Quality Credentialing
The Mentor Toolkit

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The Quality Foundation for the Florida Health Care Association welcomes you to the companion site for The Mentor Toolkit: A Guide to Quality Outcomes for Florida's Nursing Homes. The Mentor Toolkit is the brainchild of a strategic quality planning session wherein team members identified areas of need in long term care. One of the identified areas of focus was to address the needs of the individual Nursing Home Administrator in taking the reins of a complex health care organization. The Quality Foundation asked themselves what tools are needed by a new or less experienced Nursing Home Administrator who seeks to lead a quality driven long term care facility. Thus, as the name implies, The Mentor Toolkit has its roots in mentorship.

The Mentor Toolkit is Florida-specific, designed to be a portable library for Nursing Home Administrators and consultants serving in the Sunshine State. But the builders of The Mentor Toolkit didn't stop there; they looked to national experts in the areas of Continuous Quality Improvement (CQI) and Quality Management Systems. As a result, The Mentor Toolkit includes important source books that support the Nursing Home Administrator in understanding and integrating the concepts of quality improvement in the long term care community.

The Mentor Toolkit consists of 4 "stand alone" source books and one generous, tabbed 3-ring binder with everything else.

Included:

Source Books
The June, 2006 Long Term Care Survey
CMS released three major changes (effective June 1 and June 8) that are included in the June edition:

  1. Activities (F248) and the Activities Director (F249), 28 and 6 pages each.
  2. Quality Assessment and Assurance (F520), 15 pages.
  3. Psychosocial Outcome Severity Guide, added to Appendix P, 6 pages.
Developing a Quality Management System
Bernie Dana, former chair of AHCA's Quality Improvement Subcommittee, draws on his years with Vetter Health Services as well as his academic training and research for this practical guide to creating a quality management system in your facility. He begins with the crucial role of leadership, discusses customer service and staffing, and concludes with how to set up a process to continuously improve quality, not just solve isolated problems. This is a companion book to Continuous Quality Improvement: Using the Regulatory Framework.

CQI: Using the Regulatory Framework
Quality improvement efforts are largely dependent on how problem areas are identified, analyzed, and improved. This book emphasizes the collection and analysis of data, using audits and worksheets, and follows the survey process outlined in the State Operations Manual. Armed with this knowledge, facilities can identify best practices and improve quality in a systematic way. Continuous quality improvement is the real goal; improving periodic survey results is just a by-product of quality improvement. This is a companion book to Developing a Quality Management System.

FHCA's 2004 Disaster Planning Guide
The Disaster Planning Guide was designed in the aftermath of the 2004 hurricane season to serve as a reference tool to assist nursing homes in the development and implementation of their own personalized disaster procedures manual and emergency operations plan. Developed by long term care professionals who understand nursing home providers have a responsibility to plan and prepare for emergency operations, this guide provides the framework for building individualized comprehensive plans.

Updates, February 2007

FHCA-FCAL's Mentor Toolkit companion website has been updated to provide links to the latest versions of law and regulatory information as well as the most recent CMS guidance. Purchasers of the Mentor Toolkit Users may link to updated content and forms for their 3-ring binder using their dedicated user name and password.

Under the Laws & Regulatory section, all the links have been tested and updated to ensure they point to the most recent versions of the regulatory documents you use the most. The updated Resident Care section contains the newest CMS Survey & Certification revised guidelines which were released in 2006-2007:

  • Quality Assessment and Assurance from CMS, 3/10/2006
     
  • Activities Guidance from CMS, 3/10/2006
     
  • Influenza and Pneumococcal Immunizations Guidance from CMS, 10/15/2006
     
  • Psychosocial Outcome Severity Guidance from CMS, 3/10/2006
     
  • Unnecessary Medications (F329) and Pharmacy Services section at §483.60, January 2007
     

3-Ring Binder

(Pass-coded for purchasers of The Mentor Toolkit)

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