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Exam Number : NAB-NHA
Exam Name : Nursing Home Administrator (NAB)
Vendor Name : Certification-Board
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NAB-NHA Exam Format | NAB-NHA Course Contents | NAB-NHA Course Outline | NAB-NHA Exam Syllabus | NAB-NHA Exam Objectives

Required Activity Areas:

The AIT Program should be based on the five domains of practice, which are covered in the various departments found in a long term care facility. The tool presents

the departments as modules and rotations; it is through these departments/modules
that the program should be designed, so that the individual AIT can meet an appropriate and tailored amount of time in each of the domains as appropriate. These modules include:

• Administration

• Human Resources

• Nursing

• Business Office/Financial Management

• Diet

• Rehabilitation

• Medical Records

• Activities

• Social Services/Admissions

• Housekeeping/Laundry

• Environmental Management/ Maintenance

A. Quality of Care/Nursing

1. Develop a rounding sheet with the administrator and director of nursing that is
resident- centered; initiate implementation.

2. Observe nurse peer review on administration of medications.

3. With director of nursing, ensure medications are not expired.

4. Develop resident satisfaction surveys and make recommendations for implementation as necessary.
B. Rehabilitation

1. Organize and implement a follow-up program for discharged residents
to the community.

2. Develop audit for equipment inventory and complete audit; report.

C. Medical/Resident Records

1. Conduct admission audit of current in-house resident population, analyze data
and report. Assist with recommendations, as needed.

2. Conduct audit of flu vaccination response variables, analyze data and report.
Assist with recommendations, as needed.

3. Conduct audit of admission and annual required vaccines, analyze data and
report. Assist with recommendations, as needed.

4. Conduct medical records audit with appropriate staff.

D. Activities

1. Develop and implement a volunteer program

2. Develop/enhance Life Enrichment/Person Centered Care program

a.Interview residents and families and analyze information to ensure that
desired activities are planned and implemented as necessary

b.Working with Directors of Activities and other personnel as needed, help
develop in-service for Life Enrichment/Person Centered Care; assist appropriate staff with delivering in-services.

E. Social Services/Admission

1. Conduct an audit of admissions documents (per regulations and organization
policy), analyze and report.

2. Complete an audit of resident preferences, such as time to eat, rise and retire,
bath/showers, time of therapy, etc. Make recommendations as necessary

3. Develop and implement an outreach program that communicates regularly with
residents and/or families post discharge.

F. Dietary

1. Develop a questionnaire for residents related to dietary satisfaction including
variables such as taste, temperature, timeliness, presentation, etc; implement,
analyze and report; make recommendations.

2. Meet with the dietician and dietary manager to learn how menus are developed,
followed, and implemented; conduct an audit to confirm residents are receiving
correct foods, drinks and adaptive devices.

3. Understand nutritionally compromised concerns and how weights are monitored.

4. Audit purchasing and storage of dietary supplies and food; report to dietary
manager and administrator.

5. Audit to ensure foods are served and maintained at proper temperatures and in
accordance with the Food Code.

G. Housekeeping/Laundry

1. Conduct weekly audits, evaluating such variables as dust, floors, toilet, showers
of designated public areas; track, trend and report accordingly.

2. Audit resident rooms for housekeeping variables;track, trend and report

3. Audit residents to determine if laundry is clean and received promptly.

4. Audit infection control, safety and cross contamination procedures and make
recommendations as necessary.

5. Follow the linen distribution system from soiled to clean and report accordingly.

6. Observe resident clothing management

II. Possible Activities/Assignments related to Domain 20: Human Resources

A. Conduct an employee file audit per regulations and organizational policy.

B. Collect annual turnover rates for last few years, and develop a strategic plan
with activities, timeframes, etc. for identified changes.

C. Develop an employee satisfaction questionnaire, administer it and analyze
data;develop a subsequent plan.

D. Develop, organize and implement several employee activities.

E. Track absentee information, such as shift, day of week, reason, frequency;

analyze and report the findings.

F. Audit external health care providers (e.g., physicians, dentists, podiatrists)
to determine current licenses, liability insurance, etc.; analyze and report the

G. Study and analyze recruiting plans/staffing patterns and offer ideas to
improve current processes to ensure that the needs of the residents cared
for are met.

H. Review and understand the facilitys employee handbook to ensure accuracy
and that all federal/state guidelines are followed and make recommendations
as necessary.

I. Review and evaluate payroll plans, compensation plans, and benefit packages

J. Participate in a complete employee hiring and orientation process ( interview,
background check, etc.).

K. Conduct a staff meeting and an in-service training program.

L. Participate in a disciplinary/grievance procedure and an employee
counseling session.

M. Understand and have knowledge of National Labor Relations Board (NRLB)
as it relates to the facility.

N. Review and evaluate the unemployment compensation record of the facility
and attend an unemployment compensation hearing as necessary.

O. Review and report on ways to encourage and support professional development of team members.

III.Possible Activities/Assignments related to Domain 30: Finance

A. Assist the administrator with all budget (capital, cash, operating, etc.) development and submission.

B. Understand and assist with accounts payable processing.

C. Analyze and understand how aged accounts work.

D. Understand the facilitys bad debt and write-off policy; determine avenues
for improvement.

E. Understand triple-check systems for private pay and all third party payors.

F. Describe and review regularly produced financial reports to determine if fiscal
issues have arisen and make recommendations as necessary

G. Review and describe the chart of accounts, bookkeeping procedures,
income and expense statements and balance sheets; make
recommendations as necessary.

H. Understand the financial audit process utilized by third party payors to ensure
billings are in accordance with services provided.

I. Analyze and understand third party payor cost reporting systems.

IV. Possible Activities/Assignments related to Domain 40: Environment

A. Audit preventative maintenance logs per regulations and company policy;track
and trend such variables as time of day, season, staff member, etc.

B. Audit resident rooms, utilizing audit tools to evaluate such items as electrical
outlet plates, call bells, water temperatures and beds; track, trend and report

C. Review emergency generator and life safety regulatory requirements according
to state, local, and federal laws specific to your building(s) and prepare a compliance report.Conduct audit of past year of the log; develop/revise preventative

maintenance log with maintenance supervisor.

D. Conduct an audit of the past years log; develop and/or revise preventative
maintenance logs with the maintenance supervisor.

E. Assist the administrator and maintenance supervisor with developing and
implementing an emergency plan.

F. Develop a rounding sheet with the administrator and maintenance supervisor
that is environmental and safety centered; initiate its implementation.

G. Audit Log Out/Tag Out procedures to ensure compliance.

V. Possible Activities/Assignments related to Domain 50: Management
& Leadership

A. Review policy and procedure manuals to determine if they are appropriate
and timely, per regulations and organization policy and make recommendations for change as necessary.

B. Develop and assist the administrator with an annual strategic planning

C. Review current internal and external contracts and agreements for accuracy,
efficiency and timeliness; organize and make recommendations as necessary.

D. Review and become comfortable with federal regulations and state specific
regulations; assist with educating department leaders, if needed.

E. Assist with writing a Plan of Correction and/or identified regulatory violations.

F. Review and update the facilitys organizational chart and job descriptions.

G. Review short-term and long-term goals of the organization for appropriateness.

H. Study the bylaws/mission statement/vision of the governing body and how
decisions and policies are made within the organization. Analyze the authority
throughout the facility.

I. Plan and attend internal and external meetings and prepare reports for the
organization, as necessary.

J. Review the facility marketing plan and make recommendations for change as
necessary based upon facility dynamics and community needs.

K. Review and understand the facilitys media publicity efforts, including (but not
limited to) writing news releases, facility publications, newsletters, etc.

L. Organize and write a report to include competitive information, such as
description of services and amenities, survey history, CMS 5-Star rating and
community involvement.

M. Review the facilitys corporate compliance program to ensure all appropriate
rules and regulations are followed.

N. Review and describe how the facilitys risk management program minimizes
legal liability.

O. Review and analyze facilitys information management system, including
technology, to ensure safeguards are in place to provide resident confidentiality, data security, social media, cell phones, etc.

P. Review and analyze the facilitys quality improvement programs.

Q. Review the facilitys customer satisfaction program, including resident relations initiatives, reception/concierge duties and resident/family surveys.

R. Transitional Care: understanding the various regional lines of service and how
they relate, as well as initiatives to ensure continuous delivery of safe and
quality care as consumers transition between the different lines of service.

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Certification-Board NAB-NHA outline


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If an ISA CAP® or CCST® applicant feels he/she changed into wrongly denied certification, original or renewal, from the CAP or CCST application, then he/she has the correct to enchantment.

Appeals tactics

All appeals will be in writing.

  • The observe of attraction must be brought to the Certification Board, addressed to the consideration of the ISA executive Director, by using the close of company on the twenty first day after the receipt date of the observe of denied certification.
  • The attraction may still consist of the date the be aware of denied certification was bought and should state the factors the applicant believes the denied certification turned into in error.
  • The enchantment may still point out whether or now not the applicant requests a hearing.
  • If a hearing is requested, the applicant ought to clarify why a listening to is needed, determine the issues to be resolved at a hearing, list names of prospective witnesses, and establish documentation and other evidence to be delivered on the hearing earlier than the Board.
  • The Chair of the Certification Board will choose a 3-member panel of the Board to develop into the evaluate Panel, certainly one of whom shall be appointed Chair and should be the closing vote within the experience of a tie all over the ruling.
  • processes

    The overview Panel will exam the attraction and any request for a listening to. The exam Panel will grant a listening to in connection with the appeal, if requested.

  • The Chair of the evaluate Panel will examine the time and placement of the hearing within ninety days after determination that a hearing is warranted and should notify the applicant within the first 21 days. The applicant should be notified of the hearing time and location as a minimum 20 days prior to the time determined for the hearing.
  • The applicant could be represented by using assistance or characterize him/herself on the hearing. The applicant may additionally offer witnesses and files and might move-assess any witness.
  • The evaluation Panel may believe any facts it deems central with out regard to strict software of felony guidelines of proof.
  • The applicant is urged to submit a written quick (4 copies) 10 days earlier than the listening to to the Certification Board, addressed to the consideration of the ISA government Director, for distribution to the panel in help of his/her place. however, written briefs don't seem to be required.
  • Deposition
  • If the applicant or evaluation Panel wants to take a deposition previous to the hearing of any voluntary witnesses who can't attend the hearing, the deposition of a witness may well be applied for in writing to the Chair of the exam Panel at the side of a written consent signed by using the knowledge witness that he or she will supply a deposition for one celebration and an announcement to the effect that the witness can not attend the hearing together with the reason behind such unavailability.
  • The celebration seeking to take the deposition of a witness shall state in element as to what the witness is anticipated to testify.
  • If the Chair of the overview Panel is satisfied that such deposition from a possible witness should be significant to the concern in query before the Panel, then the Chair will authorize the taking of the deposition. The Chair will also designate a member of the Panel to be present at the deposition.
  • The deposition may well be taken orally or by means of video. Any refusal of the taking of the deposition with the aid of the Chair will likely be reviewed by using the Panel on the request of the applicant.
  • The birthday party requesting the deposition pays for the cost linked with taking the deposition.
  • The applicant could be notified of the outcome of the exam Panel within 30 days of the meeting.

    remaining evaluation
  • If the evaluate Panel makes a call hostile to the applicant, the applicant might also enchantment to the total Certification Board for a final overview through the close of company on the 21st day after the be aware of decision is issued. Such attraction shall comply with the identical tactics because the initial enchantment to the extent viable with the Chair of the Board serving as the Chair of the closing review Panel. The Chair will as soon as once more opt for a three-member panel, one among whom can be himself, to become the evaluation Panel, and the final vote within the experience of a tie during the ruling can be his.
  • If the applicant doesn't petition the Board for evaluate or request a listening to earlier than the Board concerning the advice of rejection of the software in the time allowed by way of these suggestions, the long-established choice by way of the review Panel shall stand.


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