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SMQT- Fraud & Abuse Test | Questions Solved 100% Correct | Verified Answers
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SMQT- Fraud & Abuse Test | Questions Solved 100% Correct | Verified Answers
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SMQT- Fraud & Abuse Test | Questions Solved100% Correct | Verified Answers
INTERVIEW QUESTIONS:
INTERVIEW QUESTIONS:
- During your interview of the individual(s) responsible for evaluating how each component of
the facility's abuse prohibition policies and procedures are operationalized, ask the following
questions:
1) How do you monitor the staff when they are providing and/or supervising the delivery of
resident care and services to make sure care is provided in a way to ensure neglect of care
does not occur?
2) How do you determine which injuries of unknown origin should be investigated as alleged
occurrences of abuse?
3) How are you ensuring that residents, families, and staff feel free to communicate concerns
without fear of reprisal?
Investigative Protocol for Abuse Prohibition:
3) Request Written Evidence
Request Written Evidence:
Request written evidence of how the facility has handled alleged violations.
Select two or three alleged violations (if the facility has this many) since the previous standard
survey or the previous time this review has been done by the State.
Determine if the facility implemented adequate procedures for the following:
- Reporting and investigating
- Protection of the resident during the investigation
- The provision of corrective action
NOTE:
The reporting requirements at
- §483.13(c)(2), (c)(4), F225;
,- specify both a report of the alleged violation and a report of the results of the investigation to
the State Survey Agency.
- You must determine if the facility re-evaluated and revised applicable procedures as
necessary.
Investigative Protocol for Abuse Prohibition:
4) Interview several residents and families
Interview Residents & Families:
Interview several residents and families regarding their awareness of abuse prohibition policies
and procedures.
Find out if these individuals know any of the following information:
- To whom can residents and family members report allegations, incidents, or complaints?
- How to report allegations, incidents, or complaints
- You can obtain this information through interviews with the residents and family.
Investigative Protocol for Abuse Prohibition:
5) Interview Direct Care Staff
Interview at least FIVE direct care staff persons.
The staff persons selected should represent all three shifts and include activity staff and nursing
assistants.
During your interviews with these staff persons, you need to determine if the staff is:
- Trained in and knows how to appropriately intervene in situations involving residents who
have aggressive or catastrophic reactions
- Knows what, when, and to whom to report according to the facility policies
Catastrophic Reactions
Catastrophic reactions are extraordinary reactions of residents to ordinary stimuli, such as the
attempt to provide care.
One definition in current literature is as follows:
"...catastrophic reactions [are] defined as reactions or mood changes of the resident in
response to what may seem to be minimal stimuli (e.g.: bathing, dressing, having to go to the
, bathroom, a question asked of the person) that can be characterized by weeping, blushing,
anger, agitation, or stubbornness."
"Catastrophic reactions and other behaviors of Alzheimer residents: Special unit compared to
traditional units."
Elizabeth A Swanson, Meridean L. Maas, & Cathleen Buckwalter. Archives of Psychiatric
Nursing. Vol. VII No. 5 (October, 1993). pp. 292-299.
Investigative Protocol for Abuse Prohibition:
6) Interview Front Line Supervisors
Interview Front Line Supervisors:
Interview at least three front line supervisors of staff who interact with residents (e.g.,
Nursing, Dietary, Housekeeping, Activities, and/or Social Services).
Use your interviews to determine how the front line supervisors monitor the following:
- Provision of care/services
- Staff/resident interactions
- Deployment of staff to meet the residents' needs
- Potential for staff burnout (which could lead to resident abuse)
Investigative Protocol for Abuse Prohibition:
7) Interview Front Line Supervisors
Obtain a List of Recently Hired Employees:
Obtain a list of all employees hired within the previous four months, and select five from this
list.
Then, ask the facility to provide written evidence that the facility conducted a pre-screening
based on the regulatory requirements in
- 42 CFR
- 483.13(c)(1)(ii)(A) and (B)
(view F225)
QUIZ QUESTION:
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