nursing facilities (NFs), would remain in effect until the Secretary or a State determines that the ICF/IID no longer meets the conditions of participation for ICF/IIDs. Instead ICFs/IID must be surveyed, on average, every 12 months with a maximum 15-month survey interval.

Complaint Surveys Can be Combined with Annual before the end of 12 months: Complaint surveys that result in an abbreviated survey 10 or 11 months into the facility’s certification period, can now be expanded for the purpose of completing the requirements of annual certification at the same time.

Some ICFs/IDD may be surveyed more frequently: The proposed change allows states greater latitude to survey poor performing facilities more frequently and high quality facilities less frequently, as long as the overall time-frames are observed. Each ICF/IDD will be surveyed at least once every 15 months, and facilities must be surveyed an average of every 12 months. This means that if some facilities are surveyed only after 12 months but before the end of 15 months from the last survey, other facilities in the state must be surveyed more frequently than 12 months.

For further information, download the letter which includes links to the rules and additional information.

Link: CMS Letter SC12-29

Effective Investigations in the ICF/IID and Related Conditions (CMS Webinar December 2010)

Please click on the link to access the webinar presented by Susan LeBlanc, CMS Region VI, in December 2010. This webinar teaches an ability to describe elements of an effective investigation as well as to ability to determine if a facility conducted a thorough investigation and is in compliance with ICF/IID (formerly ICF/MR) requirements. This link will take you to the site and open up the presentation through Adobe Presenter.

Link: Effective Investigations Webinar

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Down Syndrome, Aging and Dementia (CMS Webinar September 2011)

Please click on the link to access the webinar presented by Dr. Wayne Silverman and Kennedy Krieger in September 2011. This webinar was sponsored by the Division of Continuing Care Providers. This webinar is intended to describe the characteristics associated with aging for individuals with Down’s Syndrome, to explore the impact of dementia on individuals with Down’s Syndrome as well as discuss treatment options. This link will take you to the site and open up the presentation through Adobe Presenter.

Link: Down Syndrome, Aging and Dementia Webinar

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Common Drugs and Side Effects in ICF/IIDs (CMS Webinar October 2011)

This webcast was sponsored by the Centers for Medicare and Medicaid as part of surveyor training, but provides great information about drugs commonly taken by individuals supported in ICF/IIDs (formerly ICFs/MR). The webinar looks at six classes of medications that are commonly used in ICFs/IID and considers their most common or problematic side effects, including antipsychotics, anxiolytics, anticonvulsants, pain relievers, bronchodilators, and proton pump inhibitors. Please click on the link to access the archived webcast presented by Dr. Walt Schalick in October 2011.

Please click on the link below to go to the CMS website. Once there, you will be asked to choose or click on “Select a Video Player Option”. There are three. Select the one that your computer will support. You can try them all until you find the right one.

Link: Drugs and Side Effects Webinar

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The Active Treatment Loop: ICF/IID Surveyor Basic Training (CMS Webinar June 2010)

This webinar was sponsored by the Centers for Medicare and Medicaid and presented as part of the basic ICF/IID surveyor training, but is a useful resource for all ICF/IID (formerly ICF/MR) providers. In the 1 hour and 40 minute presentation, Ms. Hayes covers the basic components of the Active Treatment Loop: Assessment, Individual Plan, Implementation, Documentation and Monitoring. She highlights key points for ICF/IID surveyors to remember as they survey for active treatment in an ICF/IID. This link will take you to the site and open up the presentation through Adobe Presenter.

Link: The Active Treatment Loop Webinar

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Background Paper – Informed Consent/Guardianship

Resource materials from the recent National Association of QMRP presentation Making a Difference: Washington D.C.’s Efforts to Promote Alternatives to Guardianship by Catherine Hayes and Tina Campanella.

Background Paper – Informed Consent/Guardianship Project is a short paper which provides an overview of a project undertaken by the Quality Trust, representatives of the Washington D.C. government, provider and advocacy groups who came together in 2003 to form a workgroup to discuss guardianship and informed consent concerns for people being supported by the service system in Washington D.C. Goals of the workgroup include identifying and promoting alternatives to full guardianship that will decrease the number of individuals at risk of losing their rights through a full guardianship and developing training and resource materials.

Link: http://www.dcqualitytrust.org