Overview of the 2017 State Operations Manual Updates

State Operation Manual Updates 2017: Learn How to Interpret the New Survey Process

The advanced copy of the State Operations Manual (SOM) Appendix PP-Guidance to Surveyors for Long Term Care was posted this July.  The updates in this publication reveal the changes that will be effective with the next two phases of the Requirements of Participation. This information will alert facilities to the expectations of State and Federal surveyors.

In this session expert speaker Marilyn Mines will review the contents of the updated SOM and assist in preparing facility staff to understand the new F tags and interpretive guidelines that will be utilized during surveys occurring as of November 28, 2018. You will learn how to interpret the new survey process and how the change in verbiage will effect preparations for the first annual complaint survey on or after November 28, 2017. You will be able to educate facility staff on the requirements and management of the survey guidelines. This will allow your staff to conduct more accurate mock surveys and help them to understand the use of Critical Element (CE) Pathways for the identification of substandard practices.

Session Highlights

• The general composition of the new Appendix PP
• What F tags have investigative protocols
• What guidance the survey team will utilize to determine scope and severity
• Which items have new and extensive verbiage
• What the Critical Element Pathways are
• How will the CE Pathways be used during the survey process to determine compliance

Session Agenda
This session will cover:

• Changes to the updated SOM including Appendix PP, revised F tags, and crosswalk
• General layout of each tag
• F tags for different elements of comprehensive resident-centered care plans
• Guidance on F656 comprehensive care plans
• Stages of the new survey process
• Facility responsibilities upon entrance
• Entrance conference worksheet
• Investigative tools
• Survey observation forms and tools
• Investigative protocols and procedures
• Critical Element Pathways
• Key elements of non-compliance under F656 comprehensive care plans
• Deficiency determination examples under F656 comprehensive care plans

Who Should Attend

• Directors of nursing
• MDS personnel
• Administration
• Interdisciplinary team management

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