The Long-Term Care Compliance Toolkit

Your partner in building an effective compliance program

With more than 40 tools to help SNFs either establish or maintain a compliance program! It's just good business sense to have an effective compliance program but if that's not enough motivation, the Patient Protection and Affordable Care Act requires skilled nursing facilities (SNF) to have one in place by 2013. Available in print and electronically, The Long-Term Care Compliance Toolkit will help you develop a compliance program if you do not already have one or strengthen a program your SNF has outgrown.

You will discover practical, efficient ways to train and educate staff, perform internal auditing and monitoring checks, develop self-correcting actions, and stay on top of the constantly changing regulatory environment in long-term care. This comprehensive book will help you withstand the QIS process and Medicare audits, and improve your overall operation's efficiency and productivity.

The Long-Term Care Compliance Toolkit will help you:

- Save time developing MDS 3.0 and RUG-IV compliance policies and procedures by using the downloadable samples, which you can customize and implement immediately at your facility
- Create a training program that ensures veteran and new staff alike are being educated appropriately to maintain compliance
- Develop a process to identify and address high target areas that may raise red flags for an auditor
- Avoid deficiencies by learning how to perform corrective actions to address potential risk areas identified during an internal audit
- Establish clear interdisciplinary lines of communication and develop a plan to enforce accountability

Take a look at the Table of Contents

Introduction
Federal Register, Vol. 65, No. 52, March 16, 2000: OIG Compliance Program Guidance for Nursing Facilities
Federal Register, Vol. 73, No. 190, September 30, 2008: OIG Supplemental Compliance Program Guidance for Nursing Facilities

Section 1: Written Policies & Procedures
Code of Conduct for SNF
Corporate Compliance Department Charter
Acknowledgement of Compliance
Corporate Compliance Post Test

Section 2: Compliance Officer
Compliance Committee Charter

Section 3: Conducting Training & Education
Compliance Training Program Outline
Compliance Training Program Outline: Therapy Services
Employee Compliance Training Record
Sign-in Attendance Sheet

Section 4: Effective Lines of Communication
Compliance Bulletin Board Posting
Hotline Poster
Poster on Suggestion Box

Section 5: Auditing & Monitoring
Compliance Auditing Tool for All Disciplines
MDS Chart Audit Tool
CAA Completion Audit Tool
Medicare Meeting Minutes Format
Medicare Meeting Log Part B
Quarterly Compliance Visit Report
Assessment Itinerary Announced Site Visit
Checklist for Unannounced Audit
State Survey Form
Quality of Life Family Interview
Quality of Life Group Interview
Quality of Life Resident Interview
On-site Visit Resident Review

Section 6: Enforcing Standards & Disciplinary Guidelines
Disciplinary Notice

Section 7: Responding to Detected Offenses
Assistance Form

Section 8: Risk Assessment
Grievance Policy & Procedure
For-profit SNFs beware: OIG taking a closer look at high RUG level