ENSURING QUALITY CARE
THE BUSINESS OF RUNNING YOUR AFH • Required posted information • Residency agreement • Business records September 2019 Safety, Oversight and Quality Unit 1
REQUIRED POSTED INFORMATION September 2019 Safety, Oversight and Quality Unit 2
PURPOSE AND KEY TERMS • Residents’ Bill of Rights The purpose of this section is to help the learner identify what • Complaint Procedure documents are required to be • Inspection Report posted and visible to residents • Ombudsman Poster and visitors in your AFH. • AFH License • Emergency evacuation plan/floor plan • Weekly menus • House rules September 2019 Safety, Oversight and Quality Unit 3
OBJECTIVES The learner will be able to: Describe the types of information required to be in a private pay contract Develop a private pay contract that fully describes how much the resident is being charged and under what conditions the cost would increase or decrease List types of unacceptable clauses September 2019 Safety, Oversight and Quality Unit 4
INTRODUCTION Oregon Administrative Rules for AFH specify which forms and information must be posted or maintained in your home: A copy of any form with an SDS or APD number may be downloaded from the web at https://apps.state.or.us/cf1/FORMS/ ; or A copy may be requested from your local office The provider cannot change the numbered forms and all required posted documentation must be posted in a prominent place in the home. September 2019 Safety, Oversight and Quality Unit 5
INTRODUCTION CONTINUED Documents discussed without a SDS or APD number will be developed by you for use in your individual AFH: • The EQC Manual has a number of worksheets that have been developed for your use. September 2019 Safety, Oversight and Quality Unit 6
REQUIRED POSTED DOCUMENTS Documents required to be posted are: • Residents’ Bill of Rights (APD 305) • Complaint Procedure (APD 519) • Most current Inspection Report (2567) as completed by DHS Staff • Ombudsman Poster (ORS 441.124) • AFH License (SDS 904) • Emergency evacuation plan/floor plan • Weekly menus • House rules • Notice – Intercoms and other Monitoring Devices (SDS 906N) September 2019 Safety, Oversight and Quality Unit 7
MANDATORY FORMS SDS 305 – Residents’ Bill of Rights SDS 305A – Signature version not shown September 2019 Safety, Oversight and Quality Unit 8
MANDATORY FORMS CONTINUED APD 519 – Complaint Procedure • This document explains the complaint procedure to residents and visitors • A copy must be posted in your home • The document can be obtained at the local licensing office Note: this is not a view of the entire poster. September 2019 Safety, Oversight and Quality Unit 9
MANDATORY FORMS CONTINUED 2567 – Inspection Worksheet • The licensor or other DHS Staff will give you a copy of your inspection report upon completion of every inspection visit • The most recent inspection report must be posted September 2019 Safety, Oversight and Quality Unit 10
MANDATORY FORMS CONTINUED Ombudsman Poster • Informs residents, their families and friends how to contact an ombudsman if they feel that it is necessary • The State Long-term Care Ombudsman Program is an independent agency that advocates for residents in long-term care • They can help resolve disputes, refer residents to needed services and visit with residents on a regular basis September 2019 Safety, Oversight and Quality Unit 11
MANDATORY FORMS CONTINUED SDS 904 – AFH License • The local office issues after all licensing requirements are met • The license is not transferable to another provider or dwelling • The license indicates who the provider is, the address of the AFH and the classification which the provider has qualified • All AFH licenses must be renewed annually • The license classification is determined at the time of application, dependent on experience and the kind of care you want to provide September 2019 Safety, Oversight and Quality Unit 12
MANDATORY FORMS CONTINUED AFH License Classifications: Class 1: • Residents requiring assistance in no more than four ADLs • If little or no experience providing care or you want to care for residents who have minimal care needs Class 2: • Requires at least two years of full-time experience providing care to seniors and adults with disabilities • Residents who require full assistance in no more than three ADLs Class 3: • A health care professional or have at least three years of full-time experience providing direct care and at least two medical professional references • Residents require full assistance in more than four ADLs but only one resident who requires bed care or full assistance with all ADLs September 2019 Safety, Oversight and Quality Unit 13
MANDATORY FORMS CONTINUED Emergency evacuation plan/floor plan You must develop, post and keep current a drawing of your home’s floor plan The floor plan must show the location and size of all bedrooms, indicate which bedrooms are resident rooms and where the provider(s) sleep The location of fire exits, evacuation routes, smoke detectors and fire extinguishers must be noted on the floor plan If the layout of your home changes in any way, you must update the floor plan and keep a current copy posted – DHS must be made aware of changes Examples of situations that may require you to redo your floor plan could be relocation of smoke detectors or fire extinguishers; a bedroom changed from a resident’s room to a provider’s room; or an altered evacuation route If you have questions about whether or not a new floor plan must be developed or posted, call the local licensor. September 2019 Safety, Oversight and Quality Unit 14
EMERGENCY EVACUATION PLAN/FLOOR PLAN SAMPLE September 2019 Safety, Oversight and Quality Unit 15
MANDATORY FORMS CONTINUED Weekly menus • Menus for the coming week must be prepared and posted in a location accessible to the residents and their families • Posting the menu allows everyone to see the type of meals served, whether of not the meals are nutritious and whether meal choices are similar to the potential resident’s • Current residents should be involved in meal planning, as appropriate • Remember to include menu items that meet specific needs such as sugar free offerings for residents with diabetes September 2019 Safety, Oversight and Quality Unit 16
MANDATORY FORMS CONTINUED September 2019 Safety, Oversight and Quality Unit 17
MANDATORY FORMS CONTINUED House Rules: • You are responsible for developing and posting house rules in your AFH • DHS must approve all AFH House Rules – if at a later date you change your house rules, DHS must approve the changes and all residents must be made aware of the changes when posted • House rules are meant to give potential residents an idea of how your house is run. • House ruled help residents understand what to expect if they live in your AFH • Any restrictions or limitations on the use of tobacco, alcohol, telephones, visitations, pets or meal schedules must be noted in the rules developed for your home • House rules must note any intercoms or monitors used in the resident areas and describe under what circumstances they are used • The house rules must not violate Medicaid law, the Residents Bill of Rights or AFH rules and they must not conflict with the family atmosphere of the home September 2019 Safety, Oversight and Quality Unit 18
MANDATORY FORMS CONTINUED APD 906N • Must be posted even if you do not have intercoms or other monitoring devices September 2019 Safety, Oversight and Quality Unit 19
DISCUSSION/QUESTIONS Safety, Oversight and Quality Unit September 2019
Recommend
More recommend
