HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) Team Supervisors Assign case load to teams Office Supervisor Phase Prepare interval reports with case loads for teams Review and edit survey report Share team calendar’s with LTC Complaints/RE Enter survey dates into ASPEN Survey Team Leader Correct Calendar and submit to office and team supervisors Y Create draft survey calendar for upcoming 12 months Complete upcoming months calendar on the standard form Provide next month’s calendar to the office supervisor Any schedule changes prior to survey? N Conduct Survey Draft survey report Upload report to ASPEN Any deficiencies of ‘D’ or above? Y Notify OPC Enforcement for POC N Close out survey in ASPEN N Revisit necessary? Y Perform revisit HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Survey Subprocess Survey Team Member Survey Team Leader Phase Review facility history Gather survey documents to be completed Coordinate and assign tasks to team members Document survey findings Draft findings Receive and execute survey tasks Document survey findings Draft findings Generate draft survey report HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Enforcement/POC Subprocess Office Supervisor Phase Mark in tracking log, facility with pending POC Notify OPC enforcement for signature by mail Copy and mail letter to the facility Receive POC from the facility Generate new for CMS Team Leader Contact facility to make updates/ corrections N OPC Enforcement Notify office supervisor Generate POC letter Review POC Sign letter1 Comments: 1. Signature required from OPC Enforcement to meet federal requirements 2. Form is faxed by Office Supervisor to ‘stand out’ from other documents Return by mail to Survey Approve POC? Y Sign and date POC letter Fax info to OPC enforcement2 HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Revisit subprocess Team Leader Office Supervisor Phase Receive proposed revisit date Schedule revisit Perform revisit SURVEY