FHCA 2014 Annual Conference & Trade Show · 2014-06-20 · FHCA 2014 Annual Conference & Trade Show CE Session #2 – ALF Administrator 101 Tuesday, July 8 – 8:15 to 9:15 a.m. Crystal

FHCA 2014 Annual Conference & Trade Show

CE Session #2 – ALF Administrator 101 Tuesday, July 8 – 8:15 to 9:15 a.m.

Crystal K – Assisted Living

Upon completion of this presentation, the learner will be able to:

identify the primary sources of licensure, survey, and regulatory information;

navigate online sources to support routine operational compliance and survey readiness; and

bookmark authoritative resources for reference: free and paid.

Seminar Description: ALF administrators are "Jacks of all trades," juggling resident care and services, human resources, coordination of third party services, adverse incident reporting, physical plant demands and much more. Being equipped with the right regulatory information supports administrators across all their responsibilities. This session is all about showing ALF administrators how to find and use the best, authoritative regulatory resources. Presenter Bio(s): Lee Ann Griffin is the Director of Quality & Regulatory Services for Florida Health Care Association. Over a 15-year career, Lee Ann has developed extensive expertise in the rules, laws, and policy interpretations for nursing homes and assisted living facilities. Lee Ann holds a degree in Information Studies, has worked as a CNA, served as an appointee to the Florida Board of Nursing’s CNA Council and, most recently, completed the ALF Administrator’s Core Training. Peggy Rigsby serves as Director of Government Affairs for Florida Health Care Association. She is responsible for tracking state and federal laws and rules and assisting members in complying with requirements. In addition, she tracks legislation that affects long term care, and works with legislators, staff, members and lobbyists to implement FHCA’s Legislative Agenda. Peggy liaisons with the FHCA Legislative Committee and the FHCA Rules and Regulations Committee to coordinate and prioritize issues important to FHCA members, as well as reviewing and modifying new and existing rules and laws.

ALF Administrator 101 5/21/2014

2014 Copyright Florida Health Care Association 1

PERSONAL PRACTICE · RESPONSIBILITY

• ELIGIBILITY: INITIAL · MAINTENANCE

• CONTINUING EDUCATION

• MANDATORY REPORTING



PERSONAL PRACTICE·RESPONSIBILITY

ELIGIBILITY

INITIAL

• HIGH SCHOOL DIPLOMA OR GED

• ALF CORE TRAINING• 26 HOURS

• STATE EXAM• 75%

• WITHIN 3 MONTHS OF HIRE DATE AS ADMIN

MAINTENANCE OF STATUS

• CONTINUING EDUCATION

• NO NEED TO RENEW; DOES NOT EXPIRE

• NO BOARD; NO SPECIFIC DISCIPLINE


CONTINUING EDUCATION

• 12 CONTACT HOURS EVERY TWO YEARS

• TOPICS RELATED TO ASSISTED LIVING




MANDATORY REPORTING

• ANY PERSON…WHO KNOWS OR HAS REASONABLE CAUSE TO SUSPECT THAT A VULNERABLE

ADULT HAS BEEN OR IS BEING ABUSED, NEGLECTED, OR EXPLOITED SHALL IMMEDIATELY REPORT

SUCH KNOWLEDGE OR SUSPICION TO THE CENTRAL ABUSE HOTLINE.

• 415.1034 (1)(a)4. FAC

OPERATIONS · MANAGEMENT

• GENERAL

• FACILITY

• RESIDENT



• Agencies & Departments

• Assisted Living Facilities

• Legislature and Governor

• Citizens

Elect Write Laws

Write Rules

Care and Services


GENERAL –FLOW OF POLICY


GENERAL – FLORIDA STATUTES

• 408 PART II - HEALTH CARE LICENSING GENERAL PROVISIONS

• AUTHORITY FOR INSPECTION 408.811, F.S.

• PURPOSE OF INSPECTION 408.806(7)(a), F.S.

• 429 PART I - ASSISTED LIVING FACILITIEShttp://www.flsenate.gov/Laws/Statuteshttp://www.flsenate.gov/Laws/Statutes




GENERAL – ADMINISTRATIVE RULES

• CHAPTER 59A-35 , FLORIDA ADMINISTRATIVE CODE

• CHAPTER 58A-5 , FLORIDA ADMINISTRATIVE CODE

• CHAPTER 58T-1, FLORIDA ADMINISTRATIVE CODE http://www.flsenate.gov/Laws/Statuteshttps://www.flrules.org


GENERAL –SURVEY PROCESS

Survey Process

Rules

Statutes

http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/MCHQ/Current_Regs.shtml

Aspen Regulation Set




FACILITY – LICENSURE APPLICATION

• 3110-1008, MAY 2013


FACILITY – LICENSURE APPLICATION

• CHECKLIST = CHEAT SHEET

http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/mchq/HQALicensureForms/index.shtml




FACILITY – LICENSURE

120

90

60

30

Expiration or Effective

Courtesy Notice from

Agency to ALF

Renewal or Effective by Window


FACILITY – LICENSURE · AGENCY RESPONSE

Agency Receives Application

30

60Survey Window

Agency notifies ALF of

omissions; problems

Agency approves or

denies




FACILITY – IN BETWEEN SURVEYS• CHANGES TO

• ADMINISTRATOR · WITHIN 10 DAYS

• OWNER · 60 DAYS PRIOR

• SPECIALTY LICENSE

• NUMBER OF BEDS

• FACILITY NAME

• ADVERSE COURT ACTION CONCERNING FINANCIAL VIABILITY · WITHIN 7 DAYS

• ADVERSE INCIDENTS · WITHIN 1 AND 15 DAYS

3110-1008, 5/13 start with the checklist

Which survey is announced ahead of time?


FACILITY – SURVEY PROCESS

• 5 TYPES

• INITIAL

• RENEWAL - BIENNIALLY

• RENEWAL ABBREVIATED - BIENNIALLY

• COMPLAINT

• FOLLOW-UP (REVISIT)




FACILITY –SURVEYOR RESOURCES

http://www.flsenate.gov/Laws/Statuteshttp://ahca.myflorida.com/MCHQ/Health_Facility_Regulation/Assisted_Living/alf.shtml


FACILITY – INCIDENT REPORTING

• HTTP://WWW.FDHC.STATE.FL.US




FACILITY – CRIMINAL HISTORY SCREENINGS

• CARE PROVIDER BACKGROUND SCREENING CLEARINGHOUSE

• HTTP://AHCA.MYFLORIDA.COM/MCHQ/CENTRAL_SERVICES/BACKGROUND_SCREENING

• FHCA’S BACKGROUND SCREENING RESOURCE GUIDE

• HTTP://WWW.FHCA.ORG/FACILITY_OPERATIONS/AGENCY_FOR_HEALTH_CARE_ADMINISTRATION_AHCA/


FACILITY – EMERGENCY PREPAREDNESS1. WRITTEN COMPREHENSIVE EMERGENCY MANAGEMENT PLAN

a) APPROVED ANNUALLY BY THE LOCAL EMERGENCY MANAGEMENT OFFICE

b) AGENCY’S 10/95 COMPREHENSIVE EMERGENCY MANAGEMENT PLANNING CRITERIA

2. DESIGNATE SAFETY LIAISON AS PRIMARY CONTACT DURING EMERGENCY OPERATIONS

3. UTILIZE AN ONLINE DATABASE TO REPORT INFORMATION REGARDING EMERGENCY STATUS,

PLANNING, OR OPERATIONS

a) AGENCY’S EMERGENCY STATUS SYSTEM TO DOH EMRESOURCEHTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/ALF.SHTML




FACILITY – EMERGENCY PREPAREDNESS

• REGULATORY AUTHORITY

• s. 429.41 (1) (b), FL STATUTES

• s. 58A-5.026, EMERGENCY MANAGEMENT, FL ADMIN CODE

• S. 58A-5.020(2)(h), EMERGENCY FOOD AND WATER SUPPLY

• COMPREHENSIVE EMERGENCY MANAGEMENT PLANNING CRITERIA

• HTTPS://WWW.FLRULES.ORG/GATEWAY/REFERENCE.ASP?NO=REF-04010

• s. 408.821, FL STATUTES


FACILITY – STAFF RESOURCES

DEPARTMENT OF HEALTH LICENSEE SECTION

• HTTP://WWW.FLORIDAHEALTH.GOV

1. VERIFY A LICENSE

2. FILE A COMPLAINT




FACILITY – INSPECTIONS• COUNTY HEALTH DEPARTMENT

• SANITARY PRACTICES AND FOOD SERVICE DIRECTION, S. 64E-12, FAC

• FOOD HYGIENE FOR ALFS, S. 64E-11, FAC

• BIOMEDICAL WASTE, S. 64E-16, FAC

• LOCAL FIRE MARSHAL• UNIFORM FIRE SAFETY STANDARDS, 429.41, F.S.

• UNIFORM FIRE SAFETY STANDARDS FOR ALFS, 69A-40, FAC

https://www.flrules.orghttp://www.floridahealth.gov/healthy-environments/group-care-facilities/residential-group-care.html


FACILITY – INSPECTIONS• COUNTY HEALTH DEPARTMENT

• HTTP://WWW.FLORIDAHEALTH.GOV/PUBLIC-HEALTH-IN-YOUR-LIFE/COUNTY-HEALTH-DEPARTMENTS/CHDLISTING.HTML

• FIRE INSPECTION FIELD OFFICES• HTTP://WWW.MYFLORIDACFO.COM/DIVISION/SFM/BFP/INSPECTIONS

•AGENCY FOR HEALTH CARE ADMINISTRATION• HTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/AL

F.SHTML




RESIDENT – 1823

• HTTP://AHCA.MYFLORIDA.COM/MCHQ/HEALTH_FACILITY_REGULATION/ASSISTED_LIVING/ALF.SHTML


RESIDENT –MEDICATION MANAGEMENT

• HTTP://ELDERAFFAIRS.STATE.FL.US/DOEA/PUBLICATIONS.PHP



COMPLIANCE PHILOSOPHIES

• PASSIVE

• WATCH FOR COMMUNICATION

• THE AGENCY FOR HEALTH CARE

ADMINISTRATION

• THE DEPARTMENT OF HEALTH

• COUNTY HEALTH DEPARTMENTS

• FIRE INSPECTION FIELD OFFICES

COMPLIANCE PHILOSOPHIES• ASSERTIVE

• IDENTIFY GAPS IN KNOWLEDGE

• LOCATE AND TAP INTO THE RIGHT SOURCES OF INFORMATION

• PARTICIPATE IN ASSOCIATION THAT REPRESENTS ASSISTED LIVING FACILITIES

• ANTICIPATING CHANGES• LEGISLATIVE

• REGULATORY



BEYOND COMPLIANCE

TAPPING INTO THE RIGHT SOURCES

• AGENCY FOR HEALTHCARE RESEARCH AND QUALITY

• HTTP://INNOVATIONS.AHRQ.GOM

• ADVANCING EXCELLENCE

• HTTP://WWW.NHQUALITYCAMPAIGN.ORG

• INTERACT

• HTTP://WWW.INTERACT2.NET/

BEYOND COMPLIANCE

PARTICIPATING IN AN ASSOCIATION• FLORIDA HEALTH CARE ASSOCIATION · WWW.FHCA.ORG

• TIMELY UPDATES ON CHANGES TO THE REGULATORY OR LEGISLATIVE ENVIRONMENT

• RESOURCES TO SUPPORT COMPLIANCE AND TRAINING

• EDUCATIONAL AND NETWORKING OPPORTUNITIES

• COMMITTEE INVOLVEMENT

• ADVOCACY AND GRASSROOTS ACTIVITY

• NATIONAL CENTER FOR ASSISTED LIVING



“It takes all the running you can do to keep in

the same place. If you want to get somewhere

else you must run at least twice as fast.”

Red Queen, Through the Looking Glass.

• LEE ANN GRIFFIN · [email protected]

• PEGGY RIGSBY · [email protected]

Documents

FHCA 2014 Annual Conference & Trade Show · 2014-06-20 · FHCA 2014 Annual Conference & Trade Show CE Session #2 – ALF Administrator 101 Tuesday, July 8 – 8:15 to 9:15 a.m. Crystal