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Series Title: F-Tag Review Series- Comprehensive review of Regulations and Interpretive Guidance for Infection Control/Antibiotic Stewardship F880-F881
Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Director of Regulatory Services
Shelly Maffia is a Registered Nurse and Nursing Home Administrator with over 15 years of experience serving in long term care leadership and consulting positions, including positions as Director of Nursing, Administrator, and Corporate Nurse Consultant and Training Positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.
Contact Person: Shelly Maffia 812-719-0452 firstname.lastname@example.org
Proactive Medical Review and Consulting
This session will focus on F-Tag 880-881 with a review of the regulation and an analysis of the associated Interpretive Guidance. A review of survey procedures, such as the Infection Prevention, Control, and Immunization Critical Element Pathway and/the Surveyor Probes used to guide the investigative process will be discussed. Actual citation examples will be shared and discussed. Tools to assist the facility interdisciplinary team in monitoring compliance and incorporating into the facility QAPI processes will be discussed.
Projected Learning Outcomes/Course Objectives: At the conclusion of each session, the learner will:
- Identify the regulatory requirements related to F880-F881
- Identify survey procedures that describe how Infection Prevention and Control is reviewed for compliance during the annual survey process
- Identify examples of how F-Tags 880-881 are commonly cited in the new LTCSP
- Identify tools for the leadership team to use for monitoring compliance with Infection Prevention and Control requirements
- Explain strategies for incorporating survey preparedness related to Infection Prevention and Control into facility QAPI processes
3:00 Overview of the F-Tag Regulations and Interpretive Guidance
3:30 Survey procedures for assessing compliance with the F-Tag and citation examples
3:45 Strategies for monitoring compliance and incorporating survey preparedness into facility QAPI processes
4:15 Closing Comments/Q&A
Teaching/Learning Methods: Lecture, visual presentation materials, case examples/case studies, question and answer
Nursing Homes. (2017, November 17). Retrieved November 21, 2017, from https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes.html
Centers for Medicare & Medicaid Services. (2017, November 17). S&C QCOR Home Page. Retrieved November 21, 2017, from https://pdq.cms.hhs.gov/report_select.jsp?which=0