Calendar
Phase 3 Requirements of Participation (RoP)4/11/2019All Day
Venue
Asheville, NC 28806
Long term care facilities must be compliant with Phase 3 Requirements of Participation by November 28, 2019. This phase introduces several items that have never been surveyed before, including the full implementation of a compliance and ethics and QAPI program, presence of a qualified infection preventionist, and certain staff training requirements.
Cindy Deporter, MSSW, State Survey Agency Director, Division of Health Service Regulation, will be teaching a full day session (three locations) on an overview of Phase 3 Requirements of Participation with extra emphasis on those that have not been phased in (in part). The review will include:
• Abuse & Neglect Coordination with QAPI Program
• Care Planning & Providing Culturally Competent & Trauma-Informed Care
• Standards of Practice, Systems, & Staff Competency Related to Trauma-Informed Care
• QAPI Program
• Infection Preventionist
• Compliance & Ethics Program
• Bedside Resident Call System
• Training Requirements
In addition, there will be a segment devoted to the revised State Operations Manual, Appendix Q – Core Guidelines for Determining Immediate Jeopardy. The participant will be able to:
• Review progress towards meeting the requirements
• Develop new, or modify existing, action plans
• Relate survey outcome to the revised Appendix Q
• Use the Appendix Q modifications to interface with the survey process and consideration of IIDR or IDR
Ms. Deporter, MSSW, has worked for the NC Department of Health and Human Services since 1990. From 1990 to 1993 she was a Health Care Facility Surveyor where she performed annual inspections for compliance to federal regulations. In 1993, Ms. Deporter was appointed State Agency Director/Liaison with CMS because of her extensive knowledge of the regulatory process and the expectations of the interface between CMS and the State Survey Agency.