THE HFS 83 REWRITE

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THE HFS 83 REWRITE

• WALA Conference
• March 24, 2005
• Laurie Arkens

2
AGENDA

• History
• Objectives
• Process
• Changes
• Time Line
• Question and Answer

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HISTORY

• HFS 83 effective 1997
• 1997 Directive from Secretary
• Series of meetings with core group/subcommittees
• 2002 process delayed
• 2004 process resumed

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OBJECTIVES

• Less prescriptive
• More concise
• Better organized
• Update to related requirements
• Incorporate 20 bed over requirements

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PROCESS

• HFS 83 Re-write Workgroup
• Working draft from original workgroup(s)
• Review of other states/national organizations
• Advisory Committee
• Revision Request Form

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CHANGES INCORPORATED

• Chapter 50
• Caregiver law
• Appropriate BQA memos
• Family Care requirements
• Current Comm language

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AREAS OF CHANGE - TRAINING

• 83.14 Training requirements
• Department Approval
• Standard Precautions
• Fire Safety
• First Aid/Choking
• Medications
• Facility Training
• Job Related Training
• Complete within 90 days
• Exemptions

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TRAINING PLAN-overview

• Department Approved Training
• Provided by approved trainers
• Data Base of approved trainers
• Fee for initial approval and renewals
• Training Advisory Groups
• Letters of interest
• Groups determined by 83 workgroup

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TRAINING PLAN-overview

• Training Advisory Groups
• BQA representatives
• Provider representatives
• Trainer representatives
• determine curriculum
• skills/knowledge assessment
• trainer qualifications
• application form for approval

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Training Provided by Facility

• Provide, obtain or otherwise ensure
• Resident rights
• Challenging behaviors
• Resident group specific
• Must provide specific topics within each
• training area

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Job Related Training

• Provide, obtain or otherwise ensure...
• Complete prior to, or within 90 days
• Needs assessment and ISP
• Dietary
• Medications
• Must provide specific topics within each training
  area

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AREAS OF CHANGE -MEDICATION

• Made its own section
• Major reorganization
• General Requirements
• Medication Administration
• administration by staff
• self administration by resident
• self administration instruction
• Medication Storage

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GENERAL REQUIREMENTS

• Medications from a licensed pharmacist or
  physician
• Packaging policy
• Supplements to be documented
• Regimen review by MD, RPh, or RN
• Policy for disposing of medications

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GENERAL REUIREMENTS cont...

• Psychotropic Medications
• quarterly assessment by MD., RPh, or RN
• PRN use requires
• protocol for use
• documentation of rationale, effectiveness and
  side effects

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MEDICATION ADMINISTATION REQUIREMENTS

• Supervision requirements clarified
• Administration via other routes

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MEDICATION STORAGE

• Transfer from bulk containers
• Transfer from unit dose packaging
• Exemption for AODA and Corrections facilities

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OTHER AREAS OF CHANGE

• 83.04 Definitions
• 83.07 Program Statement
• Change of Ownership
• 83.12 Administrator
• 83.14 Orientation

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AREAS OF CHANGE cont.

• 83.15 Staffing Patterns
• 83.16 Admission Agreement
• 83.19 Reporting Requirements
• 83.20 Discharge Requirements
• 83.21 Resident Rights
• 83.32 Assessment and ISP
• 83.35 Food Service

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PHYSICAL ENVIRONMENT CHANGES -Overview

• Eliminated conflicts with Commerce ADA
• Updated terminology
• Incorporated Bureau memos
• Rearranged for easier reading and flow
• Eliminated prescriptive language

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PHYSICAL ENVIROMENT

• Language reflects more outcome and quality of
  life requirements.
• Less prescriptive

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SAFETY

• 83.42 Evacuation Chart
• easier readability
• Evacuation
• documentation requirements
• evaluation annually for all residents
• Emergency phone numbers posted
• Small facilities to arrange for fire inspection
• Installation of smoke and heat systems
• 5 year delay for small class Cs
• Reliable water supply

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OTHER CHANGES...

• 83.45 Accessibility chart deleted
• 83.52 Construction chart updated
• ARA now Area of Refuge
• Exits/Passageways updated to Comm.
• Delayed Egress
• Windows
• 16 clear opening
• coverings

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NEW CONSTRUCTION, REMODELLING, ADDITIONS, ...

• Subchapter VIII
• Additional requirements for new construction,
  additions, change in licensure class or newly
  licensed existing structures
• General requirements include compliance with any
  applicable rules and standards (Comm., NFPA,
  Plumbing, Electrical)

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Timeline

• Final draft- summer 2005
• Rule Order Process begins
• Department Review
• Legislative Review
• Public Hearings
• EFFECTIVE DATE -
• Late 2006?

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QUESTIONS