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NAB > List of Needed Knowledge > Flashcards

List of Needed Knowledge Flashcards

1
Q

Core - 1A1

A

Medical and Nursing Care Practices

-Policies and procedures of care and services for the care recipient
-Type and scope of staff employed
-Understanding of treatment and support of medical conditions common among care recipients served
-Level of acuity and programs and practices to meet the needs of the care recipient

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2
Q

Core - 1A2

A

Medication Management and Administration

-Policies and procedures for pharmacy services
-Pharmacy contracting
-Management of controlled substances
-Type and scope of staff
-Medication processes for storage, delivery, documentation, and disposal
-Medication Terminology (Memorize cards)

HAS TERMS

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3
Q

Core - 1A3

A

Disease Management (e.g., acute vs. chronic conditions)

-Identification and understanding of common acute and chronic conditions
-Policies and procedures for assessments and treatments
-Interventions to meet the care recipient needs
-Involvement of the interdisciplinary team

HAS TERMS AND MATCHING ACTIVITY

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4
Q

Core - 1A4

A

Nutrition and Hydration (e.g., specialized diets)

-Policies and procedures for dining services
-Nutrition counseling
-Dietary orders
-Care recipient personal preferences
-Specialized diets
-Unnecessary weight loss
-Sanitation
-Food-borne illnesses
-Nutrition and hydration services

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5
Q

Core - 1A5

A

Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs)

-Knowledge of ADLs and IADLs
-Policies and procedures for addressing the care recipient functional needs
-Functional interventions and accommodations
-Specialty equipment
-Care recipient assessment

HAS ACTIVITY

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6
Q

Core - 1A6

A

Rehabilitation and Restorative Programs

-Policies and procedures for guiding therapy programs and services
-Knowledge of therapy modalities such as:
-Physical therapy
-Occupational therapy
-Respiratory therapy
-Speech and Language therapy
-Physiatry
-Wellness programming
-Restorative programming
-Specialty equipment and accommodations

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7
Q

Core - 1A7

A

Care Recipient Assessment and Interdisciplinary Care Planning

-Knowledge of service and care planning processes
-Policies and procedures for care recipient assessment and -reassessment
-Service and care plan goals and interventions
-Members and role of the interdisciplinary team
-Involvement of care recipient and/or their representative

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8
Q

Core - 1A8

A

Clinical and Medical Records and Documentation Requirements (e.g., storage, retention, destruction)

-Policies and procedures for medical records
-Knowledge of necessary documentation
-Electronic medical records
-Storage of records
-Retention of records
-Ownership and custody of records
-Proper release of records

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9
Q

Core - 1A9

A

Medical Director

-Policies and procedures for medical services
-Clinical practice guidelines
-Role of the medical professional

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10
Q

Core - 1A10

A

Emergency Medical Services (e.g., CPR, first aid, Heimlich maneuver, AED)

-Policies and procedures for emergency response practices
-CPR
-Staff training/Competencies for:
-Cardiopulmonary Resuscitation (CPR)
-Heimlich maneuver
-First aid
-Automated External Defibrillator (AED)
-Knowledge and understanding of local emergency services

MAYBE HAS ACTIVITY? NOT LOADING

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11
Q

Core - 1A11

A

Transition of Care (e.g., admission, move-in, transfer, discharge, and move-out)

-Policies and procedures for level of care assessment and reassessment
-Understanding provider types across the continuum of care
-Knowledge of appropriate services to meet the needs of care recipient acuity levels
-Role of interdisciplinary team
-Admission and move-in criteria
-Discharge and move-out criteria
-Involuntary discharge criteria and process

Hospice – end of life. For comfort.
Skilled Nursing – complex medical needs
Assisted Living – ADL needs but mostly independent residential spaces (practice questions classify people who live alone under this.)
Home Health Care – A range of these needs but in the person’s own home. Post surgery check ups.

HAS QUIZ

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12
Q

Core - 1A12

A

Basic Healthcare Terminology

-Definitions
-Abbreviations
-Prefixes
-Suffixes
-Acronyms

FLASH CARDS AND QUIZ

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13
Q

NHA - 1A1

A

Medical and Nursing Care Practices

-Pressure ulcers
-Accident hazards
-Bowel and bladder programs
-Physician visits (i.e. frequency, timing, delegation, etc.)
-Pain Management
-Activities of Daily Living Care

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14
Q

NHA - 1A2

A

Medication Management and Administration

-Drug regimen review
-Unnecessary medication
-Psychotropic medications
-Medication errors
-Labeling and storage of biologicals
-Adverse drug reactions
-Resident Self-Administration

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15
Q

NHA - 1A4

A

Nutrition and Hydration (e.g., specialized diets)

-Menus
-Nutritive value
-Therapeutic diets
-Feeding assistants
-Tube feeding
-Food procurement
-Sanitation
-Parenteral/IV fluids

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16
Q

NHA - 1A6

A

Rehabilitation and Restorative Programs

-Provide and obtain specialize rehab services
-Understanding functional baseline and therapeutic improvement
-Optimize range of motion (ROM) and mobility
-Prosthetics
-Specialized medical equipment

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17
Q

NHA - 1A7

A

Care Recipient Assessment and Interdisciplinary Care Planning

-Baseline care plan
-Comprehensive care plan
-Care plan timing
-Significant change
-Resident Assessment Instrument (RAI) Process
-Minimum Data Set (MDS)
-Care Area Assessments (CAA)

Minimum data set seems to be the data they need for each patient in a nursing home. There is a form on the cms website.

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18
Q

NHA - 1A8

A

Clinical and Medical Records and Documentation Requirements (e.g., storage, retention, destruction)

-Required record retention
-Record release
-Required record contents
-Record maintenance

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19
Q

NHA - 1A9

A

Medical Director

-Responsibilities of Medical Director
-Requirements for Medical Director contract

Nursing homes require a medical director position by law. Some responsibilities of a medical director may include:

-Identify and evaluate health related issues related to an individual’s quality of care
-Identify and evaluate health related issues related to an individual’s quality of life
-Observe and provide strategic vision for quality assurance and process improvement (QAPI)
-Serve as the direct supervisor of all medical professionals who provide direct patient care.

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20
Q

NHA - 1A10

A

Emergency Medical Services (e.g., CPR, first aid, Heimlich maneuver, AED)

-Emergency services availability
-Do not Resuscitate (DNR)

DNR is a legal document stating you don’t want life-saving measures to be used on you if something happens.

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21
Q

NHA - 1A11

A

Transition of Care (e.g., admission, move-in, transfer, discharge, and move-out)

-Admission requirements
-Transfer and Discharge requirements
-Involuntary discharge
-Advanced Beneficiary Notice
-Readmission requirements
-Notice requirements
-Bed hold

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22
Q

Core - 1B1

A

Psychosocial Needs (e.g., social, spiritual, community, cultural)

Can they talk to people or be alone if desired?
Can they worship?
Do they feel a part of the community, facility or outside family?
Do they have access to traditions, foods, customs that is part of their culture/that they are used to?

HAS ACTIVITY

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23
Q

Core - 1B2

A

Person-Centered Care and Comprehensive Care Planning

-Education and support of staff
-Routine monitoring to ensure the care is being delivered, the goals of the plan are being met, and the plan is updated if status or goals change
-Education and support of families so they can participate in the plan
-Ensuring the care recipient or their responsible party is informed of their care, condition, and treatment as much as practical

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24
Q

Core - 1B3

A

Care Recipient Bill of Rights and Responsibilities

-Dignity
-Self-Determination
-Information
-Grievance processes
-Access (e.g., to outside, family, medical records)
-Financial affairs
-Privacy
-Discharge/transfer

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25
Q

Core - 1B4

A

Care Recipient Safety (e.g., fall prevention, elopement prevention, adverse events)

-Ensuring a culture of safety, in part through appropriate staff training
-Implementation of falls prevention programs
-Policies, procedures, and/or programming to prevent elopement
-Investigating and properly reporting resident incidents, accidents, or other adverse events

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26
Q

Core - 1B5

A

Care Recipient (and Representative) Grievance, Conflict, and Dispute Resolution

-Have a plan of action for handling complaints from loved ones or patients:
-Encourage feedback from patients or patient family
-Document all complaints and details
-Designate a staff member to be contact between facility and family. Also provide resolution timeline.
-Perform an investigation involving both staff and involved persons
-Formulate a solution and communicate the solution to the family or patient.
-Follow up later (through staff liaison – messenger) to ensure they are satisfied

HANDLING COMPLAINTS ACTIVITY

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27
Q

Core - 1B6

A

Care Recipient Advocacy (e.g., Ombudsman, resident, and family council)

-Care recipients advocating for themselves or for peers
-Family Members
-Resident or Family Council recommendations
-Ombudsmen

MORE INFO AND QUIZ

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28
Q

Core - 1B7

A

Care Recipient Decision-Making (e.g., capacity, power of attorney, guardianship, conservatorship, code status, advance directives, ethical decision-making)

-Capacity
-Power of attorney
-Guardianship
-Conservatorship
-Code status
-Advance directives
-Ethical decision-making

QUIZ

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29
Q

Core - 1B8

A

Care Recipient (and Representative) Satisfaction

-Being visible
-Onsite visits with care recipients and family
-Establishment of a meaningful and functional resident and/or family council
-Satisfaction surveys
-Daily interactions with staff in the form of a stand-up meeting

MORE INFO ABOUT STANDUP, MORNING ROUNDS, AND SATISFACTION SURVEYS

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30
Q

Core - 1B9

A

Recognition of Maltreatment (e.g., abuse, neglect, exploitation)

-Screening before hiring and then training all staff on how to identify signs of maltreatment and the process for reporting.
-Prevention - from documenting care recipient vulnerabilities in their care plans to policies that protect them from any predatory offenders.
-Promptly and thoroughly investigating any reported incidents of maltreatment.
-Reporting any allegations of abuse or maltreatment in accordance with state and federal law.

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31
Q

Core - 1B10

A

Mental and Behavioral Health (e.g., cognitive impairment, depression, social support systems)

-Cognitive impairment (e.g., Alzheimer’s disease, Parkinson’s, Huntington’s, other forms of dementia, and memory loss)
-Depression
-Anxiety
-Suicide
-Loneliness and isolation
-Severe and persistent mental health disorders (e.g., schizophrenia, bipolar, personality disorders

HAS NUMEROUS LINKS TO RESOURCES ABOUT THESE MENTAL HEALTH ISSUES

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32
Q

Core - 1B11

A

Trauma-Informed Care (e.g., PTSD)

-Creating a safe environment
-Hiring and training trauma-informed employees
-Screening care recipients for trauma and involving them in the development of their care plans
-Preventing secondary traumatic stress in employees
-Engaging in appropriate referral sources

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33
Q

Core - 1B12

A

Pain Management

-Understanding the negative impacts pain can have on health and well-being
-Ensuring the use of adequate pain assessments and management practices to minimize pain and maximize relief

OUTLINES PAIN ASSESSMENT TOOLS (dementia pain assessment tool is different)

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34
Q

Core - 1B13

A

Death, Dying, and Grief

-Providing staff training in the provision of end-of-life care practices
-Providing increased support for care recipients and their families during and following a care recipient’s dying experience
-Developing and providing programs to support residents and staff as they grieve the loss of care recipients who have died

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35
Q

Core - 1B14

A

Restraint Usage and Reduction

-Emphasizing resident quality of life and well-being and adopting a person-centered care philosophy
-Robust care recipient assessment processes to employ alternatives to restraints while mitigating risks
-Maintain and regularly review all restrain usage for appropriateness
-Ensure staff are well-trained on methods of restraint reduction and alternatives

Don’t restrain patients. Help them walk, give social activities that will prevent agitation from isolation. Educate on the risks of falling.

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36
Q

Core - 1B15

A

Foodservice (e.g., choice and menu planning, dietary management, food storage and handling, dining services)

-Offering choices of quality, nutritious meals and snacks
-Ensuring systems are in place to manage care recipient’s physician orders, dietary restrictions, and care recipient preferences
-Following proper food storage and infection control protocols
-Providing a pleasant ambiance and overall dining experience
-Monitoring food quality and satisfaction to prevent unnecessary weight loss

PICTURE ACTIVITY

Extensively have patients rate the food to improve their satisfaction.

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37
Q

Core - 1B16

A

Social Services Programs

-Meeting care recipient’s psychosocial needs
-Interdisciplinary care planning that meets the care recipient’s needs and preferences
-Care recipient’s rights
-Advance directives
-Facilitating relationship dynamics
-Available support resources

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38
Q

Core - 1B17

A

Therapeutic Recreation and Activity Programs

-Addressing care recipients’ psychosocial needs
-Offerings for groups and individuals
-Inclusion of both formal and unstructured activities
-Options to address care recipients’ leisure needs and hobby preferences
-Varied programming to meet the functional levels of care recipients
-Inclusion of individual assessments of care recipient preferences and documentation of such within their care plans

VIDEO

Provide intergenerational activities. It benefits all.

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39
Q

Core - 1B18

A

Community Resources, Programs, and Agencies (e.g., meals on wheels, housing vouchers, Area Agencies on Aging, Veterans Affairs)

-Meals on Wheels or other meal service programs
-Housing vouchers
-Transportation services
-Area Agencies on Aging or other local aging resources
-Ombudsman
-Case management
-Legal aid services
-Veterans Affairs
-Community support groups

ACTIVITY

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40
Q

NHA - 1B1

A

Psychosocial Needs (e.g., social, spiritual, community, cultural)

-Resident psychosocial needs in areas including social, spiritual, community, and cultural domains
-Quality of life
-Activities that meet the needs and interests of residents

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41
Q

NHA - 1B2

A

Person-Centered Care and Comprehensive Care Planning

-Ability to make treatment decisions
-Participation in care planning
-Right to have personal property
-Accommodation of needs and preferences
-Roommate choice
-Self-determination

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42
Q

NHA - 1B3

A

Care Recipient Bill of Rights and Responsibilities

-Resident Rights
-Dignity
-Self-Determination
-Access
-Visitors
-Advocacy
-Records
-Privacy
-Confidentiality of records
-Communication
-Informed Consent
-Visitation

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43
Q

NHA - 1B4

A

Care Recipient Safety (e.g., fall prevention, elopement prevention, adverse events)

-Examining and addressing residents at risk for falls such as:
-Medication side effects
-Dehydration
-Environmental hazards
-Identification of and intervention for resident elopement risk

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44
Q

NHA - 1B5

A

Care Recipient (and Representative) Grievance, Conflict, and Dispute Resolution

-Conflict resolution
-Timely resolution
-Establishing a grievance policy
-Identifying a grievance official
-Written grievance decisions
-Taking appropriate corrective action
-Grievance retention

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45
Q

NHA - 1B6

A

Care Recipient Advocacy (e.g., Ombudsman, resident, and family council)

-Ombudsman rights
-Visitation or right to resident access
-Ombudsman notice requirements
-Right to establish family council
-Resident council requirements

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46
Q

NHA - 1B7

A

Care Recipient Decision-Making (e.g., capacity, power of attorney, guardianship, conservatorship, code status, advance directives, ethical decision-making)

-Informed Consent
-Competency level/determination
-Legal rights and responsibilities
-Power of Attorney
-Guardianship
-Legal Guardian
-Health care proxy
-Advance directive requirements

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47
Q

NHA - 1B9

A

Recognition of Maltreatment (e.g., abuse, neglect, exploitation)

-Residents’ right to be free from:
-Abuse and neglect
-Involuntary seclusion
-Misappropriation/Exploitation
-Physical and Chemical Restraints
-Develop and implement abuse/neglect policies and procedure
-Reporting requirements
-Reasonable suspicion of a crime
-Alleged violations
-Investigate, prevent, and correct alleged violations

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48
Q

NHA - 1B10

A

Mental and Behavioral Health (e.g., cognitive impairment, depression, social support systems)

-Behavioral health issues
-Availability of behavioral health services
-Training and hiring competent staff
-Treatment and services for mental health concerns
-Behavior management
-Availability of medically related services

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49
Q

NHA - 1B11

A

Trauma-Informed Care (e.g., PTSD)

-Resident preferences
-Resident prior experience
-Elimination or mitigation of resident triggers

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50
Q

NHA - 1B12

A

Pain Management

-Recognition and management of pain
-Strategies for pain management
-Pharmacological and non-pharmacological interventions
-Care plan assessment and monitoring

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51
Q

NHA - 1B13

A

Death, Dying, and Grief

-Reporting a resident’s death
-Coordination of appropriate palliative care and/or hospice care services

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52
Q

NHA - 1B14

A

Restraint Usage and Reduction

-Reduction and elimination of medications that may sedate or subdue the resident
-Rationale for medications
-Gradual dose reduction
-Requirements for use
-Reduction and elimination of physical restraints
-Rationale for usage
-Least restrictive alternative
-Evaluation of appropriateness
-Monitoring frequency of use

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53
Q

NHA - 1B15

A

Foodservice (e.g., choice and menu planning, dietary management, food storage and handling, dining services)

-Meeting the resident’s needs regarding dietary choices (including care recipient education and consent)
-Menu preparation
-Food appearance and temperature
-Mealtimes and frequency
-Specialized diets
-Personal food policy
-Sanitation practices within food prep areas

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54
Q

NHA - 1B16

A

Social Services Programs

-Qualifications of a social worker
-Regulatory requirements for the social worker position

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55
Q

NHA - 1B17

A

Therapeutic Recreation and Activity Programs

-Ensuring activities are structured to meet the individual needs of the residents.
-Qualifications for activity professionals

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56
Q

Core - 1C1

A

Hospice and Palliative Care

-Policies and procedures for the provision of hospice and palliative care
-Providing or coordinating hospice and/or palliative care
-Understanding hospice and palliative care
-Differentiate between hospice and palliative care

ACTIVITY

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57
Q

Core - 1C2

A

Specialized Medical Equipment (e.g., oxygen, durable medical equipment)

-Policies and procedures for the provision of specialty equipment
-Providing or coordinating with third-party service providers
-Durable medical equipment (e.g., canes, walkers, splints, wheelchairs)
-Oxygen concentrator
-Specialty beds

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58
Q

Core - 1C3

A

Transportation for Care Recipients

-Policies and procedures for the provision of transportation
-Providing or coordinating with third-party transportation providers
-Identification of emergency transportation resources
-Securing the appropriate transportation to meet the needs of the care recipient

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59
Q

Core - 1C4

A

Telemedicine (e.g., e-health)

-Policies and procedures for the provision of telemedicine
-Contracting with telemedicine providers
-Coordinating telemedicine visits for care recipients
-Securement of necessary equipment and technology
-Ensuring privacy of care recipient during telehealth visit
-Documentation of telemedicine visits

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60
Q

Core - 1C5

A

Diagnostic Services (e.g., radiology, lab services)

-Policies and procedures for the provision of diagnostic services
-Providing or coordinating with third-party diagnostic services
-Contracting with diagnostic services providers
-Coordinating diagnostic services for care recipients

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61
Q

Core - 1C6

A

Dental and Oral Care Services

-Policies and procedures for the provision of dental and oral care
-Contracting with providers of dental and oral care
-Coordinating dental and oral care for the care recipient

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62
Q

Core - 1C7

A

Healthcare Partners and Clinical Providers (e.g., MD/DO, Nurse Practitioner, Psychiatrist, Podiatrist, Dentist)

-Policies and procedures for the provision of physician and ancillary provider services
-Providing or coordinating with third-party clinical provider services
-Contracting with providers of medical care
-Coordinating medical care for the care recipient

ACTIVITY

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63
Q

Core - 1C8

A

Volunteer Programs

-Policies and procedures for volunteer programs
-Volunteer programs related to wellness, activities, and recreation
-Maintaining compliance with volunteers
-Mitigating the risks associated with volunteers

VOLUNTEER TRAINING MATERIALS

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64
Q

NHA - 1C1

A

Hospice and Palliative Care

-Arrangement of services
-Agreements with hospice providers
-Hospice responsibilities (e.g., communication, plan of care, etc.)
-Notification of change of condition

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65
Q

NHA - 1C3

A

Transportation for Care Recipients

-Arrangement of services (emergency and non-emergency)
-Agreements with transportation providers
-Transportation Responsibilities

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66
Q

NHA - 1C5

A

Diagnostic Services (e.g., radiology, lab services)

-Arrangement of services
-Agreements with third-party providers
-Notification and documentation of services provided and test results

67
Q

NHA - 1C6

A

Dental and Oral Care Services

-Arrangement of timely routine and emergency services
-Agreements with third-party providers
-Documentation of services provided

68
Q

NHA - 1C7

A

Healthcare Partners and Clinical Providers (e.g., MD/DO, Nurse Practitioner, Psychiatrist, Podiatrist, Dentist)

-Arrangement of services
-Agreements with third-party providers
-Appropriately qualified health care professionals
-Documentation of services provided

CROSSWORD OF DEFINITIONS

69
Q

NHA - 1C8

A

Volunteer Programs

-Coordination and oversight for volunteers and their programming
-Adequately screen, orient, and train all volunteers

70
Q

Core - 2A1

A

Budget and Forecasting

-Develop, implement, and evaluate necessary budgets (e.g., operating, capital, and cash budgets).
-Anticipate and estimate projected revenues and expenses, both short-term and long-term.
-Identify fixed vs. variable expenses for budgeting and projections.
-Managing revenues and expenses (e.g., census, occupancy, cost control, etc.).
-Monitor the budget on a regular basis to track financial status.
-Review financial data in relationship to the budget.
-Develop and implement a system to periodically monitor and adjust your financial performance.

ACTIVITIES

71
Q

Core - 2A2

A

Financial Analysis (e.g., ratios, profitability, debt, revenue mix, depreciation, operating margin, cash flow)

-Utilization of per patient day (PPD) and per unit data
-Familiarity with commonly used financial ratios (e.g., current ratio, equity ratio, quick ratio, current ratio, debt service coverage, days in accounts receivable, cash on hand)
-Profitability and operating margin calculations and benchmarks
-Depreciation
-Revenue mix
-Breakeven point
-Budget variance analysis

ACTIVITY

72
Q

Core - 2A3

A

Revenue Cycle Management (e.g., billing, accounts receivable, accounts payable, collections)

-Procedure for timely and accurate billing
-System for receiving and tracking payments
-Process for accounts receivable collections
-Manage and monitor payroll

ACTIVITY

73
Q

Core - 2A4

A

Financial Statements (e.g., income/revenue statement, balance sheet, statement of cash flows, cost reporting)

-Generally Accepted Accounting Principles (GAAP)
-Accounting Equation (e.g., assets, liabilities, equity/net worth)
-Return on Investment (ROI)
-Trial Balance
-Balance Sheet
-Income Statement/Profit & Loss (P&L)
-Cash Flow Statement
-Cost reporting

ACTIVITY

74
Q

Core - 2A5

A

Revenue and Reimbursement (e.g., PDPM, PDGM, ACOs, HMOs, Medicaid, private payors)

-Medicare (Parts A, B, C, D)
-Medicaid
-Veterans Administration
-Private Insurance
-Long Term Care Insurance
-Private Pay
-Payment Models (e.g., indemnity, HMOs, Accountable Care Organizations (ACOs), managed care organizations)

CROSSWORD

75
Q

Core - 2A6

A

Financial Reporting Requirements (e.g., requirements for not-for-profit, for-profit, and governmental providers)

-Proper reporting in the areas of:
-Payroll
-Accounts Receivable
-Billing
-Accurate record keeping, etc.
-Tax filing and reporting, including:
-Cost reports
-Employee tax credit reporting
-Sales tax reporting
-Contractor reporting (e.g., 1099s)
-Non-profit reporting (e.g., 990s)

76
Q

Core - 2A7

A

Integration of Clinical and Financial Systems (e.g., EMR/EHR, MDS)

-Clinical services that drive reimbursement
-Electronic medical records (EMR)

EMR and EHR are different. The Electronic Medical Records are the legal records that are a source of data for the EHR. Electronic Health Records represents the ability to share a patient’s health info across different facilities and to have that info follow them based on their name and other basic info.

77
Q

Core - 2A8

A

Internal Financial Management Controls (e.g., segregation of duties, access)

-Segregation of financial duties
-Accounting checks and balances to identify and prevent fraud and abuse
-Auditing of internal financial controls
-Access controls to bank accounts and financial information

ACTIVITY

78
Q

Core - 2A9

A

Supply-Chain Management (e.g., inventory control)

-Inventory control
-Contractual agreements
-Responsibilities of vendors/contractors
-Negotiation of pricing

79
Q

Core - 2A10

A

Resident Trust Accounts for Personal Funds

-Tracking of care recipient deposits and expenses
-Policies for administration of trust funds
-Designation of responsible parties
-Procedure for auditing of the trust fund account

80
Q

NHA - 2A5

A

Revenue and Reimbursement (e.g., PDPM, PDGM, ACOs, HMOs, Medicaid, private payors)

-Medicare (Parts A, B, C, D; Medicare Advantage Plans)
-Medicaid
-Veterans Administration
-Knowledge and understanding of the PDPM reimbursement system
-Optimization of applicable payment sources
-Consolidated billing
-Value-based purchasing
-Understanding the difference between:
-fee-for-service
-prospective payment systems
-other payment methodologies (e.g., cost-based vs price-based, case mix index)

81
Q

NHA - 2A6

A

Financial Reporting Requirements (e.g., requirements for not-for-profit, for-profit, and governmental providers)

-Government and third-party cost-reporting

82
Q

NHA - 2A7

A

Integration of Clinical and Financial Systems (e.g., EMR/EHR, MDS)

-Accuracy and integration of MDS in payment systems

83
Q

NHA - 2A10

A

Resident Trust Accounts for Personal Funds

-Surety Bonds
-Policies and procedures in alignment with regulatory requirements for administration of resident trust funds

QUIZ

84
Q

Core - 2B1

A

OSHA Rules and Regulations

-Requirements to protect the health and safety of all individuals in the workplace
-Requirements to protect the health and safety of the care recipients
-Education of staff to understand the requirements for OSHA compliance

QUIZ

85
Q

Core - 2B2

A

Worker’s Compensation

-Workers’ Compensation insurance
-Reporting of incidents
-Claims and payments
-Risk management program

ACTIVITY

86
Q

Core - 2B3

A

Ethical Conduct and Standards of Practice

-Policies and procedures to prevent and detect criminal, civil and administrative violations
-Written compliance standards for conduct
-Method for reporting incidents
-Disciplinary standards for violations
Staff education on ethics

ACTIVITY

87
Q

Core - 2B4

A

Compliance Programs

-Policies and procedures for compliance
-Process for monitoring compliance
-Knowledge of action for non-compliance

ACTIVITY

88
Q

Core - 2B5

A

Risk Management Process and Programs

-Programs to minimize or eliminate risk exposure
-Policies and procedures to ensure a safe workplace
-Identification of key areas of risk
-Education of all staff on safety training and risk management
-Protocols for incident reporting
-Establishment of a Safety Committee

VIDEO

89
Q

Core - 2B6

A

Quality Improvement Processes (e.g., root cause analysis, PDCA/PDSA)

-Utilization of effective improvement processes to ensure quality of care.
-Monitoring to assess the impact on the quality of life and care for care recipients.
-Involvement of the relevant stakeholders in any quality improvement processes.

TOOLS AND ACTIVITY

90
Q

Core - 2B7

A

Scope of Practice and Legal Liability

-Identify areas of potential liability.
-Develop policies and procedure to identify, prevent, or respond to any incidents.
-Communicate all stakeholders how to proactively reduce areas of risk.
-Develop a risk management program to mitigate any legal expose.
-Utilize corporate compliance to evaluate practices.

ACTIVITY

91
Q

Core - 2B8

A

Internal Investigation Protocols and Techniques (e.g., incidents, adverse events)

-Documentation processes for any action or event that occurs.
-Action plan to determine when legal representation is needed.
-Communication to all parties who might be involved.

92
Q

Core - 2B9

A

Mandatory Reporting Requirements (e.g., incidents, adverse events, abuse, neglect, financial exploitation, fraud)

-Sexual Abuse
-Harassment
-Discrimination
-Theft
-Physical, mental, or verbal abuse

93
Q

Core - 2B10

A

Insurance Coverage (e.g., liability, property)

-General Liability
-Fidelity Bond
-Property Insurance
-Professional Liability
-Surety Bond
-Director and Officers Insurance

ACTIVITY

94
Q

Core - 2B11

A

Healthcare Record Requirements (e.g., confidentiality, disclosure, safeguarding, HIPAA, HITECH)

-Retention and backup of records
-Secured transmission of records
-Policies and procedures to safeguard protected health information
-Regulatory requirements for the collection and sharing of resident information

ACTIVITY AND QUIZ

95
Q

Core - 2B12

A

Security (e.g., cameras, monitoring systems, locks, staff location reporting)

-Security Cameras
-Door locking systems
-Secured units
-Alarm system

96
Q

Core - 2B13

A

Contracted Services (e.g., roles, responsibilities, oversight, background checks)

-Contracts for any third-party services
-Process for approval of contracted services
-Monitoring and evaluation of contracts
-Oversight of contracted parties
-Process for handling any breach of contract

97
Q

NHA - 2B1

A

OSHA Rules and Regulations

-Work-related accidents, injuries, or death of employees
-Accidents, injuries, or death to a resident

ACTIVITY

98
Q

NHA - 2B4

A

Compliance Programs

-Staff education
-Development of a Safety Committee
-Documentation of occurrences
-Reporting of accidents, illnesses, and death

MORE INFO

99
Q

NHA - 2B7

A

Scope of Practice and Legal Liability

-Cleaning materials
-Biohazards
-Contaminated waste
-Hot water
-Unattended medication carts

ACTIVITY AND QUIZ

100
Q

NHA - 2B8

A

Internal Investigation Protocols and Techniques (e.g., incidents, adverse events)

-Questioning of staff regarding the incident/adverse event
-Review of any documentation of the event
-Review of any security videos that might be available.
-Law enforcement notification when warranted or required

VIDEO (some of these aren’t entirely accurate lmao if there’s something here, there’s something extra than the bullet points to know.)

101
Q

NHA - 2B9

A

Mandatory Reporting Requirements (e.g., incidents, adverse events, abuse, neglect, financial exploitation, fraud)

-Notification of state licensure agency
-Notification of law enforcement
-Documentation of occurrence
-Notification of resident’s representative

102
Q

NHA - 2B11

A

Healthcare Record Requirements (e.g., confidentiality, disclosure, safeguarding, HIPAA, HITECH)

-Secured transmission network
-Policies for recordkeeping
-Agreements for sharing of personal healthcare information with other parties

MORE INFO

103
Q

NHA - 2B12

A

Security (e.g., cameras, monitoring systems, locks, staff location reporting)

-Electronic door locks
-Security cameras in communal areas
-Resident space security cameras if allowed
-Staff call system

ACTIVITY

104
Q

NHA - 2B13

A

Contracted Services (e.g., roles, responsibilities, oversight, background checks)

-Background checks
-Drug screening
-Therapists
-Mental health counselors
-Consultant Dieticians
-Consultant Pharmacists
-Medical Director

105
Q

Core - 2C1

A

Federal Human Resources Laws, Rules, and Regulations (e.g., ADA, FMLA, Wage and Hour, FLSA)

-Human resource laws, rules, and regulations such as:
-American with Disabilities Act (ADA)
-Disabilities Covered
-Accommodations
-Benefits
-Family Medical Leave Act (FMLA)
-Qualifications
-Length of unpaid leave
-Department of Labor
-Wage and Hour
-Fair Labor Standards Act (FLSA)
-Unemployment Compensation
-Workers’ Compensation
-Consolidated Omnibus Budget Reconciliation Act (COBRA)

QUIZ

106
Q

Core - 2C2

A

Selection and Hiring Practices (e.g., EEOC, interviewing, adverse impact, protected classes, occupational qualifications)

-Budgeting necessary employee FTEs in all departments based on care needs and financial constraints.
-Hiring employees with appropriate credentials to fill budgeted vacancies through various recruitment and employment strategies such as examples below:
-Job qualifications
-Job postings
-Advertisements
-Agency staffing
-Ensuring that interview, application, and hiring practices are in accordance with FLSA and Equal Employment standards
-Interviewing techniques
-Job application – acceptable and unacceptable questions
-Completion of pre-employment qualifications such as:
-Criminal background checks
-Physical examinations
-Drug Testing
-Adhering to applicable laws related to selection and hiring procedures, examples being:
-Equal Employment Opportunity Commission (EEOC)
-Protected classes

ACTIVITY

107
Q

Core - 2C3

A

Compensation and Benefits Programs (e.g., time off, healthcare insurance, employee pay and payroll)

-Establishment of, and compliance with, policies and procedures
-Development of compensation and benefit packages within budget and competitive allowances, including but not limited to:
-Time off – personal leave, sick leave, holidays, etc.
-Vacation
-Healthcare insurance
-Uniform allowances
-Wellness programs
-Other Benefits (e.g., flexible spending accounts (FSA), retirement accounts)
-Compensation
-Pay scales
-Minimum wage
-Merit system
-Shift differentials
-Overtime (40-hour week vs. 8/80)

MORE INFO

108
Q

Core - 2C4

A

Organizational Staffing Requirements and Reporting (e.g., PBJ)

-Staffing requirements (as applicable) to meet the needs of care recipients
-Reporting requirements

109
Q

Core - 2C5

A

Staff Certification and Licensure Requirements

-Professional staff licensing and credentialing
-Administrator
-Nurses, i.e., RNs, LPNs, LVNs
-Social Workers
-Physicians
-Therapists, i.e., physical, occupational, speech, respiratory
-Dieticians
-Staff certifications and/or qualifications
-Activity professionals
-Nurse aides/personal care attendants
-Dietary managers

110
Q

Core - 2C6

A

Professional Development (e.g., maintenance of credentials, continuing education)

-Internal and external opportunities for employees to develop themselves professionally
-Continuing education programs to maintain and expand competencies

MORE INFO

111
Q

Core - 2C7

A

Employee Training and Orientation

-Federal training and competency regulations
-Policies and procedures to guide new employee orientation and ongoing training
-Effective onboarding processes

ACTIVITY

112
Q

Core - 2C8

A

Performance Evaluation

-Development of policies and procedures for conducting periodic formal evaluations of employee performance
-Policies and procedures outlining the processes that will occur should a staff member’s performance not adhere to expected practices.
-Training for managers in skills necessary for carrying out performance evaluation systems, such as:
-Tools/approaches for conducting performance evaluations
-Methods of delivering timely and effective feedback
-Coaching strategies
-Informal evaluation loops to communicate areas of poor performance
-Identifying, communicating, and further developing employees who meet or exceed standards

QUIZ

113
Q

Core - 2C9

A

Human Resource Policies (e.g., drug-free workplace, discipline, job classification, photography and video, social media usage, mobile phone usage)

-Clear employee communications regarding roles and responsibilities
-Written job description and expectations of each role
-Workplace rules
-Appropriate and sufficient continuing education
-Standards to objectively measure employee performance (routinely and when employee performance or behavior does not meet standards)
-Fair and accurate communication methods with employees when performance does not meet expectations. This may include:
-Making employees aware of an allegation that their performance or behavior does not meet expectations
-Allowing the employee to explain their performance or behavior - give their side of the story, so to speak
-Offering the employee opportunity to present witnesses or evidence that will support their view and provide a written statement
-Considerations for inclusion of policies such as:
-Drug-free workplace
-Use of cameras (photography)
-Use of video equipment or video taping
-Social media usage, i.e., appropriate use of posting photos or videos, sharing of care recipient information, etc.
-Mobile phone usage while on the job

ACTIVITY

114
Q

Core - 2C10

A

Employee Record-Keeping Requirements

-Which agencies or statues require employee record-keeping
-What type of records must be maintained
-For how long various records must be maintained
-An understanding of what information must be included in a personnel file and what may need to be stored separately
-Applicable confidentiality requirements relative to certain employee information

ACTIVITY

115
Q

Core - 2C11

A

Employee Grievance, Conflict, and Dispute Resolution

-Establishing clearly outlined steps (and due process) for reporting and resolving conflicts or grievances
-Understanding various approaches to handling grievances (e.g., utilization of a hierarchy process, employee review hearing, acceptance of anonymous complaints)
-Conflict resolution strategies
-De-escalation techniques
-Clear feedback loops within the process of resolution

116
Q

Core - 2C12

A

Employee Satisfaction, Engagement, and Retention

-Employee Satisfaction Surveys
-Types
-Collection of data
-Interpretation of data
-Implementation of results to improve employee satisfaction
-Employee engagement and empowerment
-Mentoring programs
-Employee Retention Methods
-Exit Interviews
-Methods for reducing absenteeism
-Turnover
-Rate calculation
-Cost of turnover – direct and indirect

QUIZ AND ACTIVITY

117
Q

Core - 2C13

A

Cultural Competence and Diversity Awareness

-Creation of training programs related to diversity and cultural competency
-Establishing a culture of inclusivity that encourages employees to embrace employee and care recipients’ rights
-Reporting procedures for employees to report any violations of resident and employee rights by state or federal law.

QUIZ AND ACTIVITY

118
Q

Core - 2C14

A

Labor Relations (e.g., union, collective bargaining [CBA], contract/pool staff)

-Union maintenance agreements
-Collective Bargaining
-Contracted staff
-National Labor Relations Act (NLRA)
-Negotiation
-Arbitration
-Mediation

CROSSWORD

119
Q

NHA - 2C4

A

Organizational Staffing Requirements and Reporting (e.g., PBJ)

-Sufficient staffing
-Nursing
-Dietary
-Reporting requirements
-Vaccine (as required)
-Payroll based Journal (PBJ)
-Staff posting requirements

ACTIVITY

120
Q

NHA - 2C5

A

Staff Certification and Licensure Requirements

-Staff Licensing requirements
-Administrator
-Social Worker
-Staff certifications
-Certified Nursing Assistants
-Feeding Assistants
-Activity professionals

121
Q

NHA - 2C6

A

Professional Development (e.g., maintenance of credentials, continuing education)

-Nurse aide required continuing education
-Staff competencies
-Licensed nurses
-Nurse aides
-Behavioral services
-Dietary staff

122
Q

NHA - 2C7

A

Employee Training and Orientation

-Staff orientation requirements
-Mandatory In-services, i.e., abuse, advance directives, fire safety, infection control, resident rights, etc.
-Nurse Aide Requirements
-Required training and testing
-Time frames for certification completion
-Nurse Aide Registry
-Recertification

123
Q

NHA - 2C8

A

Performance Evaluation

-Nurse aide performance evaluation requirements
-Staff evaluation of performance to meet the requirements of the position

124
Q

NHA - 2C10

A

Employee Record-Keeping Requirements

-Confidentiality of employee information, i.e., protected health information (PHI), release of photos, etc

ACTIVITY

125
Q

NHA - 2C13

A

Cultural Competence and Diversity Awareness

-Ensuring team members are aware of cultural preferences and respect both employee and residents rights
-Recognize and develop training specific to cultural competencies including:
-Knowledge
-Religious beliefs
-Dietary preferences

ACTIVITY

126
Q

Core - 3A1

A

Federal Codes and Regulations for Building, Equipment, Maintenance, and Grounds

-National Fire Protection Association (NFPA)
-Life Safety Code (LSC)
-American National Standards Institute (ANSI)
-Safe Medical Devices Act
-International Building Code
-Centers for Medicare and Medicaid Services (CMS)
-Food and Drug Administration (FDA)
-Environmental Protection Agency (EPA)
-Americans with Disabilities Act Accessibility Guidelines (ADAAG)
-Occupational Health and Safety Administration (OSHA)

QUIZ

127
Q

Core - 3A2

A

Person-Centered Environment (e.g., home-like environment)

-Lighting
-Temperature
-Sound
-Room Design
-Space Personalization

128
Q

Core - 3A3

A

Safety and Accessibility (e.g., ADA, safety data sheets)

-Safety Data Sheets
-Americans with Disabilities Act (ADA)
-Water Temperatures
-Ventilation
-Fire Systems/Sprinklers
-Secure Doors/Locking Systems
-Proper use of Chemicals and Products
-Nurse Call Systems
-Bed Rails

ACTIVITY

129
Q

Core - 3A4

A

Facility Management and Environmental Services

-Linens Supply
-Groundskeeping
-Supply Management (e.g., paper towels, toilet paper, etc.)
-Cleaning Schedule
-Cleaning Process (e.g., floor surfaces, walls etc.)

130
Q

Core - 3A5

A

Information Systems Infrastructure (e.g., configurations, data security, technical controls)

-Backup Systems
-External Data Storage Areas
-Preventative Maintenance for Computer Hardware
-Cybersecurity and Monitoring
-Software Updates/Upgrades

MORE INFO

131
Q

Core - 3A6

A

Preventative and Routine Maintenance Programs (e.g., pest control, equipment, mechanical systems)

-Temperature Checks and Logs
-Lock Out Tag Out
-Pest Control
-Work Orders
-Maintenances Log
-Physical Appearance (e.g., painting, floor maintenance, grounds upkeep, etc.)
-System Upkeep (e.g., water, electrical, plumbing, etc.)
-Company Vehicles

PICTURE CLICK ACTIVITY

132
Q

Core - 3A7

A

Infection Control and Sanitation

-Linen Handling
-Handwashing
-Healthcare-acquired Infections
-Kitchen Sanitation
-Infection Prevention and Control
-Handling of Hazardous Materials
-Isolation Procedures

ACTIVITY

133
Q

Core - 3A8

A

Disaster and Emergency Planning, Preparedness, Response, and Recovery (e.g., Appendix Z)

-Disaster/Emergency Plan
-Fire Drills
-Emergency Generators
-Evacuation Routes
-Emergency Supplies
-Hazard Identification
-Emergency Equipment Testing and Maintenance
-Transfer, Transportation, and Relocation Agreements

ACTIVITY

134
Q

NHA - 3A1

A

Federal Codes and Regulations for Building, Equipment, Maintenance, and Grounds

-National Fire Protection Association (NFPA)/Life Safety Code (LSC) Chapters 18 and 19¨
-Centers for Medicare and Medicaid Services (CMS) State Operations Manual, Appendix PP
-Centers for Medicare and Medicaid Services (CMS) State Operations Manual, Appendix Z
-National Fire Protection Association (NFPA) 101, Life Safety Code¨
-National Fire Protection Association (NFPA) 99, Standards of Health Care Facilities¨

135
Q

NHA - 3A2

A

Person-Centered Environment (e.g., home-like environment)

-Adequate and Comfortable Lighting Levels
-Glare reduction
-Use of Daylight
-Extra lighting
-Night lighting
-Comfortable and Safe Temperature Levels
-Comfortable Sound Levels
-Overhead paging
-Chair and Bed alarms
-Physical Layout
-Safety considerations
-Personalization
-Closet space
-Use of personal belongings, (e.g., bedspreads, curtains, recliner, lamps, etc.)
-Maximizing independence
-Room Size

ACTIVITY

136
Q

NHA - 3A3

A

Safety and Accessibility (e.g., ADA, safety data sheets)

-Importance of Ventilation
-Outside ventilation
-Mechanical ventilation
-Resident Call Systems
-Bed Rails
-Appropriate use
-Entrapment Risk
-Installation and Maintenance

ACTIVITY

137
Q

NHA - 3A4

A

Facility Management and Environmental Services

providing a physical environment that:

-promotes resident independence without posing safety risks.
-protects residents’ property from loss or theft.
-provides housekeeping/maintenance tasks that maintain an orderly, sanitary internal environment.

-Linen Conditions
-Groundskeeping
-Maintain free of hazards
-Upkeep

138
Q

NHA - 3A6

A

Preventative and Routine Maintenance Programs (e.g., pest control, equipment, mechanical systems)

A good preventative maintenance plan is important as it usually provides a long term cost savings because it:

-avoids breakdowns that can be costly to fix when rushed.
-delays the need to replace equipment that may otherwise wear out earlier than expected.
-minimizes interruption in vital services provided to residents.

-Pest Control – Maintaining an effective pest control program

139
Q

NHA - 3A7

A

Infection Control and Sanitation (e.g., linens, kitchen, hand washing, healthcare-acquired infections, hazardous materials)

-Linen
-Handling
-Process (e.g., clean linen, dirty linen, etc.)
-Having an Infection Preventionist on staff including:
-Their role and qualifications for hiring
-Proper onboarding and ongoing training requirements
-Kitchen employee safe contact with food to avoid infections (e.g., proper handwashing, washing of food/utensils before cooking, and cleaning food prep. surfaces)

QUIZ

140
Q

NHA - 3A8

A

Disaster and Emergency Planning, Preparedness, Response, and Recovery (e.g., Appendix Z)

-Disaster/Emergency Planning
-Emergency Power Supply
-Emergency Equipment Testing and Maintenance
-Transfer Agreements with Hospitals for emergency situations
-Written
-Timing
-Use

141
Q

Core - 3B1

A

Federal Healthcare Laws, Rules, and Regulations

-Centers for Medicare and Medicaid Services (CMS)
-Centers for Disease Control and Prevention (CDC)

142
Q

Core - 3B2

A

Government Programs and Entities (e.g., Medicare, Medicaid, waivers)

-Knowledge and coverage of Government programs and entities such as:
-Medicare
-Medicaid
-Home and Community Based Waivers
-Policy & Memos to States and Regions | CMS – As new interpretations are issued through CMS, you can find these policy memos here pertaining to all lines of service.

ACTIVITY

143
Q

NHA - 3B1

A

Federal Healthcare Laws, Rules, and Regulations

-Nursing Homes | CMS
-Centers for Disease Control and Prevention (CDC)
-Omnibus Budget Reconciliation Act (OBRA) of 1987
-State Operations Manual for Nursing Homes - Appendix PP
-Policy & Memos to States and Regions | CMS - As new interpretations are issues through CMS, you can find these policy memos here pertaining to all lines of service.
-QSEP - Driving Healthcare Quality (cms.gov) – Training videos provided by CMS can be found here.

-Social Security Law of 1965
-Elder Justice Act

144
Q

NHA - 3B2

A

Government Programs and Entities (e.g., Medicare, Medicaid, waivers)

-Knowledge and coverage of Government programs and entities such as:
-Medicare
-Medicaid
-Waivers - Home and Community Based
-Other waivers
-Life Safety Code (LSC)
-Room Requirements
-Staffing

145
Q

NHA - 3B3

A

Certification and Licensure Requirements for the Organization

-Requirements for licensure to operate and receive government funds
-Closure of a facility - voluntary and involuntary
-Certifications and recertifications
-Swing Beds

QUIZ

146
Q

NHA - 3B4

A

Regulatory Survey and Inspection Process

-providing needed information to surveyors or inspectors,
-being able to access and share any documents the surveyors or inspectors request, and
-cooperating with the inspection in a non-defensive manner.

-Survey Procedures as prescribed by CMS in Appendices P and PP (e.g., protocols, frequency, interpretive guidelines, etc.)
-Types of surveys, i.e., unannounced, complaint, extended, partial extended, standard, etc.
-Statements of Deficiency (2567)
-Elements of an acceptable Plan of Correction

Survey terminology such as:

-Immediate Jeopardy (IJ)
-Substandard Quality of Care (SQC)
-Substantial Compliance (SQ)
-Scope and Severity (SS)
-Allegation of Compliance (AOC)

Enforcement Remedies such as:

-Civil Money Penalties (CMPs)
-Loss of Nurse Aide Training
-Denial of Payment for New Admissions
-Termination
-Directed Plan of Correction
-Temporary Manager
-Directed In-Service Training
-State Monitoring

Key Time Frames such as:

-Imposition of Civil Money Penalties (CMPs) Due dates for 2567
-Notice requirements
-Mandatory imposition dates, i.e., automatic termination, automatic denial of payment for new admissions

ACTIVITY

147
Q

NHA - 3B5

A

Procedures for Informal Dispute Resolution (IDR)

-Informal Dispute Resolution (IDR)
-Purpose
-Elements
-Independent Informal Dispute Resolution (IIDR)
-Purpose
-Elements
-Qualifications

148
Q

NHA - 3B6

A

Centers for Medicare and Medicaid Services (CMS) Quality Measures

-Purpose
-Types
-Short Term
-Long Term
-Five Star Rating System
-Care Compare

MORE INFO

149
Q

NHA - 3B7

A

Quality Assurance and Performance Improvement (QAPI)

-Quality Assurance and Assessment (QAA) Committee
-Purpose
-Members
-Records
-Quality Improvement
-Data Collection
-Monitoring
-Root cause analysis
-Responsibility
-Activities

VIDEO

150
Q

NHA - 3B8

A

Bed-Hold Requirements

-Policy
-Notice
-Readmission

151
Q

NHA - 3B9

A

Pre-Admission Screening and Resident Review (PASRR)

-Purpose
-Types
-Level I
-Level II
-Coordination
-Exceptions
-Referrals
-Timing of Completion
-Definitions
-Intellectual Disability (ID)
-Mental Disorder (MD)
-Persons with Related Conditions
-Rehabilitative Services for MD or ID
-Specialized Services for MD or ID

152
Q

NHA - 3B10

A

Facility Assessment

-Intent
-Elements
-Resident population
-Resources
-Community-based Risk Assessment
-Completion and update requirements

153
Q

Core - 4A1

A

Organizational Structures (e.g., departments, functions, systemic processes)

Establishment of a functional organizational structure is crucial as it:

-facilitates the grouping of people and activities
-assigns roles and responsibilities to requisite individuals and/or departments
-establishes proper lines of delegating and reporting among groups of people

-Policies, procedures, and skills related to compliance with applicable federal and state laws, rules, and regulations
-Effective communication strategies
-Quality improvement measures and processes
-Organizational structure and lines of reporting
-Roles and Responsibilities of various departments
-Coordination of departments to effectively deliver care
-Process and systemic improvement

ACTIVITY

154
Q

Core - 4A2

A

Organizational Change Management

-Policies, procedures, and skills related to assessing organizational needs
-Strategically develop effective methods to meet those needs
-Communicate the need for change to individuals affected
-Monitor process improvements to meet goals and objectives
-Recognition of the role of leadership in change management

ACTIVITY

155
Q

Core - 4A3

A

Organizational Behavior (e.g., organizational culture, team building, group dynamics)

-Policies, procedures, and skills related to assessing organizational culture
-Assessment of the organizational culture
-Defining and driving the desired organizational culture
-Team building and employee engagement
-Managing group dynamics

156
Q

Core - 4A4

A

Leadership Principles (e.g., communication, styles, mentoring, coaching, personal professional development)

-Modeling effective leadership skills
-Appropriate mentoring and coaching of managers and staff – ACHCA’s Mentoring program
-Leadership programs that develop managers, leaders, and all employees
-Effective written, oral, interpersonal, and electronic communication skills
-Development of personal leadership skills

ACTIVITY

157
Q

Core - 4A5

A

Governance (e.g., board of directors, governing bodies, corporate entities, advisory boards)

-Policies, procedures, and skills related to ensuring compliance with applicable federal and state laws, rules, and regulations.
-Identifying different types of governing structures depending on the organizational type (e.g., for-profit vs. non-profit; corporate vs. stand-alone)
-Rules and responsibilities of governing bodies
Managing board and stakeholder relationships

ACTIVITY

158
Q

Core - 4A6

A

Professional Advocacy and Governmental Relations

-Advocating for educational standards
-Advocating for standards of practice
-Advocating for changes in governmental oversight and regulations
-Advocating to government entities on behalf of the organization

159
Q

Core - 4B1

A

Mission, Vision, and Value Statements

-Varied approaches and skills for leading stakeholders in the development of the mission, vision, and values of the organization.
-Communicating and facilitating “buy-in” to the mission, vision, and values.
-Creating an atmosphere of confidence and execution of the mission, vision, and values.

ACTIVITY

160
Q

Core - 4B2

A

Strategic Business Planning (e.g., new lines of service, succession management, staffing pipeline)

-Methods and skills relevant to developing a strategic plan.
-Conducting effective business practices with the endorsement of the governing body.
-Conducting community needs assessments.
-Analyzing the internal organization and the external market.
-Involvement of appropriate stakeholders in the strategic planning process.

ACTIVITY

161
Q

Core - 4B3

A

Business Analytics (e.g., evidence-based practice, data analytics)

-Utilization of practices based on measurable evidence.
-Usage of feasibility studies to determine a market strategy.
-Using quantitative methods to interpret data.
-Incorporating internal and external data in planning and decision-making.

ACTIVITY

162
Q

Core - 4B4

A

Business Development (e.g., sales, marketing, partnerships, ACOs, contracts and agreements, negotiations)

-Developing and executing a successful marketing plan.
-Growing consumer awareness of available options.
-Identifying and engaging in partnerships with a variety of health-care entities.
-Exploring opportunities for collaboration.
-Understanding negotiations.

MORE INFO

163
Q

Core - 4B5

A

Public Relations and External Stakeholders (e.g., hospitals, referrals sources, local community, donors)

-Awareness of the spectrum of care services available in their community.
-Skills related to fostering positive stakeholder relationships.
-Community engagement strategies.
-Public relations practices.

NAB (4 decks)

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