Additional Resources
FOR ALL STAKEHOLDERS
- State CMP Reinvestment Projects Funded in Calendar Year 2018
- State Civil Money Penalty Reinvestment Projects Funded in Calendar Year 2017
- State Civil Money Penalty Reinvestment Projects Funded in Calendar Year 2016
- CMS: CMP Fund Frequently Asked Questions
- Centers for Medicare & Medicaid Services - Civil Monetary Penalty Reinvestment Resource
- CMS: Examples of Civil Monetary Penalty Reinvestment Projects
- Tennessee Department of Health Funding Opportunities
- Tennessee Department of Health’s Office of Healthcare Facilities
- Tennessee Department of Health’s Office of Health Statistics
- atom Alliance – CMS Quality Improvement Initiative
- Grant Writing Tips – University of Tennessee Health Science Center
- Writing a Grant Application for Funding – Community Toolbox
- Alzheimer’s Association® Dementia Care Practice Recommendations (2018)
RESOURCES BY FOCUS AREA
1. Healthcare-Associated Infections
CMS Definition: An infection that residents acquire, that is associated with a medical or surgical intervention (e.g., podiatry, wound care debridement) within a nursing home and was not present or incubating at the time of admission. (click here to read more)
2. Distressed and At-Risk Counties
Transparent Tennessee - Distressed Counties and At-Risk Counties
Press Release - Governor Lee Announces Fewest Distressed Counties in Tennessee since 2007
3. Preventable Hospitalizations
FEDERAL GUIDANCE |
STATE INITIATIVES |
ADDITIONAL RESOURCES |
CMS Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents State Operations Manual: §483.21(c)(1) Discharge Planning Process - Requiring a facility to develop and implement an effective discharge planning process. |
Florida Atlantic University’s Decision Guide, “Go to the Hospital or Stay Here?” Florida Atlantic University’s Tennessee CMP Reinvestment Program’s Final Report
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Institute for Healthcare Improvement
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4. Person-Centered Care and Trauma-Informed Care
CMS Definition of Person-Centered Care: to focus on the resident as the locus of control and support the resident in making their own choices and having control over their daily lives.
According to CMS’ State Operations Manual: §483.25(m), facilities must ensure that residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents’ experiences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.
FEDERAL GUIDANCE |
STATE RESOURCES |
ADDITIONAL RESOURCES |
§483.25(m) Trauma-Informed Care - pg. 401 §483.21 Person-Centered Care - Pgs. 216 - 243 |
Ohio Trauma-Informed Care PowerPoint | Resources to Support Trauma-Informed Care for Persons in Post-Acute and Long-Term Care Settings National Long-Term Care Ombudsman Resource Center - Trauma-Informed Care National Long-Term Care Ombudsman Resource Center - Person-Centered Care SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach The Things They Carry: Advancing Trauma-Informed Responses to Elder Abuse Overview of Phase 3 Nursing Home Regulations: A Look Ahead
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5. Residents' Rights
a. Elder Abuse, Neglect, and Exploitation
b. Alzheimer's disease and other dementias
National Ombudsman Definition of Residents’ Rights: Residents’ Rights are guaranteed by the federal 1987 Nursing Home Reform Law. The law requires nursing homes to “promote and protect the rights of each resident” and places a strong emphasis on individual dignity and self-determination. Nursing homes must meet federal residents’ rights requirements if they participate in Medicare and Medicaid. Some states have residents’ rights in state law or regulation for nursing homes, licensed assisted living, adult care homes, and other board and care facilities. A person living in a long-term care facility maintains the same rights as an individual in the larger community. Please click here to view the Code of Federal Regulations, CMS Requirements for Long-term Care Facilities, 42 CFR § 483.10 – Residents rights.
CMS Definition of Elder Abuse: A deliberate act that results in physical harm, pain, or mental anguish. It can be physical, verbal, sexual, or mental. Abusers can be staff, residents, or visitors.
CMS Definition of Elder Neglect: The failure by the nursing home, its staff, or outside service providers to provider services and goods to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress.
FEDERAL GUIDANCE |
STATE LAWS |
ADDITIONAL RESOURCES |
State Operations Manual – Appendix PP – §483.10 -Pg. 6 – 10 – Resident has a right to a dignified existence, self-determination, and communication and access to people and services outside the facility. |
Elderly and Vulnerable Adult Protection Act Elderly and Vulnerable Adult Financial Exploitation and Prevention Act HB304 – Senior exploitation and reporting record HB0249 (SB0199) – Elder Abuse Task Force (In the Health Subcommittee) |
National Center on Elder Abuse: Educational and Training Materials 2021 STEAP Initiative Outreach Calendar Justice Clearinghouse: |