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S & C Memos 2017

…of New Nursing Home Regulations S&C: 17-04-Transplant– Transplant Centers: Clinical Experience Requirements S&C: 17-05-ALL– Information on the Implementation Plans for the Emergency Preparedness Regulation S&C: 17-06-NH– Fiscal Year (FY) 2015 Minimum Data Set (MDS) Focused Survey Summary S&C: 17-07-NH– Advance Copy- Revisions to State Operations Manual (SOM), Appendix PP-Revised Regulations and Tags State Operations Manual Appendix PP-Guidance to Surveyors for Long Term Care Facilities FTags and Regulation Text- Current Tag Order FTag Job Aide S&C: 17-08-NH– Civil Money Penalty (CMP) Reinvestment Resource Web Page S&C: 17-09-ALL– Infection Control Pilot: 2017 Update Draft-Centers for Medicare and Medicaid Services Pilot Long Term…

Consumer Information

Search for inspection reports for licensed Wyoming healthcare facilities. Information to help you compare home health, hospital, and nursing home facilities; available online from the federal government. Home Health Compare Hospital Compare Nursing Home Compare Do you have a concern about the care you or a family member received in a licensed Wyoming healthcare facility? Learn more about your complaint options. Other resources: Guide to Choosing a Nursing Home Nursing Home Checklist – Items to ask about and check for when searching for a long-term care facility. Office of the Inspector General (OIG) Hotline. A confidential means for reporting information…

CMS COVID-19 Information

April 27, 2021 – NH – Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency related to Long-Term Care (LTC) Facility Testing Requirements and Revised COVID19 Focused Survey Tool (REVISED) April 27, 2021 – NH – Nursing Home Visitation – COVID-19 (REVISED) April 8, 2021 – NH – Updates to Long-Term Care (LTC) Emergency Regulatory Waivers issued in response to COVID-19 March 26, 2021 – Hospitals – Resuming Hospital Survey Activities Following 30-day Restrictions March 26, 2021 – ALL – Updated Guidance for Emergency Preparedness-Appendix Z of the State Operations Manual…

A New Vision of Care

…of the state hospital’s bed capacity is filled by people with intermediate and long-term healthcare needs, which limits availability for patients needing short-term treatment and evaluation. The Wyoming Life Resource Center will provide intermediate care and long-term skilled nursing facility services to people with high medical needs, significant mental health issues or significant behavioral challenges. Protecting and serving the existing population remains a priority. While the need for lifetime care services for residents with intellectual and developmental disabilities at facilities such as our Lander campus is decreasing overall, there are more hard-to-place clients with extreme behaviors due to dementia, acquired…

S & C/QSO Memos 2018

…(ROSE) and Workload Limits QSO: 18-15-NH– Specialized Infection Prevention and Control Training for Nursing Home Staff in the Long-Term Care Setting QSO: 18-16-ICF/IID– Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) Survey Protocol- State Operations Manual (SOM) Appendix J Revised QSO: 18-17-NH– Transition to Payroll-Based Journal (PBJ) Staffing Measures on the Nursing Home Compare tool on Medicare.gov and the Five Star Quality Rating System QSO: 18-19-CLIA– Performance Specification Verification of Assays Authorized Under Emergency Use (EUA) QSO: 18-20-CLIA– Clarification of the Operation of Multiple Laboratories at the Same Location and the Discontinued Use of the Term “Shared Laboratory” QSO:…

Seven More Coronavirus-Related Wyoming Deaths Confirmed

Seven more coronavirus-related deaths among Wyoming residents who tested positive for COVID-19 have been confirmed, according to the Wyoming Department of Health (WDH). An older adult Campbell County man died earlier this month. He was a resident of a local long-term care facility and had health conditions recognized as putting patients at higher risk of serious illness related to COVID-19. An older adult Campbell County man died earlier this month. He was a resident of a local long-term care facility; it’s unclear whether he had health conditions recognized as putting patients at higher risk of serious illness related to COVID-19….

Ombudsman Questions and Answers

What is an ombudsman? An ombudsman is an advocate who acts on behalf of persons who need assistance in advocating their own cause. An ombudsman primarily serves the residents of nursing homes, assisted living facilities, boarding homes, adult day care centers, congregate housing, and people receiving in-home services. Who can call the LTCOP? Anyone can call the Wyoming Long-Term Care Ombudsman Program, including residents of long-term care facilities, recipients of long-term care services, family members or friends, and concerned citizens. Facility administration and staff often call the program for information and consultation. When should a person call the LTCOP? When…

Section 16: Quality Assurance and Performance Improvement

…2011. hrsa.gov/quality/toolbox/508pdfs/developingqiplan.pdf . Accessed November 7, 2013. American Hospital Association. Trendwatch Oct. 2012. aha.org/research/reports/tw/12oct-tw-quality.pdf . Accessed Nov. 7, 2013. Lee F, Lind N. The Infection Control Committee. Infection Control Today. June 2000. infectioncontroltoday.com/articles/2000/06/the-infection-control-committee.aspx . Accessed Nov. 7, 2013. Hoffman K. Developing an Infection Control Plan. Infection Control Today. Dec. 2000. infectioncontroltoday.com/articles/2000/12/developing-an-infection-control-program.aspx. Accessed Nov. 7, 2013. Agency for Healthcare Research and Quality. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. ahrq.gov/clinic/epc/qgapfact.htm . Accessed Nov. 7, 2013. Department of Veteran Affairs, National Center for Patient Safety. Root Cause Analysis. patientsafety.va.gov/professionals/onthejob/rca.asp. Accessed Nov. 7, 2013. Wald H, Shojania KG. Root…

Section 13: Current Infection Prevention Issues in Dialysis

…patients receiving dialysis at a facility and the risk of patients or staff contracting a bloodborne pathogen increases exponentially. Key Concepts Hand Hygiene Hand hygiene is widely recognized as the single most important intervention in preventing healthcare-associated infections. Hand hygiene is a general term that applies to hand washing, antiseptic hand-wash, antiseptic hand rub or surgical hand antisepsis. Hand hygiene is performed using either soap and running water (if hands are visibly soiled), or with alcohol rub (if hands appear clean). According to the CDC improved adherence to hand hygiene has been shown to reduce infection outbreaks, transmission of antimicrobial…

Section 12: Antibiotic Stewardship

…antibiotic-resistant infections. It takes a long time to develop antibiotics effective in treating resistant infections. It is imperative to improve upon the use of antibiotics currently available. Three main concepts covered in this chapter are: the antibiogram, the antimicrobial stewardship program (ASP), and the bacterial culture and antibiotic sensitivity report (aka culture and sensitivity). Key Terms Table 1. Key terms in antimicrobial stewardship and the pharmacy. Term Antibiogram Definition A laboratory technique which establishes to what degree an organism is susceptible to different antibiotics. Antimicrobial Stewardship Program Program that consists of interventions designed to ensure that patients receive the right…

Section 5: Surveillance

…strategies to ensure you are collecting quality data. Describe the methods used for obtaining denominator data. For the surveillance activity you have chosen, collect some data, e.g., perform a chart review using your own or your facility’s form and definition; collect the information from the other sources such as the laboratory, pharmacy, etc. Assess what worked and didn’t work well in terms of identifying infections e.g., issues with applying the definition, finding the information, etc. How could data collection be improved? Assess what worked and didn’t work well in terms of identifying the denominator. How could this be improved? Data…

Provider Certification

…download DUI/MIP Early Intervention Education Guidance for State Certification. The following are links for providers to research state-approved curricula products and trainings. DUI/MIP Provider Education Sites The Change Companies e-Learning Click Here. “Interactive Journaling Facilitation” is the approved DUI/MIP education curriculum. The Prevention Research Institute’s Click Here. “Prime for Life” is the approved DUI/MIP education curriculum. For more information about Wyoming substance use disorder provider services or DUI/MIP education, please call the Behavioral Health Division at 1-800-535-4006 Substance Use Disorder Provider Learning Opportunities and Supplemental Material Resources Center for the Application for Substance Abuse Technologies – CASAT: https://training.casat.org/products American Society…

Section 7: Standard and Transmission-Based Precautions

…Care. Hand Hygiene Hand hygiene (HH) has been identified as the most effective way of preventing the transmission of healthcare-associated infection to patients, staff and visitors in all healthcare settings. Because HH represents a new term in the healthcare vocabulary it is critical that all infection control professionals become familiar with the new terminology and the heightened emphasis placed on HH in healthcare settings. Despite the fact that HH is considered the most important and most effective infection prevention and control measure, compliance with HH protocols by healthcare providers continues to be low. The five elements of HH that are…

Nursing Care Facility

…However, there are other types of facilities for which deemed status is not an option. The Survey and Certification Letter S&C-08-03 can be accessed for additional information. Important notes: Effective September 1, 2008: Revisions to Appendix PP – “Interpretive Guidelines for Long-Term Care Facilities,” became effective. Summary of changes: This instruction deletes Tag F326 and incorporates the guidance into Tag F325. It also deletes Tag F370 and incorporates that guidance into F371. Link to S&C Letter 08-28. Effective March 31, 2009: Issuance of Revised Quality of Care Guidance at F309, including Pain Management as Part of Appendix PP, State Operations…

Administration And Support

…you need to make a public records request related to our department. READ MORE The Office of Human Resources guides compensation, recruitment, payroll, benefits and employee relations. Contact Info Human Resources Office 2300 Capitol Avenue 401 Hathaway Building Cheyenne, WY 82002 (307) 777-6787 Fax: (307) 777-7439 The Wyoming Long-Term Care Ombudsman Program acts on behalf of Wyoming long-term care recipients. Contact Info State Long-Term Care Ombudsman 2300 Capitol Avenue Hathaway Building 4th Floor Cheyenne, WY 82002 (307) 777-2885 Fax (307) 777-5340 The Office of Privacy, Security and Contracts promotes, protects and enhances the stewardship of information collection, maintenance and use….

Section 2: Infection Preventionist Job Description

…infection prevention plan in conjunction with the IPC Evaluating the annual plan for goal achievement in conjunction with the IPC Conducting surveillance of infections (Please refer to the IPOM section on Surveillance [#5] for more details) Ensuring the completion of audits regarding the implementation of and compliance with selected policies Providing education and training for all staff members and independent practitioners regarding the prevention of HAIs Liaise with the Employee Health Nurse regarding relevant staff member health issues Liaise with clinical teams regarding the development of standards, audits, and research Presenting/providing the infection prevention annual report to the IPC, Quality…

Section 4: Committee Leadership and Membership

…presents the typical committees important to the IP in no particular order. The committees listed are not only found in acute care hospitals but may apply to all healthcare facility types such as long term care, rehabilitation, and ambulatory surgical centers. Infection Prevention/Control Committee The Infection Prevention/Control Committee (IP/IC) is typically chaired by the Infectious Disease Physician and/or the IP. Membership in this committee may be defined by a charter (refer to Committee Charter Template in Appendix A) with members appointed by the Chief of Staff and/or the facility Director. The IP/IC membership is tasked with oversight of all infection…

Public Resources

…those individuals who have reached the age of 100. To be formally recognized in this program, please call the Community Living Section of the Aging Division at 307-777-7986 or toll free at 800-442-2766. POLST is a form that gives seriously ill patients more control over their end-of-life care, including medical treatment, extraordinary measures (such as a ventilator or feeding tube) and CPR. POLST Brochure POLST Form For more information regarding the POLST program, please click here. Click on the link below to find a checklist of items to ask about when searching for a long-term care facility. NURSING HOME CHECKLIST…

COVID-19 Cases Confirmed in Washakie County Nursing Home

Several cases of coronavirus disease 2019 (COVID-19) have been confirmed among residents and staff of a long-term care facility in Washakie County over the last few days, according to the Wyoming Department of Health (WDH). Officials have so far identified five cases among staff members and four among residents of Worland Healthcare and Rehabilitation Center. Lab testing at the Wyoming Public Health Laboratory confirmed most of the known cases, with more results pending. While the concern involving the facility began after testing of staff members who were ill and sought medical care, it is unclear at this time how the…

Department Seeking Creative Healthcare Solutions

…fund. Studies hoping for support from the fund must have at least one of the following goals: Reduce costs associated with long-term care, chronic disease or other healthcare services to the state of Wyoming Allow individuals in need of long-term care to remain in their homes and communities Develop necessary long-term care or other healthcare services in Wyoming Use broadband internet to access healthcare services The department is accepting applications for the project, which must be received by June 30. More information about the project and the selection process, along with application details and forms, can be found at https://health.wyo.gov/admin/dupre/health-care-innovation-studies/….

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