ENSURING QUALITY CARE THE BUSINESS OF RUNNING YOUR AFH Required - - PowerPoint PPT Presentation

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

The purpose of this section is to help the learner identify what documents are required to be posted and visible to residents and visitors in your AFH.

• Residents’ Bill of Rights
• Complaint Procedure
• Inspection Report
• Ombudsman Poster
• 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

September 2019 Safety, Oversight and Quality Unit 9

Note: this is not a view of the entire poster.

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

• mbudsman 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
• fferings 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

September 2019 Safety, Oversight and Quality Unit