On June 28, 2018, the Oklahoma State Department of Health had their provider training. The training covered topics including: Incident Reports, Emergency Preparedness, Disaster Preparedness, Regulatory Overview and information about The National Partnership to Improve Dementia Care, information on CMP programs, and Quality Programs available through TMF. If you were not able to attend the training, please visit https://www.ok.gov/health2/documents/2018%20LTC%20Provider%20Training%20Handouts.pdf to view the slides from the presentation.
Here is a brief summary from the training:
Long Term Care Updates: Appendix Q will be updated with the current IJ information. All examples of IJ’s will be removed from Appendix and will now refer to “PP”
The survey department is piloting a QI project related to how they handle complaints and have 4 pilot teams at this time. If you have a complaint survey, you may see a different complaint form.
Incident Reporting: Just a reminder, you only need to report items with the checkboxes listed on Form 283.
Emergency Preparedness: Brent Maroney stressed the current citations being written are E001, E015, and E036. He is hoping to have more clear guidance by November of this year. He said they are allowing portable generators to be a part of the EP plan, however, you will need to have an auto or manual transfer switch.
Kari Beggs with RMRS is in the process of developing training regarding Emergency Preparedness. If you need assistance with EP, you may want to speak with your RMRS regional representative. Visit https://www.okrmrs.com/ and click on the map to find your representative.
QM & Composite Score: Beginning in October, the survey team will be bringing your QM composite scorecard with the intention of going over the score with at the end of your survey. The goal is to help you understand the report and how it relates to your survey.
National Partnership to Improve Dementia Care: A program started in 2012, to reduce antipsychotic use and increase person centered care and incorporate therapeutic interventions with residents with Dementia. We are currently ranked 51st in the Nation for Antipsychotic usage. TMF has a program to help those facilities with high antipsychotic usage, with the goal to reduce antipsychotics.
Medication Destruction: There have been a lot of calls recently to the Health Department regarding medication destruction. The following regulations were touched on regarding medication destruction:
310:675-9-9.1(d)(7) – “When a resident is discharged, or is on therapeutic leave, the unused medication shall be sent with the resident, or with the resident’s representative, unless there is a written physician’s order to the contrary, or the medication has been discontinued, or unless the resident or the resident’s representative donates unused prescription medications for dispensation to medically indigent persons in accordance with the Utilization of Unused Prescription Medications Act. The clinical record shall document the quantity of medication sent, and returned or donated, and the signature of the person receiving or transferring the medications.”
310:675-9-9.1.(e)(1) – “Non-controlled medications prescribed for residents who have died and non-controlled medications which have been discontinued shall be destroyed by both the director of nursing and a licensed pharmacist or another licensed nurse. Controlled medication shall be destroyed by a licensed pharmacist and the Director of Nursing. The facility may transfer unused prescription drugs to city-county health department pharmacies or county pharmacies in compliance with the Utilization of Unused Prescription Medications Act and all rules promulgated thereunder. Prescription only medications including controlled medications shall not be returned to the family or resident representatives. The destruction and the method used shall be noted on the clinical record.”
I hope you find this information useful. OSDH has their next provider training Thursday, August 30, 2018 in Tulsa. Registration opens July 30th. The link to the provider training information is https://www.ok.gov/health/Protective_Health/Long_Term_Care_Service/Long_Term_Care_Meetings_&_Events/index.html
If you are not sure about going, please reconsider. This training was very beneficial and provided a lot of great information. The training is free and it does fill up fast!