Post Acute Care

2018 AHCA/NCAL Annual Convention

PAC-6 - How to Avoid Citation F656 for Care Plan Development & Implementation

Wednesday, October 10
10:30 AM - 12:00 PM
CE: NAB: 1.5 | Nurses 0

F656 is the third most frequent citation under the new survey process. This session will focus on common reasons for citations related to the Care Plan given the changes required by the new regulations. Example Care Plans will be reviewed to demonstrate how the Care Plan can evolve into a document that does not serves its intended purpose and ultimately increases the risk of deficiencies. Common misperceptions about what must be in a Care Plan to satisfy surveyors will be highlighted.

Learning Objectives:

David Gifford, MD, MPH

Senior Vice President, Quality and Regulatory Afffairs
American Health Care Association

David Gifford, MD, MPH, is the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association, the largest association in the country representing long term and post-acute care facilities. He helped create the department which assists providers become more effective and efficiient in deliveing high quality care and works with Federal officials on regulations and policies impacting the profession. Dr. Gifford also serves on the Boards of the Advancing Excellence in America's Nursing Homes campaign and the Baldrige Foundation. He is a former Director of the Rhode Island Department of Health and Chief Medical Officer for Quality Partners of Rhode Island where he directed CMS' national nursing home-based quality improvement effort. He is a geriatrician and has served as medical director of several nursing homes in Rhode Isand. He received his medical degree from Case Western Reserve University and conducted his geriatric fellowship at UCLA where he also earned his Master's in Public Health in Epidemiology.


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Holly Harmon, RN, MBA, LNHA, FACHCA

Associate Vice President, Quality & Clinical Affairs

Holly Harmon, RN, MBA, LNHA, FACHCA brings both passion and a wealth of practical, real-world, clinical and operational experience to her role as Associate Vice President, Quality & Clinical Affairs at AHCA. Her extensive service in a wide array of settings including post-acute care, long term care, residential care, assisted living, independent living, a psychiatric hospital and occupational health have provided her with insights, knowledge, skills and innovative ideas which she exuberantly shares with others.

In addition to her vast clinical experience, Ms. Harmon has put her dynamic energy into leading the statewide Maine Culture Change Coalition/LANE as President, the Maine Partnership to Improve Dementia Care in Nursing Homes as Co-Chair, Vice-President of American College of Health Care Administrators, Maine Chapter and the Maine LANE Co-Convener for the national Advancing Excellence in America’s Nursing Homes Campaign. She also served as the Director of Quality Improvement & Regulatory Affairs at the Maine Health Care Association.

She puts her boundless energy and warm and energetic personality into training, education and presenting both, nationally and locally. She has made simplifying the complex world of long term and post-acute care policy and practice an art.


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PAC-6 - How to Avoid Citation F656 for Care Plan Development & Implementation

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