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Breathe a sigh of relief.

Here are all the forms you need to ensure proper documentation and improve the efficiency of your entire facility.

Without effective documentation, you run the risk of improper reimbursement, survey citations, and costly litigation. Even when done properly, documentation is time-consuming and often confusing. The long-term care industry, however, has historically lacked the tools to standardize proper documentation. 60 Essential Forms for Long-Term Care Documentation—a compilation of more than 60 invaluable forms—were designed to help you improve your facility's documentation methods, thus making you better prepared for state and other government surveys. The book also includes a CD-ROM that allows you to redesign and customize forms to adapt to your facility.

Look at the essential forms and reports you get:

• AUDIT FORMS
  Quality Audit ♦ MDS Audit for Documentation/Reimbursement ♦ Nursing Audit for Survey ♦ New Admission Audit ♦ Dysphagia Audit ♦ Psychotropic Audit ♦ Urinary Catheter Audit ♦ Medical Staff Documentation Audit ♦ Safety Rounds Audit ♦ Kitchen/Dietary Audit
• DOCUMENTATION FORMS
  Guidelines for Admission Database ♦ Admission Database ♦ Guidelines for Sub-Acute Flow Sheet ♦ Sub-Acute Flow Sheet ♦ Guidelines for Psychotropic Summary ♦ Psychotropic Summary ♦ Guidelines for Restraint Reduction Form ♦ Restraint Reduction/Elimination ♦ Restraint Assessment Form ♦ Interdisciplinary Teaching Form ♦ Fall Assessment ♦ Fall Prevention and Assessment Policy ♦ 48-Hour Fall Monitoring Form ♦ Guidelines for Incident and Accident Report ♦ Incident Report Sample ♦ Pain Assessment: Communication with Impaired Residents ♦ Guidelines for Pain ♦ Management Flow Sheet ♦ Pain Management Tracking ♦ Pain Management Flow Sheet ♦ ADL/Restorative Nursing Flow Sheet ♦ ADL Data Collection Form ♦ Cognitive/Mood/Behavioral Form ♦ Restorative Sheet ♦ Wandering Assessment ♦ Product Evaluation/Request Form ♦ Transfer Checklist: Sub-Acute to LTC ♦ Daily Staffing Form
• REGULATORY
  GANTT Chart for Regulatory Readiness ♦ Standing Meetings and Committees Guidelines ♦ Root Cause Analysis Worksheet ♦ SDOH Focus/Arrive in Facility
• PERFORMANCE IMPROVEMENT
  Guidelines for CQI/PI Meetings ♦ Sample PI: How to Write ♦ Blank PI/CQI Form ♦ Sample Pain Meeting CQI ♦ Pain Management Data Collection Form ♦ Sample: Resident Safety (Fall Prevention) CQI ♦ Sample: Transfers to Hospital CQI ♦ Sample: Psychoactive Reduction CQI ♦ Sample: Restraint Reduction CQI ♦ Sample Infection Control and Surveillance ♦ Interdisciplinary Action
• MISCELLANEOUS
  Procedure for Medical Staff Appointment: Credentialing ♦ Credentialing

Order this resource today to improve your documentation—and simplify your life!

ABOUT THE AUTHOR:

Kathleen Martin, RN, MSN, MPA, LNHA, APN, is one of the long-term care industry's experts in Nursing Management, Facility Administration, Standards of Care, Documentation, Risk and Quality Management. For 27 years, she has been a nurse in a variety of areas including executive positions in acute care, critical care, trauma, burns, and LTC/Sub-Acute care. She is currently the Corporate Executive for Clinical Services for Hospicomm, Inc., in Philadelphia, a company that owns and manages LTC and assisted living facilities in New Jersey. She has consulted with attorneys and is retained as an expert witness and legal nurse consultant nationwide through Martin & Associates for over 13 years, and has a certificate in Life Care Planning. She has also run her own business in providing educational programs nationally through Criticare Seminars, Inc. She has won an Innovation Award for work re-design by the American College of Physician Executives and wrote and won a $250,000 grant from the State of New Jersey for the implementation of a work re-design project. In addition, she is a clinical specialist and has written many professional articles and book chapters in critical care, long-term care, and management. She frequently lectures on performance improvement, financial management, avoiding malpractice through better documentation, failure mode effect analysis, customer service, management through six sigma, and many other topics.

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