Tuesday Stand Up A New Day in Long Term Care Janine Finck-Boyle, MBA/HCA, LNHA Vice President of Regulatory Affairs LeadingAge

Getting Ready (Documents) Survey Book Immediately Upon Entrance Entrance Conference One Hour Four Hours End of First Day 24 Hours of Entrance Conference

Getting Ready (Human Capital) Critical Element Pathways Mandatory Tasks Observations Rounds Investigations

Getting Ready(Residents, Families) Resident Council Family Council

Quick LTC Survey Hits (LIVE from the field!) DOH is Here DOH Asks NEW - Matrix Surveyor to kitchen observation Surveyors to units Observe all residents in sample Electronic access – wireless, passwords to EMR Facility Assessment Legionella policy/procedure/testing Emphasis on Therapeutic Recreation Abuse and Neglect p/p and in- services Incident Reports QAPI plan

RoPs Phase 2 – Key Elements Facility Assessment Policy and Procedures Census Capacity Types of Care Staff competencies required Cultural aspects Personal Resources Equipment Smoking policies Dentures policy Baseline care plan ?? ADT procedures ?? Infection Control Antibiotic Stewardship program

What is Next? Phase 3 – November 2019 Emergency Preparedness introduced Legislation F-Tag Top 10 Unfreeze Five Star PBJ added to Five Star