evidence reviews nursing home conference call #6 09/19/12 rebecca varner, rn, mcpm1
TRANSCRIPT
EVIDENCE REVIEWS
Nursing Home Conference Call #609/19/12
Rebecca Varner, RN, MCPM1
Evidence Reviews
• Only send evidence if letter accompanying statement of deficiencies instructs to do so.
• If an onsite revisit is done instead -- in conjunction with another survey, & tags are cleared or rewritten, no need to send in evidence, if have not done so already.
• May receive an onsite revisit, even if letter indicates Evidence Review.
Evidence Reviews
• Send evidence by due date in letter or earlier. • Evidence sent earlier than due date: > if evidence is complete, please indicate so, in
order that it may be scanned to field offices to conduct evidence review as soon as possible.
> if partial evidence is sent, please indicate that we should be expecting the remainder of the evidence at a later date.
Evidence Reviews
• Mailed evidence should be free of staples, clips, binders, dividers, sticky notes, etc. Evidence Reviews are primarily scanned to field offices throughout the state, & these items must be removed prior to scanning.
• Evidence should be in order of deficiencies.• Evidence should be separate & not
intermingled with the Plan of Correction(POC).
Evidence Reviews
• Evidence should be one-sided only to alleviate time spent on unnecessary copying so it can scanned to field offices in a more timely manner.
• Evidence points should not be highlighted due to dark highlighter will block out the area when scanned, & fluorescent yellow will not be visible at all when scanned. Just underline & circle, if necessary.
Evidence Reviews
• Evidence should include documents which prove your POC is in working order. This is the same documentation that surveyors may pull while conducting an onsite revisit.
• Evidence should include residents specifically noted on statement of deficiencies plus a couple of more similar residents.
• Evidence should include beginning of supervision & monitoring.
EVIDENCE REVIEWSContact Information
Rebecca Varner, RNMedical Certification Program Manager 1Nursing Home DeskDHH/Health Standards Section602 No. 5th St., 2nd FloorBaton Rouge, LA 70802Phone: (225) 342-5756Fax: (225) [email protected]