Herzing University Week 6 Skilled Nursing Facilities Paper

Unit 6 Assignment – SNFs

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  • Due Sunday by 11:59pm
  • Points 80
  • Submitting a text entry box or a file upload

Instructions

Estimated time to complete: 3 hours

Skilled Nursing Facilities (SNFs) play a vital role in the care of our most vulnerable populations. Maintaining accurate medical records in the SNF setting is important for both quality of patient care, as well as compliance with regulatory bodies. For this week’s assignment, you will demonstrate your knowledge of medical record management in the SNF environment.

A local assisted living facility has decided to expand, with the addition of a skilled nursing facility adjacent to their current residential structure. You have been hired as a consultant to oversee the planning and implementation of medical records compliance. The facility owners and managers have a business background and are not familiar with the rules and restrictions that are applicable to SNFs.

Write a 2-3 page executive summary for the owners and managers, including the following information:

  • Regulatory bodies and their roles (bullet points are acceptable)
  • Primary payers, and their payment models (bullet points are acceptable)
  • How patient records should be maintained (i.e. paper, electronic, what technologies and equipment will be needed).
  • What information must be included in the record for every patient.
  • Liability issues to be aware of, and how to avoid them.
  • Include a minimum of three references, in APA format, on a separate page.

Please review the rubric to ensure that your assignment meets criteria.

Submit:

  • Executive Summary

Rubric

Unit 6 Assignment: SNFs (1)

Unit 6 Assignment: SNFs (1)

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeRegulatory Bodies, Payers, and Models

25.0 pts

5

Clearly and correctly identifies multiple regulatory bodies, primary payers, and payment models with appropriate details.

22.0 pts

4

Clearly and correctly identifies some regulatory bodies, primary payers, and payment models with some detail.

20.0 pts

3

Correctly identifies only one regulatory body, primary payers, or payment model.

17.0 pts

2

Incorrectly identifies regulatory bodies, primary payers, or payment models.

15.0 pts

1

Incorrectly identifies regulatory bodies, primary payers, and payment models.

0.0 pts

0

Does not identify regulatory bodies, primary payers, or payment models.

25.0 pts

This criterion is linked to a Learning OutcomePatient Records

25.0 pts

5

Clearly, comprehensively and accurately identifies records management procedures and record content; demonstrates a clear and completely correct understanding of records management in a SNF environment.

22.0 pts

4

Clearly and accurately identifies records management procedures and record content; demonstrates a clear and mostly correct understanding of records management in a SNF environment.

20.0 pts

3

Accurately identifies records management procedures and record content; demonstrates a somewhat correct understanding of records management in a SNF environment.

17.0 pts

2

Somewhat inaccurately identifies records management procedures and record content; demonstrates a somewhat incorrect understanding of records management in a SNF environment.

15.0 pts

1

Inaccurately identifies records management procedures and record content; does not demonstrate a correct understanding of records management in a SNF environment.

0.0 pts

No Marks

Does not discuss records management.

25.0 pts

This criterion is linked to a Learning OutcomeLiabilities

25.0 pts

5

Clearly and correctly identifies several potential liabilities; uses high levels of critical thought to make suggestions to avoid stated liabilities.

22.0 pts

4

Clearly and correctly identifies a few potential liabilities; uses some degree critical thought to make suggestions to avoid stated liabilities.

20.0 pts

3

Correctly identifies one or two potential liabilities; uses little critical thinking to make suggestions to avoid stated liabilities.

17.0 pts

2

Somewhat incorrectly identifies potential liabilities; uses little critical thinking to make suggestions to avoid stated liabilities.

15.0 pts

1

Incorrectly identifies potential liabilities; suggestions to avoid stated liabilities are not logical.

0.0 pts

0

Does not discuss liabilities.

25.0 pts

This criterion is linked to a Learning OutcomeWriting style, grammar, spelling and APA formatting

5.0 pts

5

Writing is completely error free in grammar, spelling and APA formatting, citations and 3 or more references.

4.5 pts

4

A few very minor errors noted in grammar, spelling, or APA formatting, citations and at least 3 references.

4.0 pts

3

A few minor errors noted in grammar, spelling, and APA formatting, citations and 2-3 references.

3.5 pts

2

Several errors noted in grammar, spelling, or APA formatting, citations and 1-2 references.

3.0 pts

1

Some major errors noted in grammar, spelling, and APA formatting, citations and only 1 reference.

0.0 pts

0

Many major errors in grammar, spelling, and APA formatting, citations and no references.

5.0 pts

Total Points: 80.0

Expert Solution Preview

Introduction: Skilled Nursing Facilities (SNFs) are crucial in providing quality care to vulnerable populations. Medical record management in the SNF setting is important for maintaining patient care and compliance with regulatory bodies. As a consultant, this assignment requires creating an executive summary for owners and managers of an assisted living facility intending to expand and add an SNF.

Regulatory Bodies, Payers, and Models:

Several regulatory bodies oversee the operations of SNFs including Centers for Medicare and Medicaid Services (CMS), Occupational Safety and Health Administration (OSHA), and State Departments of Health. CMS ensures quality in healthcare through regulations and promotes positive outcomes for patients. OSHA regulates work and environmental safety, while State Departments of Health maintains public health.

Primary payers for SNFs are CMS’ Medicare program and Medicaid. Payment models used by Medicare include fee for service, bundled payment, and accountable care organization. Medicaid payment models include fee-for-service, managed care, and incentive-based models.

Patient Records:

SNFs use electronic health records (EHRs) to maintain patient records. Necessary equipment for record-keeping includes computers, internet access, and software for EHRs. All patient data in EHRs must be truthful, accurate, and up-to-date. The EHRs used in an SNF should include the patient’s name, medical history, medications, and allergies.

Liabilities:

SNFs have several liabilities, including medical malpractice, neglect, and abuse. The facility should strive to provide quality care and avoid situations that may result in liabilities. Proper documentation and communication with patients and their families or guardians can help to avoid potential liabilities.

Conclusion:

In conclusion, SNF operators must manage patient records effectively while complying with regulatory bodies. They should develop strategies to minimize liabilities and ensure quality patient care. An SNF’s success depends on effective execution in maintaining regulatory compliance, accurate record-keeping, and providing quality patient care.

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