In an effort to assist our facility members in preparing for this survey process, LeadingAge Indiana will provide you with monthly tips for QIS preparation – or as we like to call them, “Q-Tips.”
Get all of the QIS forms and guides here.
QIS is a two stage process to systematically review nursing home requirements and investigate any regulatory areas triggered. The survey process has been revised, but the Federal Regulations and interpretive guidance remain unchanged. The QIS uses customized software to guide surveyors through a structured investigation.
The process begins with offsite survey preparation including review of prior deficiencies, current complaints, ombudsman information, and existing waivers/variances.
Upon entry at the facility, an entrance conference is conducted during which time facility information is requested. (Click here for entrance conference worksheet.) Concurrently, surveyors will conduct a brief tour.
Stage I includes a review of residents and includes: residents and family interviews, staff interviews and resident observation as well as clinical record reviews. Mandatory tasks are started including:
After the Stage I review is complete, computer collection tool uses the surveyors findings along with the MDS data to determine what exceeds the national threshold and consequently triggers care areas and/or triggered facility-level tasks for further investigation in Stage II.
After all investigations have been completed, the team analyzes the results to determine whether noncompliance exits. (QIS uses the same process to determine noncompliance, including scope and severity, as is used in the traditional survey.) An exit conference is conducted, during which the nursing home is informed of the survey findings.
Questions? Contact us for support!