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Provider Notice issued 08/01/06
Who in the facility will be responsible for ensuring that the TB Code and facility’s written plan is followed.
The plan must be updated at least annually. This includes contacting the local TB authority annually to determine the facility’s risk.
Protocols for screening and diagnosis, i.e., initial two-step Mantoux, signs and symptoms checklist on admission and annual checklists for persons with an old documented positive skin test, chest X-ray, and medical evaluation for person with new positive TB skin test results as well as any other appropriate diagnostic tests.
Data collection and evaluation – who is going to keep track of TB information in the facility by using what methods, i.e., screening results, signs and symptoms checklist results, results of any diagnostic testing, etc.
Plan if a resident develops active TB. What will the facility do, i.e., will the SLF keep the resident, what is SLF’s plan to prevent transmission to other residents and staff. If the facility intends to keep residents with active tuberculosis disease, the facility must have protocols documented in their policy and procedure manual for the management of residents with active disease such as infection control and isolation.
Plan for obtaining medical evaluation for persons with signs and symptoms of active TB and report positive results to the local TB authority.
Plan for providing employee and volunteer education program covering tuberculosis identification, prevention and control as well as reporting requirements.
Records shall be maintained on Mantoux skin test results, TB diagnostic evaluation results (including whether the TB was drug-resistant), other information about any persons exposed to tuberculosis. Individual and aggregate data should be analyzed periodically to identify the facility’s level of risk and changes in the risk of TB transmission. All records required must be made available for inspection by the Department or the local TB authority upon request.
Tuberculosis Plan - Resident Assessment Instrument – Notification of Change in Resident Status
| To: |
Providers of Supportive Living |
| Date: | August 1, 2006 |
| Re: | Tuberculosis Plan - Resident Assessment Instrument – Notification of Change in Resident Status |
Tuberculosis Plan
For supportive living facility (SLF) reviews conducted after November 1, 2006, Department staff will review written plans for tuberculosis. Illinois Department of Public Health regulations (77 Ill. Adm. Code 696.130 a), require facilities, including SLFs, to develop a written plan for the screening and management of tuberculosis infection and disease that addresses the following components.
Resident Assessment Instrument
89 Ill. Adm. Code 146.245(c) requires that SLFs complete a comprehensive Resident Assessment Instrument (RAI) within 14 days after admission and annually thereafter. Certain areas of the RAI require observation of the resident before scoring so that a resident’s needs can be accurately determined. A minimum of seven days, beginning with the day of admission, must be allowed to observe the resident before the RAI is considered ready for sign-off by the SLF’s registered nurse.
Notification of Change in Resident Status
Except for facilities participating in the Recipient Eligibility Verification (REV) System, the 89 Ill. Adm. Code 140.513 requires all long term care facilities to notify the Department within five working days after the death of a resident. Notification must be made by sending a telefax transmittal of the Department approved form, Form HFS 1156, Long Term Care Facility Notification. The telefax number dedicated for reporting long term care facility resident deaths is 217-557-4210. Facilities must also send an original copy of the notification of death, discharge or any other changes in a resident’s status using Form HFS 1156 to the facility’s DHS local county office caseworker within five working days after the change in resident status.
Facilities that participate in the REV System must electronically submit a notification to the Department of any change in resident’s status through their REV vendor within five working days after the change in resident status.
Facilities with the highest incidences of overpayments will be notified by the Department and will be required to participate in the REV System. After one year of compliance, the Department may remove this requirement if the facility chooses not to participate in the REV System.
If you have any questions regarding this notice, contact the Bureau of Long Term Care at 217-524-7245.
Anne Marie Murphy, Ph.D
Administrator
Division of Medical Programs