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    <td align="center" style="padding:10px; padding-bottom:0px;"><em><strong><font face="Times New Roman, Times, serif" size="5" color="#f9417e"><u>Updates on Application of CMS Quality Indicator Process in Healthcare Food Service</u></font></strong></em></td>
  </tr>
   
  
  <tr>
<td style="padding:10px;"><font face="Arial" size="2" color="#000000"><br /><br />Good morning,</font></td>
</tr>
  
  <tr>
    <td style="padding:10px;">
    <font face="Arial, Helvetica, sans-serif" size="2" color="#000000">The <strong><a href="http://ea.newscpt19.de/_la.php?&nid=3420830&sid=475626380&lid=14490415&enc=68747470733a2f2f7777772e636d732e676f76&tg=Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Downloads/CMS-Quality-Strategy.pdf" style="color:#f9417e;" style="color:#f9417e;"><u>Centers for Med&igrave;care & Med&igrave;caid Services (CMS)</u></a></strong>, in collaboration with public and pr&igrave;vate partners, is transforming how they conduct business and operations, connect providers, and empower consumers and their beneficiaries. Driving quality improvement is a core function of the CMS. This commitment is evident as the CMS enhances its partnerships in a delivery system, where providers are supported in achieving better outcomes in health and healthcare at lower cost for the
beneficiaries and communities they serve. <br /><br />

<strong><a href="http://ea.newscpt19.de/_la.php?&nid=3420830&sid=475626380&lid=14490420&enc=68747470733a2f2f7777772e616872712e676f76&tg=research/findings/final-reports/qualityindicators/sum.html?utm_campaign=E99NSANJ&amp;utm_source=E99NSANJ" style="color:#f9417e;" style="color:#f9417e;"><u>According to the Ag&egrave;ncy for Healthcare Research and Quality (AHRQ)</u></a></strong>, “While the results of quality measurement were originally not typically shared outside the provider organization conducting the quality improvement projects: Quality Assurance and Performance Improvement (QAPI) and Performance Improvement Projects (PIPs), more recent assessments using the indicators have been included in public reports intended to steer patients toward higher-quality care and drive providers to improve their scores in order to bolster their public reputation.”  <br /><br />

Join this <strong>On-Demand Webinar</strong>, “<a href="http://ea.newscpt19.de/_la.php?&nid=3420830&sid=475626380&lid=14490425&enc=68747470733a2f2f7777772e617564696f6564756361746f722e636f6d&tg=food-safety/cms-quality-indicator-process-healthcare-food-service.html?utm_campaign=E99NSANJ&amp;utm_source=E99NSANJ" style="color:#f9417e;" style="color:#f9417e;"><u><strong>Updates on Application of CMS Quality Indicator Process in Healthcare Food Service</strong></u></a>” on <strong>Friday, November 17, 2017</strong> (Available all day) with expert speaker <strong>Larry D. Bowe, BS, CFPMT, CFPMP</strong>, where he will focus on quality measures within healthcare food service settings. Larry will also share actual QAPI projects, materials and strategies to promote positive outcomes across all healthcare food service disciplines, including nursing homes, hospitals, assisted living
facilities and home health agencies.



</font>    
</td>
  </tr>
  <tr>
<td style="padding:10px;"><strong><font face="Arial" size="2" color="#000000">Session Highlights</font></strong></td>
</tr>
 
<tr>
<td style="padding:10px; padding-top:0px;">

         <ul>
                            
       
  <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Opport&ugrave;nity for food service operations to better perform within the intended guidelines, and to understand and interpret intent regulation</font></li>
  <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Tools for food service managers who want to perform higher in the quality measures under the hospital quality initiative (HQI), most notably for the Hospital Compare website</font></li>
  <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Advice, materials, and tools for implementation and quality measures that promote the delivery of quality services and prevent negative outcomes in dining and nutrition services</font></li>
  
 

         
</ul>  </td> </tr>

</td>
  </tr>
  <tr>
<td style="padding:10px;"><strong><font face="Arial" size="2" color="#000000">Tools for Food and Dining Service Managers and Directors</font></strong></td>
</tr>

<tr>
<td style="padding:10px; padding-top:0px;">

         <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Slide presentation of manager training on CMS guidelines quality indicators</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">States guidance to surveyors for long-term care facilities</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Examples of actual inspector notes and inspection forms</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Tools and documents used in food service to improve overall quality of life for residents:</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Dietary observations</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Monthly meal quality review</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Monthly sanitation/infection control review</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Meal audit tool</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Kitchen/food service observation</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Tools designed to dìscover how to best use and keep your operation deficiency-fr&egrave;e:</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Food service audit tool</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Meal temperature logs</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Tray accuracy tool</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Test tray audit tool</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Mock survey</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Actual 42 CFR Part 483, 483 sections related to food service operations</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Example of programs, quality indicators that can be used today, ongoing</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Actual tools that measure what counts when it comes to delivering quality food service</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Administrative tools that can automatically generate reports, updates of quality indicators for food service operations</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Quality indicators that have corrected deficient outcomes in the past</font></li>
</ul>  
         </td> 
         </tr>
         
<tr>
<td style="padding:10px;"><strong><font face="Arial" size="2" color="#000000">Session Agenda</font></strong></td>
</tr>

<tr>
<td style="padding:10px; padding-top:0px;">

         <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">A focus on improving positive outcomes</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Goals</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Perform higher in QIS process</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Types of standard surveys</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">QIS process</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Stage 1: Interv&igrave;ew and observe staff members</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Stage 2: Quality indicator process in food service</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Quality assessment</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Tool kit</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Corrective action plans</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Clinical nutrition</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Dining observation</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Kitchen/food preparation</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Understanding federal tags</font></li>
        <ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Federal tag 371: A-Tag 0618</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F371 sanitary food storage: A-Tag 0618</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F441 infection control: A-Tag 0618</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Federal tags 371 & 456 storage temperatures: §482.41(c)(4) standard: facilities A-Tag 0726</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F364 food preparation & service: A-Tag 0726</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F372 refuse/pest control: A-Tag 0713, A-Tag 0747</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F371, 441 & 364 dining observation: A-Tag 0700, A-Tag 0701, A-Tag 0618, A-Tag 0619, A-Tag 0622</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F353, 362 & 368 dining experience: A-Tag 0629, A-Tag 0630</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F310, 311 & 312 service mealtimes: A-Tag 0631, A-Tag 0618</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F253 dining atmosphere: A-Tag 0701</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F241 dignity & independence: A-Tag 0618</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">F327 food substitutes: A-Tag 0618, A-Tag 0619, A-Tag 0629</font></li>
        </ul>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Application</font></li>
        <li><font face="Arial, Helvetica, sans-serif" size="2" color="#000000">Quality indicators</font></li>
        
    </ul>  
         </td> 
         </tr>    

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