Current through Reg. 50, No. 187; September 24, 2024
(1) A training plan for the
Administrator-in-Training Program shall be prepared by the Preceptor and the
AIT trainee, prior to the start of the program. This training plan shall
include a pre-training assessment of the AIT's background, educational level,
pertinent experience, maturity, motivation and initiative. The pre-training
assessment shall identify the AIT's strengths and weaknesses with regard to the
specific domains of practice and skills necessary to serve as a licensed
administrator. Based on the assessment, the AIT and Preceptor will jointly
develop a detailed goal oriented training plan with adequate supporting
documentation which relates educational objectives, Domains of Practice,
internship site(s), agencies involved, total hours for the internship, and a
breakdown of the number of hours needed to master each Domain of Practice and
its objectives.
(2) The preceptor
and AIT must file reports with the Board. For 1, 000 hour programs, reports
shall be filed bi-monthly; for 2, 000 hour programs, reports shall be filed
quarterly. Reports for 1, 000 hour programs shall be made on the State of
Florida Administrator in Training Domains of Practice Quarterly Checklist For
1, 000 Hour Programs, Form DH 5021-MQA, 09/16, which is hereby incorporated by
reference and which can be obtained from the Board of Nursing Home
Administrators' website at
http://floridasnursinghomeadmin.gov/applications/chklst-1k-nha.pdf
or at http://www.flrules.org/Gateway/reference.asp?No=Ref-07722.
Reports for 2, 000 hour programs shall be made on the State of Florida
Administrator in Training Domains of Practice Quarterly Checklist For 2, 000
Hour Programs, Form DH-MQA 1209, 09/16, hereby adopted and incorporated by
reference and which can be obtained from the Board of Nursing Home
Administrators' website at:
http://floridasnursinghomeadmin.gov/applications/chklst-2k-nha.pdf
or at http://www.flrules.org/Gateway/reference.asp?No=Ref-07723.
Each report shall be co-signed by the Preceptor and AIT and shall be filed
within two weeks after the completion of each reporting period of the program.
Failure to file the report on the correct form or within the stated time period
may result in non-acceptance of the report. The reports shall contain a
synopsis of the areas covered in the program and a narrative describing
relevant learning experiences. The reports shall show how the AIT used the
following methods to further his or her training:
(a) On-the-job experience;
(b) Meetings attended;
(c) Surveys completed;
(d) Written reports;
(e) Texts or periodicals;
(f) Visits to other facilities;
(g) Academic programs, college or continuing
education seminars.
(3)
The AIT Program shall cover the following domains of practice:
(a) PERSONNEL. Topics in this area should
include recruitment, interviewing, employee selection, training, personnel
policies, health and safety. Objectives of training are:
1. To understand the need and procedures used
in training personnel, including interviewing for vacant positions,
2. To become familiar with proper human
relations regarding management, employees, patients and families,
3. To understand the organizational structure
of the facility, the functions of each department, and the personnel relations
within the facility,
4. To display
the ability to instruct staff on conducting appraisals,
5. To demonstrate the knowledge of and use of
appropriate supervisory techniques.
(b) FINANCE. Topics in this area should
include accounting, budgeting, financial planning and asset management.
Objectives of training are:
1. To understand
accounting procedures, chart of accounts, profit and loss statements, balance
sheets, cost reports, accounts receivable, and policies relative to accounts
payable and collection of accounts receivable,
2. To understand the preparation of budgets,
3. To be familiar with cash flow
preparations and needs,
4. To be
familiar with third party payment organizations,
5. To possess the ability to prepare a
business plan, a feasibility study, and a return on investment (ROI) proposal,
6. To understand how to develop,
plan and manage an interdisciplinary budget.
(c) MARKETING. Topics in this area should
include public relations activities and marketing programs. Objectives of
training are:
1. To present to the public the
essential medical relations and benefits of the facility to the welfare of the
local community, the local health agencies, and other organizations such as
church groups, social clubs, and service organizations,
2. To know and be able to utilize community
volunteer agencies' resources in the care of residents,
3. To be able to relate to a variety of
community resources, such as churches, professional organizations and
institutional structures that affect the facility.
(d) PHYSICAL RESOURCE MANAGEMENT. Topics in
this area should include safety procedures, fire and disaster plans, and
building and environment maintenance. Objectives of training are:
1. To develop an effective supply
appreciation and supervisory knowledge and ability to keep all medical
equipment and appliances necessary, available, and in good working order,
2. To have full knowledge of
sanitation, communicable disease control, prevention of accidents and complete
physical security for staff and patients, coordinating this information by
application to safety codes and fire prevention,
3. To understand routine maintenance needs
and procedures for buildings, surrounding grounds, vehicles and other
equipment,
4. To use the concepts
of disaster preparedness, and to demonstrate an understanding of the facility's
roles and vulnerabilities (including how to conduct an
evacuation).
(e) LAWS,
REGULATORY CODES AND GOVERNING BOARDS. Topics in this area should include
federal, state and local rules and regulations. Objectives of training are:
1. To learn how to apply the state's codes,
rules, regulations, and laws relating to long-term care facilities,
2. To integrate current federal regulations
pertaining to health care facilities with current state requirements,
3. To become familiar with
requirements of Medicare and Medicaid, and to learn to cope with their
problems,
4. To understand the
basic insurance coverages,
5. To
have a sense of the legal implications of various activities, procedures or
decisions routinely taken or performed in the facility.
(f) RESIDENT CARE. Topics in this area should
include nursing, food, social and recreational services, pharmacy,
rehabilitation, physician services and medical records. Objectives of training
are:
1. To understand the roles of the medical
director, the attending physicians, the director of nursing, the charge nurse,
the physical therapist, occupational therapist, speech therapist, dietitians,
pharmacist, licensed practical nurses and aides who provide the continuing
essential medical care and rehabilitation of the patients in the facility,
2. To develop an ability to
understand the various components of personal, social, therapeutic and
supportive care programs and their application in the total care program of the
resident,
3. To develop the ability
to function as a planner of the social, therapeutic, and supportive care
program,
4. To study the emotional
problems of aging in the lives of patients within the facility and to determine
the role of the administrator in alleviating such characteristic feelings as
loss, abandonment, dependency, depression, anxiety, or disengagement,
5. To determine the role of the administrator
in relating to the patient, and the family, who is faced with death,
6. To determine the relationship between
changes in a patient's behavior and changes in his or her environmental,
intrapsychic, and/or physical state,
7. To possess the ability to access and
interpret facility quality indicators and quality measures,
8. To understand the concepts of
benchmarking,
9. To be able to
assess facility performance using self-assessment
tools.
(4) In
order to afford flexibility, and to account for a particular AIT's strengths or
weaknesses in any particular area, the following minimum percentages in each
area are established:
(a) PERSONNEL. A minimum
of 15% of the program should be devoted to this area.
(b) FINANCE. A minimum of 15% of the program
should be devoted to this area.
(c)
MARKETING. A minimum of 5% of the program should be devoted to this
area.
(d) PHYSICAL RESOURCE
MANAGEMENT. A minimum of 10% of the program should be devoted to this
area.
(e) LAWS, REGULATORY CODES
AND GOVERNING BOARDS. A minimum of 10% of the program should be devoted to this
area.
(f) RESIDENT CARE. A minimum
of 20% of the program should be devoted to this area.
(g) The remaining 25% of the program may be
in any domain of practice, but shall be designed to provide additional training
in those areas of weakness identified by the pretraining assessment and the
AIT's detailed training plan.
(5) Nothing in this rule is intended to
preclude Preceptor from requiring the AIT complete any additional training as
necessary to ensure the AIT is prepared to practice as a licensed nursing home
administrator.
Rulemaking Authority
468.1685(1), (3),
(4) FS. Law Implemented
468.1685(3),
(4)
FS.
New 12-18-88, Formerly 21Z-16.005, 61G12-16.005,
59T-16.005, Amended 1-8-06, 1-9-12,
1-9-17.
