TALA Annual Conference - 2019 - PowerPoint Presentation

TALA Annual Conference - 2019
TALA Annual Conference - 2019

TALA Annual Conference - 2019 - Description


Surveyor Perspective related to the Licensing Standards for Assisted Living Facilities Galveston TX April 1 2019 Surveyor Perspective This will include a broad understanding of a surveyors role of inspections related to the Licensing Standards for Assisted Living Facilitie ID: 815893 Download

Tags

assisted living texas facility living assisted facility texas health services facilities inspection care state amp code safety alf standards

Download Section

Please download the presentation from below link :


Download - The PPT/PDF document "TALA Annual Conference - 2019" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.

Embed / Share - TALA Annual Conference - 2019


Presentation on theme: "TALA Annual Conference - 2019"— Presentation transcript


Slide1

TALA

Annual Conference - 2019

Surveyor

Perspective related

to

the

Licensing Standards for Assisted Living Facilities

Galveston, TX

April 1, 2019

Slide2

Surveyor Perspective …..

This will include a broad understanding of a surveyor’s role of inspections related to the Licensing Standards for Assisted Living Facilities and understanding the importance of maintaining compliance.

Slide3

Surveyor – State Government

SURVEYOR

STATE GOVERNMENT

Statute

– state legislature

Rule

– state agency

STATE AGENCY –

Texas Health and Human Services Commission

Slide4

Inspection Process

Purpose:

The Texas Health and Human Services Commission (HHSC), Regulatory Services Division (Long Term Care) inspects most assisted living facilities. The inspection and enforcement process is intended:

- protect the health, safety, and rights of residents

- ensure compliance with regulations, and

- ensure equitable and consistent enforcement of regulatory

requirements

Slide5

License Required – Assisted Living Facility

State Law defines an assisted living facility as an establishment that

- furnishes, in one or more facilities, food and shelter to four or more persons who are unrelated to the proprietor of the establishment

- provides personal care services; or administration of medication by a person licensed or otherwise authorized in this state to administer the medication; and

- may provide assistance with or supervision of the administration of medication.

(Texas Health & Safety Code (HSC), Section 247.002(1))

Slide6

License Required – Assistive Living Facility (

cont

)

Personal care services are defined by statute as:

- assistance with feeding, dressing, moving, bathing, or other personal needs or maintenance; or

-

general supervision or oversight

of the physical and mental well-being of a person who needs assistance to maintain a private and independent residence in an assisted living facility or who needs assistance to manage the person’s personal life, regardless of whether a guardian has been appointed for the person.

(Texas Health & Safety Code (HSC), Section 247.005(5))

Slide7

License Required – Assisted Living Facility (

cont

)

Assisted Living Facility must comply with the

minimum

standards contained in:

- Chapter 247 of the Texas Health & Safety Code (HSC)

- Texas Administrative Code (TAC), Title 40, Part 1, Chapter 92, Licensing Standards for Assisted Living Facilities

Slide8

Confidentiality

Generally, ALL licensed inspections, complaint investigations, and other visits are unannounced

During the inspection, the inspection team attempts to maintain resident confidentiality to the greatest extent possible, particularly regarding information gathered from interviews.

The inspection is usually assigned to one person. However, other team members (such as those with particular areas of expertise) may be assigned as needed.

The team size depends on the purpose of the inspection, the size of the facility, the services provided by the facility, and other factors.

Slide9

Inspection Tasks

The seven inspection tasks include:

1. Off-site Preparation

2. Entrance Conference

Slide10

Inspection Tasks (

cont

)

3. Initial Tour

4. Sample Selection

5. Information Gathering

Slide11

Inspection Tasks (

cont

)

6. Decision Making

Immediate Threat is defined as follows:

Immediate threat to the health or safety of a resident –

A situation that causes , or is likely to cause, serious injury, harm, or impairment to or the death of resident. (effective 10/28/2018)

7. Exit Conference

Slide12

Scenarios

Clinical Discussion

Slide13

Scenarios

Clinical Discussion

Slide14

Scenarios

Clinical Discussion

Slide15

Assisted Living Facility (ALF) Rule

ALF TAC 92.41(e)(1)

A facility must

not

admit or retain a resident whose needs cannot be met by the facility or who cannot secure the necessary services from an outside resource.

As part of the facility’s

general supervision and

oversight

of the physical and mental well-being of its residents,

the facility remains responsible for all care provided at the facility.

If the individual is appropriate for placement in a facility, then the decision that additional services are necessary and can be secured is the resident’s attending physician, or legal representative. Regardless of the possibility of “aging in place” or securing additional services, the facility must meet all Life Safety Code requirements based on each resident’s evacuation capabilities, except as provided (f) of this section.

Slide16

Assisted Living Facility (ALF)

Rule

ALF TAC §92.41(h)(2)(G) [Resident Records]

documentation by health care professionals of any services delivered in accordance with the licensing, certification, or other regulatory standards applicable to the health care professional under law;

ALF TAC §92.2(31) [Definition – Health Care Professional]

An individual licensed, certified, or otherwise authorized to administer health care, for profit or otherwise, in the ordinary course of business or professional practice. The term includes a physician,

registered nurse,

licensed vocational nurse,

licensed dietitian, physical therapist, and occupational therapist.

Slide17

Risk Management

Risk management is the identification, evaluation prioritization of risks followed by coordinated and economical application of resources to minimize, monitor, and control the probability or impact of unfortunate events or to maximize the realization of opportunities.

(Wikipedia)

Slide18

Resources

Texas Health and Human Services Commission (HHSC)

website:

https://hhs.texas.gov/

HHSC website:

Assisted Living Facilities Portal

https://hhs.texas.gov/doing-business-hhs/provider-portals/long-term-care-providers/assisted-living-facilities-alf

Slide19

Resources

HHSC Assisted Living Facilities Portal

:

Texas Health & Safety Code, Title 1, Chapter 247

Assisted Living Facilities

https://statutes.capitol.texas.gov/Docs/HS/htm/HS.247.htm

Texas Administrative Code, Title 40, Part 1, Chapter 92

Licensing Standards for Assisted Living Facilities

https://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=4&ti=40&pt=1&ch=92

Slide20

Resources

Texas Board of Nursing (

BoN

)

website:

https://www.bon.texas.gov/

Slide21

Questions

Slide22

MJ Consulting

Mark Jeffers RN MS

MJ Consulting

Assisted Living Facilities

Email address:

mjeff0152@hotmail.com

Cell: (512) 787-5952

Shom More....