CMS Published: Reform of Requirements for Long-Term Care Facilities

1. CMS Published:Reform of Requirementsfor Long-Term Care Facilities Experts in foodservice management and food safety

2. Regulations These comprehensive regulations reflect advances in: • Theory and practice of service • Delivery • Safety for long-term care residents • Food and Nutrition Services Experts in foodservice management and food safety

3. Phase IEffective November 28, 2016 Experts in foodservice management and food safety

4. Regulations Five regulatory sections were fully implemented in this phase: • Resident assessment • Quality of life • Physician services • Laboratory, radiology, diagnostic services • Specialized rehabilitation Experts in foodservice management and food safety

5. Regulations Dietary Services §483.60 renamed to Food and Nutrition Services Additions to §483.60 Food and Nutrition Services include: • Continues food and nutrition protections - food safety • Qualified food and nutrition services staff - sufficient and competent • Reasonable efforts to address religious, cultural, and ethnic needs • Frequency of meals - snacks • Policy regarding use and storage of foods • Updated educational requirements (dietitian and food service manager) Set training and certification standards are now in place for the Director of Food Services in LTC facilities and is met by the Certified Dietary Manager (CDM) credential! Experts in foodservice management and food safety

6. Phase IIEffective November 28, 2017 Experts in foodservice management and food safety

7. Requirements Food Services Directors hired after November 28, 2017 ARE NOW REQUIRED to be Certified Dietary Managers OR meet the qualifications specified in the regulation. The CDM, CFPP credential is now listed as the primary qualification for the Director of Food and Nutrition Services (in the absence of a full-time dietitian.) The CDM, CFPP is the only credential that has a Scope of Practice. This allows for participation on the care planning team. Experts in foodservice management and food safety

8. Resources Check out the newly-designed Government Affairs section of the ANFP website! This section now hosts: • Advocacy information • CMS regulations updates • Staffing regulation updates Visit www.ANFPonline.org/government-affairs today! Submit your regulation questions to regs@ANFPonline.org. Experts in foodservice management and food safety

9. ANFP’s Advocacy Role The Government Affairs Committee has developed a new GrassROOTS campaign. Experts in foodservice management and food safety

10. States Recognizing the Credential 18 states recognize the CDM, CFPP Credential Alaska Arkansas California Delaware Florida Hawaii Illinois Iowa Kansas Maine Maryland Mississippi North Dakota Oklahoma South Carolina South Dakota Tennessee Wisconsin Experts in foodservice management and food safety

11. States Recognizing the Credential Government Affairs committee members are mentoring these states by contacting and writing a letter to: • State Registered Dietitians • Survey Departments • Legislators/governors The committee members are providing an overview of the CMS long-term care requirements and urging state officials to implement this language into their state regulations. Experts in foodservice management and food safety

12. Joining Forces ANFP has joined forces with • The Opportunity America Jobs and Careers Coalition • Strengthening Career and Technical Education for the 21st Century Act ANFP will continue to foster partnerships with other Healthcare Associations to cover the need for qualified CDMs. Experts in foodservice management and food safety

13. Brand Ambassadors How can you help? • Support your state ANFP Chapter and state Spokesperson Volunteer • Support all healthcare initiatives • Become a grassROOTS advocate • Donate to ANFP Political Action Committee (PAC) Donations to ANFP-PAC will fund all ANFP legislative initiatives and can be made at live meetings or online. Experts in foodservice management and food safety