Page 86 - Culture Change is QAPI Slides.pptx
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Infection control §483.80 (Phase 1 and 3)
• Infection prevention and control program.
*As linked to Facility Assessment Phase 2
New: antibiotic stewardship program - antibiotic use protocols and a system to monitor antibiotic use. (*Phase 2)
• Infection preventionist: primary professional training in nursing, medical technology, microbiology, epidemiology, or other related field and specialized training. (Phase 3)
• IP participation on QAA committee. (Phase 3)
• Influenza (offered ann.) and pneumococcal
immunizations.
• Linens. Personnel must handle, store, process, and transport linens so as to prevent the spread of infection.
• Annual review.
Compliance and ethics program §483.85 New (all Phase 3)
• Written compliance and ethics standards, P/Ps.
• Assignment of specific individuals
• Sufficient resources
• Due care not to delegate authority to persons with propensity toward criminal violations.
• Effectively communicate the standards, P/Ps.
• Reasonable steps to achieve compliance (monitoring).
• Consistent enforcement.
• Appropriate response to violations and attempts to prevent.
• If 5 homes or more: Annual training, Officer, Liaisons.
• Annual review.
