Sunday, October 26, 2008

All about IDR

There are two processes in place for challenging surveyor findings: formal appeals (which is used primarily for getting rid of civil monetary penalties) and informal dispute resolution. Informal dispute resolution is used primarily to get F tags taken off the record when the allegation of deficiencies doesn't actually represent an actual deficiency. It can also be used to challenge the scope and severity of quality of care deficiencies. It cannot used to challenge deficiencies on a follow up survey that have been cited on a previous survey, for scope and severity on F tags that do not fall within the quality of care domain OR represent an immediate jeopardy, to challenge remedies levied by the state or federal government, procedural violations on the part of the surveyors, or alleged inconsistency in the way that two different facilities were surveyed. In order for an IDR to be successful (and they rarely are -- less than 20% of the time), you have to either show that the alleged deficiency is not actually a violation (although the state survey agency may label this as a procedural violation and then disqualify your claim) or that there is documentation to support the facility's position that was not reviewed by the surveyor at the time.

Wednesday, October 15, 2008

NHA without AIT

If you want to become licensed as a nursing home administrator, almost all states require that you have a bachelor's degree and complete an administrator in training program, which is a 6 to 12 month preceptorship with an experienced administrator, all before you are allowed to take the state and national boards. There are two states that do not require an AIT for licensure, just a bachelor's degree OR licensure as a RN: Illinois and Michigan. A third state, Missouri, has relatively lax standards for licensure but they reserve the right to require an AIT if they think it is necessary.

Tuesday, October 7, 2008

Good news and bad news

Good news: This month's powerpoint slides are up at The topic this month is skin.
Bad news: Once again, I'm a week late getting them out. I promise to have next month's slides up by November 1, or I'll do something good to make up for it.