Training Information

This page provides links to training material given to nursing home providers and surveyors.

Minimum Data Set (MDS) Training

The purpose of this training is to offer providers clear guidance about how to use the Resident Assessment Instrument (RAI) correctly and effectively to help provide appropriate care. The RAI consists of three basic components: The Minimum Data Set (MDS) Version 3.0, the Care Area Assessment (CAA) process and the RAI utilization guidelines.

The RAI helps nursing home staff look at residents holistically—as individuals for whom quality of life and quality of care are mutually significant and necessary. Interdisciplinary use of the RAI promotes this emphasis on quality of care and quality of life.

In 2014, one-day training sessions are offered in both the Raleigh and the Asheville area for coding the MDS. In response to provider requests we are adding Care Area Assessment/Care Plan (CAA/CP) training for selected dates. The CAA/CP workshop is independent of the MDS training and will last half a day.

Raleigh Training Dates   Asheville Training Dates
MDS CAA/CP   MDS CAA/CP
3/25/2014 3/27/2014   3/19/2014 3/20/2014
3/26/2014 6/19/2014   6/24/2014 6/25/2014
6/17/2014     9/30/2014  
6/18/2014     11/18/2014  
9/23/2014        
11/4/2014        

Each participant must print and bring the following to the MDS workshop. (Hard copies are not available at the workshop.) Be sure to bring your RAI Manual.

Each participant must print and bring the following to the CAA/CP workshop. (Hard copies are not available at the workshop.) Be sure to bring your RAI Manual.

For registration information, please contact Linda.Hansen@dhhs.nc.gov.

Related Links

Accidents and Supervision

The Centers for Medicare & Medicaid Services issued new guidance for F323 Hazards and Accidents. The Division of Health Service Regulation presented this information at conferences around the state to surveyors and nursing home providers in the fall of 2007. The links below contain the handouts and the PowerPoint presentation used at the conference.

Accidents and Supervision Handout (PDF, 195 KB) (PPT, 195 KB)

Other helpful resources include:

Self Survey Module: Tag F323 Accidents (PDF, 111 KB)

Self Survey Modules were developed by the Licensure and Certification Section, State Long Term Care Ombudsman and Nursing Home providers. The Modules allow consumers, surveyors, ombudsman and providers to determine if facilities are providing quality care.

The Ride Safe publication (PDF, 503 KB) was prepared by the Rehabilitation Engineering Research Center on Wheelchair Transportation Safety, University of Michigan Health System, University of Michigan Transportation Research Institute, initially funded through a grant from the FRIENDS of the University of Michigan Hospitals in 2005. It provides research-based guidance for securing a resident in a wheel chair during van transportation.

Mobility and Safe Movement of the Elderly: Improving Your Skills to Prevent Injuries and Reduce Falls

This DVD was developed by Teepa Snow, MS, OTR/L, FOTA, Dementia Care & Training Specialist. It was developed in conjunction with Wake Allied Health Education Center, Durham Technical Community College and University of North Carolina School of Medicine, Office of Information Systems. The Division of Health Service Regulation has approved this DVD for use as a directed in-service training for citations at § 483.25 (a) and (h) (1-2).There is a charge for the DVD. An order form is available online (PDF, 764 KB).

Paid Feeding Assistants

The Division of Health Service Regulation presented information to surveyors and nursing home providers on the new regulatory guidance that was provided by the Centers for Medicare & Medicaid Services. This was presented during conferences in the fall of 2007. The link below contains the PowerPoint presentation used at the conference.

Paid Feeding Assistants (PDF, 169 KB)

Pharmacy

The Division of Health Service Regulation presented this information at conferences around the state to surveyors and nursing home providers in December of 2006 in response to changes in the federal regulations on pharmacy issues. The links below contain the handouts used at the conference.

Handouts

Other helpful resources include:

Regulatory Focus Bulletin: Pharmacy (PDF, 79 KB)

The Regulatory Focus Bulletin RFB is designed to provide clarification of state and federal law, and Nursing Home Licensure and Certification policy in matters relating to the state's nursing facilities.

Self Survey Module: Tag F329 Unnecessary Drugs (PDF, 135 KB)

Self Survey Modules were developed by the Licensure and Certification Section, State Long Term Care Ombudsman and Nursing Home providers. The Modules allow consumers, surveyors, ombudsman and providers to determine if facilities are providing quality care.

Quality Improvement Organization

The Carolinas Center for Medical Excellence (CCME) is the Centers for Medicare & Medicaid Services (CMS) designated Quality Improvement Organization for North Carolina. CCME works with nursing home leadership and staff to focus on resident-centered care to improve the quality of care by making it safer and more cost effective. CCME also provides education and training sessions, tools and resources for effective interventions.

Quality Indicator Survey

The Centers for Medicare & Medicaid Services is implementing the Quality Indicator Survey (QIS) which is a computer assisted long-term care survey process used by selected state survey agencies and CMS to determine if Medicare and Medicaid certified nursing homes meet the federal requirements. Effective June 2008, CMS selected the North Carolina state agency as an expansion state for the QIS survey process. The links below provide a description of the QIS process, a resource manual and electronic forms and worksheets.

Restraints

This presentation was given to surveyors and nursing home providers in the fall of 2006 at conferences held around the state.  Several participants contributed to the training:

The links below contain the handouts used at the conference.

Restraint Handout (PDF, 72 KB) (PPT, 58 KB)

Other helpful resources include:

Regulatory Focus Bulletin: Restraints (PDF, 86 KB)

The Regulatory Focus Bulletin RFB is designed to provide clarification of state and federal law, and Nursing Home Licensure and Certification policy in matters relating to the state's nursing facilities.