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Tip of the week: Getting to know Stage I of the QIS

Contemporary Long-Term Care Weekly, August 20, 2009

Stage I is the initial quality assessment to identify care areas and facility-level systems that will need a more thorough investigation in Stage II. The data collection tool contains a comprehensive set of more than 150 Quality of Care Indicators (QCI) used in Stage I to assist with identifying which care area will need the more thorough investigation, as evidenced by the QCI rate exceeding an established threshold. When a QCI exceeds the established threshold, it “triggers” a specific care area, which is then addressed in a Critical Element Pathway during Stage II. A Critical Element Pathway may be triggered during observations, interviews, and clinical record reviews using QIS review worksheets and task forms. The Stage I review and facility task review forms and task forms indicate which F-tag may be a possible deficiency, pending analysis of the information that was gathered. These forms include:

• Stage I Review Forms
  -Admission Sample Review Worksheet
  -Census Sample Review Worksheet
  -Family Interview
  -Resident Interview and Observation
  -Staff Interview
• Facility-Level Mandatory Tasks
  -Liability Notice and Appeal
  -Dining Observation
  -Infection Control
  -Kitchen and Food Observation
  -Medication and Drug Storage
  -Resident Council President
  -Quality Assessment and Assurance (QA&A)
• Facility-Level Triggered Tasks (only completed if triggered)
  -Abuse Prohibition
  -Admit-Transfer-Discharge
  -Environment
  -Sufficient Staffing
  -Personal Funds

Next week’s tip will include an introduction to Stage II of the QIS.

This is an excerpt from HCPro’s book, The QIS Mock Survey Guide, by Frosini Rubertino, RN, CRNAC, C-NE, CDONA/LTC.

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