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Which residents are included in initial pool?
, Offsite selected, newly admitted, complaint/fri, vulnerable, identified concerns. Sample
should also contain Hospice, Dialysis, Transmission Based Precautions, Vent/Trach, Smoker
How many residents are selected for unnecessary meds?
5
3 Objectives of the SNF Beneficiary Protection Notification Review Task
Verify the facility provided appropriate notice, billed MCR within time frame and resident
requested demand bill, verify that facility did not bill resident while decision was pending.
How many residents are selected for SNF Beneficiary Protection Notification Review task?
3
Med administration observation should include what 3 things?
1. Minimum of 25 opportunities. 2. variety of residents, staff, units. 3. multiple routes of
administration.
Significant medication error
caused the resident discomfort or jeopardizes his or her safety. 3 guidelines: 1. type of
medication 2. condition of resident 3. frequency of the error
Medication error rate
# of errors observed/by the opportunities for errors (including doses ordered but missed) x
100
how often does facility need to provide residents financial statements
quarterly and when requested by resident or legal representative
When does comprehensive assessment be completed?
14 days after admission and annually
When is an abbreviated survey performed?
When complaint is recieved cm
QAA/QAPI committee must consist of:
DON, Medical Director/designee, At least 3 other members of staff including the
administrator/owner/board member/individual in leadership role, and the infection
preventionist.
weight loss calculation
lbs lost/ starting weight= x 100
This category of medication should be avoided with DX of glaucoma