CMS SOM App. U, Tag R192

Evaluation

(1) The RNHCI must ensure that staff (including contractors and other individuals

working under arrangement) have the necessary education and training concerning

their duties so that they can furnish services competently. This education includes,

but is not limited to, training related to the individual job description, performance

expectations, applicable organizational policies and procedures, and safety

responsibilities.

Interpretive Guidelines: §403.740(b)

The RNHCI should have a comprehensive program for education and training of staff,

including contractors as well as services being provided under arrangement. Education

and training should focus on the basic orientation of staff to the facility, the services it

provides and the patient population it serves. This could be part of a general orientation

for new hires. Additionally, staff, contractors and individuals providing services under

arrangement should have ongoing training and be assessed for competence. This could

include training on updated policies and procedures used by the organization or changes

in services being provided. Additionally, management of the RNHCHI is also responsible

for having a process for performance evaluation of staff.

Survey Procedures:

• How does the facility orient personnel (including contractual personnel) to

RNHCI objectives, policies, procedures, and programs?

• How does coordination of care among staff and/or contract personnel providing

services to the facility occur?

• Have staff received training (both upon hiring and on an ongoing basis) which

results in the competencies needed to do their job?

• Are staff aware and capable of meeting their job requirements?