Tuesday, September 8, 2015

CMS Revises Quality Indicator Survey Training Process & Clarifies Trainer Roles

Lyn Bentley, MSW
On August 28, 2015 CMS issued S&C: 15-50-NH that provides revisions to the Quality Indicator Survey (QIS) training process.  CMS has revised the training procedures for State Survey Agencies (SA) and Regional Offices (ROs) utilizing the QIS to:

• Eliminate the mock survey and replace it with a survey of record;

• Eliminate the T3.5 process formerly called “The Trainer Instructor Training”;

• Update the compliance process and associated tool used for evaluating surveyors; and,

• Clarify the role of Certified Trainers.

This revised QIS training protocol does not replace the structured training program each SA and RO is required to have as outlined in Exhibit 42 of the State Operations Manual (SOM).

According to the memo, CMS has made the changes to assist SAs and ROs with survey efficiency.

Newly-hired surveyors in QIS States or Regions should:

• Receive training in basic computer skills (including data management, using folders, word processing, and import/export functions for Automated Survey Processing Environment (ASPEN) Software);

• Observe three or more QIS surveys exposing the surveyor to the QIS process in a manner that does not require performing data entry or other survey related tasks;

• Complete QIS survey tasks under the direct supervision of a preceptor; and,

• Complete the CMS approved QIS training as provided by a Certified QIS trainer and State Training Coordinator as discussed below.

The QIS training does not replace the requirements that a newly employed surveyor must be oriented to the nursing home survey process, successfully complete the Basic Long Term Care Healthcare Facility Training Course, and receive a passing score on the Surveyor Minimum Qualifications Test.

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