Md. Code Regs. 10.07.14.17 - Assisted Living Manager Training - Basic Courses

A. The assisted living manager's training shall include the following courses:

(1) Philosophy of assisted living, 2 hours, including:

(a) Philosophy and background of assisted living and aging in place;

(b) Objectives and principles of assisted living resident programs;

(c) Comparison of assisted living to other residential programs;

(d) Basic concepts of choice, independence, privacy, individuality, and dignity; and

(e) Normalization of the environment;

(2) Aging process and its impact, 4 hours, including:

(a) Physical characteristics of the assisted living residents;

(b) Psychosocial characteristics of the assisted living residents;

(c) Basic needs of the elderly and disabled; and

(d) Activities of daily living;

(3) Assessment and level of care waiver, 6 hours, including:

(a) Purpose and process;

(b) Guidelines for conducting assessments;

(c) Level of care assessments; and

(d) Collaboration with case manager and delegating nurse;

(4) Service planning, 6 hours, including:

(a) Required services;

(b) Enhanced scope of services;

(c) Development of individualized service plans;

(d) Scheduling of appropriate activities;

(e) Structure of activities;

(f) Care notes; and

(g) Collaboration with case manager and delegating nurse;

(5) Clinical management, 20 hours, including:

(a) Role of the delegating nurse;

(b) Appropriate nurse delegation;

(c) Concept of self-administration of medications;

(d) Concept of medication management;

(e) Assistance with self-administration of medications;

(f) Administration of medications;

(g) Coordination of services and care providers;

(h) Collaboration with case manager and delegating nurse;

(i) Preventing medication errors;

(j) Patient safety;

(k) Medication monitoring;

(l) Pharmacy consultation;

(m) Medication storage;

(n) Infection control, to include standard precautions, contact precautions, and hand hygiene;

(o) Appropriate staffing patterns;

(p) Pressure sores;

(q) Effective pain management;

(r) Basic first aid;

(s) Cardiopulmonary resuscitation (CPR); and

(t) Substance abuse;

(6) Admission and discharge criteria, 4 hours, including:

(a) Overview of criteria for admission and discharge;

(b) Resident contracts;

(c) Resident rights;

(d) Financial management of resident's funds; and

(e) Working with families of residents;

(7) Nutrition and food safety, 8 hours, including:

(a) Menu and meal planning;

(b) Basic nutritional needs;

(c) Safe food handling;

(d) Preventing food-borne illnesses;

(e) Therapeutic diets; and

(f) Dehydration;

(8) Dementia, mental health, and behavior management, 12 hours, including:

(a) An overview consisting of:

(i) Description of normal aging and conditions causing cognitive impairment;

(ii) Description of normal aging and conditions causing mental illness;

(iii) Risk factors for cognitive impairment;

(iv) Risk factors for mental illness;

(v) Health conditions that affect cognitive impairment;

(vi) Health conditions that affect mental illness;

(vii) Early identification and intervention for cognitive impairment;

(viii) Early identification and intervention for mental illness; and

(ix) Procedures for reporting cognitive, behavioral, and mood changes;

(b) Effective communication consisting of:

(i) Effect of cognitive impairment on expressive and receptive communication;

(ii) Effect of mental illness on expressive and receptive communication;

(iii) Effective communication techniques, including verbal, nonverbal, tone and volume of voice, and word choice; and

(iv) Environmental stimuli and influences on communication, including setting, noise, and visual cues;

(c) Behavioral intervention consisting of:

(i) Identifying and interpreting behavioral symptoms;

(ii) Problem solving for appropriate intervention;

(iii) Risk factors and safety precautions to protect other residents and the individual;

(iv) De-escalation techniques; and

(v) Collaboration with case manager or delegating nurse;

(d) Making activities meaningful consisting of:

(i) Understanding the therapeutic role of activities;

(ii) Creating opportunities for activities, including productive, leisure, and self-care; and

(iii) Structuring the day;

(e) Staff and family interaction consisting of:

(i) Building a partnership for goal-directed care;

(ii) Understanding family needs; and

(iii) Effective communication between family and staff;

(f) Managing staff stress consisting of:

(i) Understanding the impact of stress on job performance, staff relations, and overall facility environment;

(ii) Identification of stress triggers;

(iii) Self-care skills;

(iv) De-escalating techniques; and

(v) Devising support systems and action plans;

(9) End of life care, 4 hours, including:

(a) Advance directives;

(b) Hospice care;

(c) Power of attorney;

(d) Appointment of a health care agent;

(e) Living will;

(f) Pain management;

(g) Providing comfort and dignity; and

(h) Supporting the family;

(10) Management and operation, 4 hours, including:

(a) Role of the assisted living manager;

(b) Overview of accounting, accounts payable, and accounts receivable;

(c) The revenue cycle and budgeting;

(d) The basics of financial statements;

(e) Hiring and training of staff;

(f) Developing personnel policies and procedures;

(g) Census development; and

(h) Marketing;

(11) Emergency planning, 4 hours, including:

(a) Fire, disaster, and emergency preparedness;

(b) Occupational Safety and Health Administration (OSHA) requirements;

(c) Maintaining the building, grounds, and equipment;

(d) Elopements;

(e) Transfers to the hospital;

(f) Evacuations;

(g) Power outages;

(h) Severe weather;

(i) Fire;

(j) Emergency response systems; and

(k) Security systems;

(12) Quality assurance, 4 hours, including:

(a) Incident report processes; and

(b) Quality improvement processes; and

(13) Survey process, 2 hours, including:

(a) State statutes and regulations;

(b) What to expect during a survey; and

(c) Documentation.

B. A person seeking to offer the assisted living manager training course shall obtain approval by the Department by:

(1) Submitting the proposed curriculum and training materials to the Department; and

(2) Being available for an in-person or telephone interview by the Department.

Notes

Md. Code Regs. 10.07.14.17

Regulation .17B amended effective March 29, 2004 (31:6 Md. R. 508)
Regulations .17 effective October 10, 2005 (32:20 Md. R. 1655)
Regulations .17 adopted effective December 29, 2008 (35:26 Md. R. 2249)