Brief Description

Regs, Risk & Reports Intensive focuses on understanding F-Tags and regulations applicable to long-term care, and building a robust infection prevention & control program. Topics include:

F-Tags and Regulations and Guidelines Pertinent to Infection Prevention & Control

Performing a risk assessment and developing a surveillance plan

Performing a gap analysis and create a SMART action plan

Course Objectives

At the completion of the course, participant will be able to

• Identify three (3) F-Tags that pertain to Infection Control

• Explain the difference between a regulation and a guideline

• Describe two (2) possible consequences for a facility receiving an IJ - Immediate Jeopardy citation

• Develop a robust surveillance plan based on a facility risk assessment

• Describe how to perform a gap analysis and create a SMART action plan

• Discuss opportunities for process improvement utilizing a variety of tools in stewardship efforts

Who Should Attend This Course 

This course is for Infection Preventionists (IPs) in long-term care.  It deals with current topics important to today's infection prevention and control program. For those that have attended Boot Camp or other basic Infection Prevention & Control programs, this program will build on that foundation.

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• Infection Preventionists

• Licensed Nurses

• Directors of Staff Development

• Directors of Nursing

• Administrators

Course Content

​The Infection Preventionist's Guide to CMS

• Review a comprehensive list of the F-Tags for long-term care facilities

• Discuss the significance of citations incurred during survey

• Describe how to comply with F-Tag 945, the most recent F-Tag related to Infection Control

Review the CMS F-Tags specific to long-term care facilities and strategies to comply with the regulations and, in particular, the most recent F-Tag 945

Risk Assessment

• Perform a program evaluation and risk assessment

• Establish infection prevention surveillance plan and goals

• Perform a gap analysis and create a SMART action plan

• Establish priorities based on action plans

Understand the relationship between a program evaluation, infection prevention risk assessment, and surveillance plan and goals

QAPI Tools

• Review QAPI tools frequently used in long-term care

• Learn how to determine root causes (e.g., Fishbone and Five Whys) and frequency of problems (e.g., Pareto chart)

• Discuss type of chart (e.g., trend, run, pie) and how to use them

• Review team techniques, such as brainstorming

Utilize various tools to analyze both HAI surveillance and antibiotic utilization data to determine root causes as a means to improve outcomes

In-Person Classroom Learning

Persons selecting this option will attend a live one-day in-person class. Participants must attend the entire conference for full continuing education credits. Attendance at this venue offers the participants an opportunity to interact directly with the course faculty.