ADL Facility Assessment Checklists - Kansas Foundation for ...

6. Is there a designated clinical “expert”available at the facility to answer questionsfrom all staff about ADL function andrestorative programs?7. Is the education provided at the appropriatelevel for the learner (i.e. CNA vs. RN)?8. Does the education include staff training ondocumentation methods related to ADLdecline?9. Are all staff aware of the process foridentifying health conditions that mayinfluence functional ability?10. Are all staff aware of the environmentalfactors that can influence ADL function?11. Are appropriate staff trained on how to makereferrals to other health professionals whennecessary?YesYYYYYYNoNNNNNNPersonResponsible:Comments:If any of the above elements in your facility’s education and training program are missing:• Choose one element to focus your quality improvement effort on first.• Start with the Quality Improvement Worksheet A: Identifying Areas for Improvement to collect datato investigate further.• Follow the Quality Improvement Worksheets to implement missing element(s) and monitor regularlyto determine whether implementation is successful.Once you have completed worksheets for any missing items on any/all of the checklists you are finished.This material is provided by the Kansas Foundation for Medical Care, Inc. (KFMC), the Medicare Quality Improvement Organization for Kansas, under contract with the Centers for Medicare& Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services and prepared by Quality Partners of Rhode Island The contents presented do not necessarilyreflect CMS policy. 10SOW-KS-NH_LAN-12-18