SMALL HOUSE SKILLED NURSING FACILITIES PILOT PROGRAM
APPLICATION EVALUATION CRITERIA
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Applications should include a conceptual overview that explains how the applicantās proposal differs from traditional skilled nursing facilities (SNFs) in terms of:
homelike physical design of the facility and its site;
operational concepts that provide care that is both resident-centered and self-directed; and
innovative staffing that includes the versatile worker staffing concept (certified nurse assistants (CNAs) with more comprehensive duties), and the use of self-managed work teams, while conforming to state and federal staffing requirements.
Design evaluation:
Innovative, homelike site design and building design that does not connote an institutional healthcare facility.
Non-traditional physical development style that is:
Site and building design that provides a homelike environment for residents that not only meets their long-term medical needs but is also conducive to:
resident independence, self-care, and privacy;
resident satisfaction with the life-style provided; and
residents being able to continue to interact with family, friends, and the community.
Provision of an environment where residents are comfortable, safe, and receive healthcare that focuses on achieving positive clinical outcomes.
Provision of types of active and passive indoor and outdoor activities attractive to elders and persons of limited mobility.
Staffing evaluation:
Comprehensive description of the overall staffing plan, including;
targeted population and acuity level;
staffing mix by shift, including role in the facilityās operations;
adjustments in staffing types/levels for any targeted populations to be served by special programs, such as the need for psychiatric technicians for mentally disordered populations; and
innovations that include use of versatile workers (VWs), consistent staff assignments, and self-managed work teams.
Goals, role definitions, responsibilities, and duty descriptions for the self-managed work teams, including both clinical and non-clinical staff managing the teams.
Duty statements for all personnel classifications, including role descriptions, responsibilities for direct care and non-direct care, and qualification requirements.
Adequacy of P&Ps describing the manner and extent of compliance with SHSNF PP operational and staffing standards.
Training and orientation evaluation:
Description of the proposed orientation program, including:
the identity and role of person(s) providing the orientation;
the timing of the orientation, with respect to hire date and job classification; and
the content of the orientation program, including amount of time on each topic;
the method to be used to determine successful completion.
Description of the proposed training program, including:
the identity of the organization or person(s) providing the training;
the qualifications of the training staff;
the teaching mode (Webcast, Internet, classroom, etc.);
the timing of the training, with respect to hire date and job classification;
the content of the training program and amount of time on each subject; and
the method to be used to determine competency/proficiency upon completion.
Adequacy of P&Ps describing the manner and extent of compliance with SHSNF PP training and orientation standards.
Dietetic service evaluation:
Evaluation of the proposed food service facilities and operation, including planning, menus and food choice, supply ordering and storage, cooking/preparation, serving, snack availability, cleaning up, and food sanitation.
Description of innovative dietetic service processes and procedures that distinguish the proposal, including role of VWs and others in the dietetic service.
Duty statements for all personnel classifications involved in the dietetic service, including role descriptions, responsibilities, and qualification requirements.
Adequacy of P&Ps describing the manner and extent of compliance with SHSNF PP dietetic service standards.
Infection control evaluation:
Evaluation of the proposed quality assurance and improvement program, including identification of:
an annual risk assessment and reporting protocols;
focused facility-wide surveillance using nationally-accepted criteria;
staff responsibilities and education/training requirements; and
antibiotic review and antimicrobial stewardship.
Evaluation of the proposed infection control plan (ICP) that incorporates and implements:
Duty statement for the SHSNF infection preventionist, the infection control interdisciplinary committee (ICIC), and all other personnel classifications involved in the infection control program, including role description, responsibilities, and qualification requirements.
Evaluation of the facilityās proposed implementation of the ICP, the quality assurance and improvement program, and the infection control standards.
Adequacy of P&Ps describing the manner and extent of compliance with SHSNF PP infection control standards.
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