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319 Results

  • Direct Contracting 101: Opportunity for SNF/PAC to Lead?

    Contains 2 Component(s) Includes Multiple Live Events. The next is on 12/08/2020 at 2:00 PM (EST)

    Direct Contracting is one of the newest, voluntary Medicare fee-for-service (FFS) risk sharing models aimed at transforming care delivery and moving providers from volume to value. Direct Contracting is based on lessons learned from ACOs and features of Medicare Advantage and encourages participation by organizations serving dually eligible and complex needs populations. It provides a potential path for innovative SNF/PAC providers to lead in managing risk. Join this webinar to learn more about Direct Contracting -- key features, participation options, beneficiary criteria, payment and quality, model waivers, and opportunity for SNF/PAC.

    Direct Contracting is one of the newest, voluntary Medicare fee-for-service (FFS) risk sharing models aimed at transforming care delivery and moving providers from volume to value. Direct Contracting is based on lessons learned from ACOs and features of Medicare Advantage and encourages participation by organizations serving  dually eligible and complex needs populations. It provides a potential path for innovative SNF/PAC providers to lead in managing risk.  Join this webinar to learn more about Direct Contracting -- key features, participation options, beneficiary criteria, payment and quality, model waivers, and opportunity for SNF/PAC.

    Meet the Speakers:

    Tyler Cromer, Principal, ATI Advisory

    Nisha Hammel, Senior Director, Population Health Management, AHCA

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

    Nisha Hammel

    Senior Director, Population Health Management, AHCA

    As Senior Director of Population Health Management for the American Health Care Association, Nisha Hammel advises on and assists members with care transformation and innovative payment models including provider-led special needs plans, bundled payments, direct contracting and other risk models.

    Nisha is a health care leader and strategic thinker with over 18 years of post-acute care experience. She has served in varied roles including Senior Vice-President of Operations, Senior Vice President of Home Health and Hospice, Chief Compliance Officer and Senior Vice President of Strategy.  Most recently, Nisha spearheaded the due diligence exploration of a post-acute provider-owned Medicare Advantage Special Needs Plan and led the advocacy efforts for LeadingAge Ohio.  Nisha is skilled at building critical partnerships and strategic alliances.   

    Nisha has a B.A. in Psychology from the University of Notre Dame and an M.S.W. from the University of Michigan, Ann Arbor.  She also holds a Specialist in Aging Certificate from the University of Michigan.

    Tyler Cromer

    Principal, ATI Advisory

    Tyler Overstreet Cromer joins ATI after more than a decade of experience in federal health policy and budget at the Office of Management and Budget (OMB). She advises clients on innovative financing and delivery models.

    Most recently, Tyler served as a senior executive at OMB providing oversight and expertise for budget development and execution across the Department of Health and Human Services. She is particularly interested in payment policy and healthcare delivery system reform and in providing insights to clients building on her years of experience shaping federal policy on these topics. Tyler was in on the ground floor of many of the reforms to traditional Medicare, having led efforts at OMB related to the Center for Medicare and Medicaid Innovation (CMMI) since its inception until her arrival at ATI. Tyler also worked on the initial design and regulations implementing the Medicare Shared Savings Program. She has provided oversight of and guidance to various other health programs and agencies, including the Older Americans Act programs administered by the Administration for Community Living, federal policy related to electronic medical records, and the administrative budget of the Centers for Medicare and Medicaid Services.

    Tyler has a Masters of Public Administration from the Maxwell School at Syracuse University and a Bachelor of Arts from Wake Forest University.

  • National Quality Award Silver Series

    Contains 13 Component(s)

    Thank you for your interest in the AHCA/NCAL National Quality Award Program! The Silver Award is the second step in the Quality Award journey. Applicants are required to have received a Bronze Quality Award before applying at the Silver level. Our 2021 series has launched! Modules will be released on an ongoing basis for a total of 10 modules. Please register today! In addition to the Organizational Profile, Silver applicants respond to the seven Baldrige categories and the basic and select overall item requirements within these categories. This allows Silver applicants to begin focusing on the Baldrige Criteria as an integrated management system and provides a clear pathway for recipients moving to Gold. We look forward to sharing the series with our 2021 applicants! If you have questions, please contact qualityaward@ahca.org.

    Thank you for your interest in the AHCA/NCAL National Quality Award Program! The Silver Award is the second step in the Quality Award journey. Applicants are required to have received a Bronze Quality Award before applying at the Silver level.

    Our 2021 series has launched! Modules will be released on an ongoing basis for a total of 10 modules. Please register today!

    In addition to the Organizational Profile, Silver applicants respond to the seven Baldrige categories and the basic and select overall item requirements within these categories. This allows Silver applicants to begin focusing on the Baldrige Criteria as an integrated management system and provides a clear pathway for recipients moving to Gold.


    Don't forget to submit your intent to apply for the 2021 application cycle, deadline is November 12 by 8 pm ET.

    If you have questions, please contact qualityaward@ahca.org.

    A special thank you to our 2021 AHCA/NCAL National Quality Award Sponsors:

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    Permission to use, copy and/or distribute any documentation and/or related images from this series shall be expressly obtained from AHCA.

    Paul Grizzell

    Paul Grizzell of Core Values Partners is a leadership coach who helps his partners focus, align, and accelerate their improvement efforts through effective deployment of the Baldrige Criteria for Performance Excellence.  Much of his work is focused on helping mission-focused organizations implement effective practices that lead to high performance and improved results.  He has assisted long-term care organizations with refining their AHCA/NCAL Award applications, preparing for Gold Award site visits, and better understanding performance excellence concepts.  His clients have been recipients of AHCA/NCAL Silver and Gold Awards in addition to state and national Baldrige Awards. 

    Paul has been a Judge for the Gold Level of the American Health Care Association Quality Award for seven years and trains Senior and Master Examiners for the Quality Award program. He has provided Bronze and Silver application writing workshops to Care Providers of MN and presented on Quality Award topics at AHCA/NCAL Conventions. 

    Paul has been involved with Baldrige-based performance improvement since 1997.  Paul is a Master Examiner on the Baldrige Award Board of Examiners where has led multiple site visits and trained Baldrige Examiners.  He is also a Judge for multiple state award programs.  He is an Assessor and Licensed Advisor for the European Quality Award. 

    Paul is a co-author to Insights to Performance Excellence, Using the Baldrige Framework and Other Integrated Management Systems, published by the American Society for Quality.

  • National Quality Award Gold Series

    Contains 13 Component(s)

    Thank you for your interest in the AHCA/NCAL National Quality Award Program! The Gold Award is the third step in the Quality Award journey. Applicants are required to have received Bronze and Silver Quality Awards before applying at the Gold level. Our 2021 series has launched! Modules will be released on an ongoing basis for a total of 10 modules. Please register today! For the 2021 AHCA/NCAL Award cycle, Gold applicants should respond to the 2019-2020 Baldrige Excellence Framework in its entirety. You should purchase a copy of the Framework at https://www.nist.gov/baldrige/publications/baldrige-excellence-framework/health-care prior to beginning the series. We look forward to sharing the series with our 2021 applicants! If you have questions, please contact qualityaward@ahca.org.

    Thank you for your interest in the AHCA/NCAL National Quality Award Program! The Gold Award is the third step in the Quality Award journey. Applicants are required to have received Bronze and Silver Quality Awards before applying at the Gold level.

    Our 2021 series has launched! Modules will be released on an ongoing basis for a total of 10 modules. Please register today!

    For the 2021 AHCA/NCAL Award cycle, Gold applicants should respond to the 2019-2020 Baldrige Excellence Framework in its entirety. You should purchase a copy of the Framework at https://www.nist.gov/baldrige/publications/baldrige-excellence-framework/health-care prior to beginning the series.


    Don't forget to submit your intent to apply for the 2021 application cycle, deadline is November 12 by 8 pm ET.

    If you have questions, please contact qualityaward@ahca.org.


    A special thank you to our 2021 AHCA/NCAL National Quality Award Sponsors:

    image  



    Permission to use, copy and/or distribute any documentation and/or related images from this series shall be expressly obtained from AHCA.

    Paul Grizzell

    Paul Grizzell of Core Values Partners is a leadership coach who helps his partners focus, align, and accelerate their improvement efforts through effective deployment of the Baldrige Criteria for Performance Excellence.  Much of his work is focused on helping mission-focused organizations implement effective practices that lead to high performance and improved results.  He has assisted long-term care organizations with refining their AHCA/NCAL Award applications, preparing for Gold Award site visits, and better understanding performance excellence concepts.  His clients have been recipients of AHCA/NCAL Silver and Gold Awards in addition to state and national Baldrige Awards. 

    Paul has been a Judge for the Gold Level of the American Health Care Association Quality Award for seven years and trains Senior and Master Examiners for the Quality Award program. He has provided Bronze and Silver application writing workshops to Care Providers of MN and presented on Quality Award topics at AHCA/NCAL Conventions. 

    Paul has been involved with Baldrige-based performance improvement since 1997.  Paul is a Master Examiner on the Baldrige Award Board of Examiners where has led multiple site visits and trained Baldrige Examiners.  He is also a Judge for multiple state award programs.  He is an Assessor and Licensed Advisor for the European Quality Award. 

    Paul is a co-author to Insights to Performance Excellence, Using the Baldrige Framework and Other Integrated Management Systems, published by the American Society for Quality.

  • PRF Reporting Requirements – Updated with HHS FAQs, November 23

    Contains 1 Component(s)

    In this latest edition of AHCA/NCAL’s PRF Reporting education, member experts review the most up-to-date reporting requirements available as well as case examples. Members should use the information contained in this webex and update any work conducted based on earlier guidance.

    In this latest edition of AHCA/NCAL’s PRF Reporting education, member experts review the most up-to-date reporting requirements available as well as case examples.  Members should use the information contained in this webex and update any work conducted based on earlier guidance.  

    Meet the Speakers:

    Mike Cheek, Senior Vice President, Reimbursement Policy & Market Strategy

    Betsy Rust, AHCA/NCAL Board; Partner, CPA, Plante Moran

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

  • COVID-19 Monoclonal Antibody

    Contains 1 Component(s)

    In this series of office hours, AHCA/NCAL will provide an overview of the COVID-19 Monoclonal Antibody and review what facilities need to know about the COVID-19 treatment. There will be a question and answer session at the end.

    In this series of office hours, AHCA/NCAL will provide an overview of the COVID-19 Monoclonal Antibody and review what facilities need to know about the COVID-19 treatment.  There will be a question and answer session at the end.

    This webinar is available to AHCA/NCAL members only. 
    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

  • AHCA PDPM Academy 2020 Subscription– Building Optimal Operational Capacities©

    Contains 8 Product(s)

    AHCA’s PDPM Academy 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model. In 2020, the AHCA subscription-based PDPM Academy will provide AHCA provider members with in depth on-line education and training on best practice topics and operational capacities key to PDPM success.

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    AHCA’s PDPM Academy 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model.  In 2020, the AHCA subscription-based PDPM Academy will provide AHCA provider members with in depth on-line education and training on best practice topics and operational capacities key to PDPM success.  

    Subscribers to the AHCA PDPM Academy 2020 – Building Optimal Operational Capacities© will receive the following benefits:

    1. In-depth education will include seven pre-recorded webinars starting in March 2020 with continuing education (CE) credits and accompanied by AHCA-developed guidance, tool kits, or other resources. The seven (CE) educational webinars will be held throughout 2020 as they are completed.  All seven educational webinars are included in the $299 2020 PDPM Academy registration fee. The topics include:

    • AVAILABLE NOW! Getting Older is not for the Weak: An Evidence-Based Approach for Improving Mobility –In this training module, the RESTORE team, a collaborative group of researchers, educators, and professionals within the University of Colorado Physical Therapy Program will share an approach for helping providers integrate the latest evidence-based rehabilitation strategies into routine practice. 
    • AVAILABLE NOW! Identifying and Managing Residents with Complex Nursing and NTA Needs – In this module, PDPM Academy participants will learn how members have attracted and retained nursing staff, best practices for staff training on complex care as well as optimal NTA services need identification and care. 
    • AVAILABLE NOW! Restorative Nursing and Skilled Maintenance Nursing and Therapy – Nearly one-third of SNF resident stays would be eligible for restorative nursing case-mix payment adjustments within the PDPM Nursing Component.  Additionally, new flexibilities in therapy service delivery permitted under PDPM create incentives to develop more effective restorative nursing programs to all Medicare Part A residents, including those on an active therapy care plan.  This module will highlight restorative nursing and skilled maintenance nursing and therapy best practices under PDPM.
    • AVAILABLE NOW! Medical Director’s Role in the SNF PDPM World - The recent transition of the Medicare Part A skilled nursing facility prospective payment system (SNF PPS) from a RUG-IV model primarily driven by therapy delivery to a patient driven payment model (PDPM) based on resident characteristics, including a new emphasis on admitting and comorbid diagnoses has escalated the importance of the role of the SNF medical director.  The onset of the COVID-19 pandemic earlier this year escalated the value further.  In this session, the presenter, a nationally known geriatrician and spokesperson for high quality SNF care, will describe how integrating the medical director more fully into the facility’s strategic as well as front-line PDPM-related operational and clinical activities in managing the care delivery of beneficiaries during a Medicare post-acute stay improves care. 
    • AVAILABLE NOW! Trend Tracker and Other Sources to Monitor Quality Impact of PDPM – AHCA members can monitor their Skilled Nursing Facility (SNF) Rehospitalization Value-Based Purchasing (VBP) performance as well as their IMPACT Act Quality Reporting Program (QRP) performance via LTCTT.  In this module, PDPM Academy participants will gain a deeper understanding of key PDPM Quality Measures (QM), how to best monitor them including using of LTCTT.  Participants also will learn about root-cause analysis approaches to address QM challenges.
    • Effective Care Transitions at Admission and Discharge –PDPM Academy participants will hear in this module from hospital discharge specialists, AHCA members, and home health intake specialists about their approaches to effective care transitions entering and exiting the SNF. 
    • Holistic Person-Centered Care Planning –This training module will provide possible models for PAC Comprehensive, Person-Centered Care Planning which also align with CMS’ vision for PDPM “holistic care planning” as well as offer insights into the business case for person-centered planning.

    2. Five “live” PDPM Academy Open Discussion Forums (ODF) every other month (one-hour each) starting January 2020, addressing challenging PDPM clinical and billing topics and CMS updates.

    3. Access to AHCA’ library of 2019 and 2020 PDPM Academy materials housed at ahcancalED. 

    These resources are a considerable value to AHCA members.  Private consultancies will charge several hundreds of dollars for the resources and the six hours of CE eligible training on the topics above. 

    Access to all of the benefits, above, is available to AHCA provider member individual employees (or individual contracted employees if registering through the AHCA provider member) via a PDPM Academy 2020 subscription price of $299 including CEs for the entire year. 

    AHCA’s PDPM resources for all provider members in 2019 focused on the basic elements and technical aspects of the new patient characteristic-based payment model and included AHCA developed tools, resources and webinars as well as access to numerous PDPM-related CMS and other public domain resources.  In 2020, the AHCA PDPM Resources Page will continue to provide basic PDPM education all AHCA provider members as listed below.

    The following free PDPM resources will be available to all AHCA provider members:

    • All-Provider member PDPM webinars
      • FY 2021 SNF PPS Proposed Rule Summary (est. May 2010)
      • FY 2021 SNF PPS Final Rule Summary (est. August 2020)
    • New or updated all-provider member tools and resources as they are developed (TBD)
    • Access to CMS and other PDPM-related public-access resources
    • Access to AHCA’s library of 2019 and 2020 all-member materials housed at ahcancalED

    AHCA is offering the following PDPM-Related fee-based products and services in 2020 to support SNF personnel in improving care delivery best practices and in building optimal operational capacities.

    These items are not inlcuded in your PDPM Academy subscription. Each resource will have a separate fee. 

    • PDPM ICD-10 Coding Training (January 2020) (Members and Non-Members)
    • AHCA/AHIMA ICD-10 Training for PDPM – Coder/Clinician 
      • 2020 Full Version (16 Hours & CEs) 
      • 2020 Refresher Version (Hours TBD & CEs) 
    • AHCA/AHIMA ICD-10 Training for PDPM – Non-Coder – 2020 Full Version (4 Hours & CEs) 
    • i-STRONGER Online/Interactive High-Intensity Rehabilitation Program Training for Physical and Occupational Therapy Clinicians (May 2020) (12+ Hours) (Members and Non-Members) 
    • Patient Pathway Platform (P3) Report Subscription (containing local market hospital referral data, SNF LOS data, SNF market PDPM data, and top referring hospital PDPM data) (January 2020) (Provider Members Only) 
    • PDPM Medicare Advantage Education & Negotiation Guidance (release TBD) (Provider Members Only) 
  • COVID-19 - Overview of SNF 3-Day Stay and Benefit Period Waivers

    Contains 1 Component(s)

    This webinar will provide a brief overview of the background of these important waivers and will also provide specific details about when and how it would be appropriate for SNFs to apply the waivers to assure that Medicare beneficiaries are able to access skilled SNF Part A benefits in a manner that also minimizes risks for unnecessary exposure or transmission of the COVID-19 virus. Examples of how the 3-Day Stay and Benefit Period waivers can or cannot apply in common situations will be discussed. Additionally, details related to documentation, MDS assessment scheduling, and claims coding and sequencing requirements specific to these waivers will be reviewed.

    When there’s a public health emergency (PHE), sections 1135 or 1812(f) of the SSA allow the US Secretary of Health and Human Services (HHS) to issue blanket waivers to help beneficiaries access care.  In response to the declaration of the COVID-19 national PHE, HHS issued a nationwide blanket waiver of the 3-Day Prior Hospitalization and 60-day break in Benefit Period requirements to qualify for SNF Part A benefits effective March 1, 2020.  When a blanket waiver is issued, providers don't have to apply for an individual waiver for the duration of the PHE.  The PHE was recently renewed and will apply till at least January 20, 2021. 

    This webinar will provide a brief overview of the background of these important waivers and will also provide specific details about when and how it would be appropriate for SNFs to apply the waivers to assure that Medicare beneficiaries are able to access skilled SNF Part A benefits in a manner that also minimizes risks for unnecessary exposure or transmission of the COVID-19 virus. Examples of how the 3-Day Stay and Benefit Period waivers can or cannot apply in common situations will be discussed.  Additionally, details related to documentation, MDS assessment scheduling, and claims coding and sequencing requirements specific to these waivers will be reviewed.         

    While providing a general overview of these waivers, the target audience for this webinar includes SNF personnel responsible for making coverage eligibility decisions, as well as MDS scheduling personnel and billing office personnel responsible for assuring compliance with the modified requirements necessary for claims applying these waivers to be properly processed by CMS.     

    This webinar is available to AHCA/NCAL members only.
    How to Register: 
    • To avoid technical problems, use Google Chrome.
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

    Daniel Ciolek, PT, MS, PMP

    Associate Vice President, Therapy Services, AHCA

    Dan Ciolek is the Associate Vice President of Therapy Advocacy with the American Health Care Association. Mr. Ciolek's clinical and healthcare policy experience spans 30 years. He has practiced as a physical therapist clinician, manager, and business owner in a variety of settings including acute inpatient, inpatient rehabilitation, skilled nursing facility, home health, outpatient, and industrial health. He previously earned the Geriatric Physical Therapy Specialist certification, and is currently a certified Project Management Professional. Before joining AHCA in 2013, Dan served in the Subject Matter Expert and Project Manager capacities in numerous Centers for Medicare and Medicaid contracts. Specific to therapy services, Dan's CMS work has included: national outpatient therapy utilization analysis for PT, OT, and SLP services; medical review; workgroup facilitation; development of policy recommendations; development of Medicare Learning Network and 1-800-Medicare content, and Physician Quality Reporting System reporting enhancements.  Additionally, Dan has contributed to therapy health policy activities at the University, State, Chapter and National levels. These activities included: elected and appointed positions; adjunct faculty/lecturer; author of professional articles; invited speaker; technical expert panelist, and invited contributor of health policy concepts to professional and provider organizations. Dan's advocacy efforts have been recognized through his receipt of two national professional awards for Policy Making and Advocacy for Older Adults. Overall, Dan is recognized as a leading expert in therapy policy and research, including a focus on reimbursement issues. His efforts have contributed directly to numerous Medicare policy changes. 

  • Post-Election Analysis Membership Call with Mark Parkinson

    Contains 1 Component(s)

    AHCA/NCAL ​CEO Mark Parkinson will provide an analysis of the impact of the recent election results on the long term care sector. All AHCA/NCAL members are invited to participate.

    AHCA/NCAL CEO Mark Parkinson will provide an analysis of the impact of the recent election results on the long term care sector. All AHCA/NCAL members are invited to participate.
    Registration is limited to protect webinar performance. 
    The webinar will be recorded and available for playback within 24 hrs. 
    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Members will need to log in using their existing AHCA/NCAL username and password first. 
    • Once you are logged in to the website you will be able to register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here
    • If you are new to the site, you can create an account here. Answer all fields on the create an account page- especially locating your company name. You can search by name or zip code. After creating an account, you will be able to register for the webinar. 

    Need further assistance? Email educate@ahca.org

  • Pharmacy Partnership for Long-Term Care Program for COVID-19 Vaccination Office Hours

    Contains 5 Component(s)

    The federal government has created the Pharmacy Partnership for Long-Term Care Program —a national vaccine distribution program for long term care residents. In this series of office hours, AHCA/NCAL and CDC staff will provide an overview of the Pharmacy Partnership for Long-Term Care Program and answer your questions. ​

    The federal government has created the Pharmacy Partnership for Long-Term Care Program —a national vaccine distribution program for long term care residents.  

    In this series of office hours, AHCA/NCAL and CDC staff will provide an overview of the Pharmacy Partnership for Long-Term Care Program and answer your questions. 

    This resource is free and open to AHCA/NCAL members in addition to the public. Membership to AHCA/NCAL is not required to access the materials however, you will need to create an account to identify your personal access to the materials.
    Faculty:  

    David Gifford  

    Courtney Bishnoi

    Ruth Link-Gelles 

    How to Register: 
    • To avoid technical problems, use Google Chrome. 
    • Participants will need to log in using their existing AHCA/NCAL username and password first.
    • If you are new to the site you can create an account here. Answer all fields on the create an account page. Members should identify your company name. You can search by name or zip code.
    • After creating an account and being logged in to the website you will be able to pre- register by clicking the green register button at the top of the page. 
    • If you have forgotten your password click here

    Need further assistance? Email educate@ahca.org


    David Gifford, MD, MPH

    Senior Vice President of Quality and Regulatory Affairs, AHCA

    Senior Vice President of Quality and Regulatory Affairs, AHCA David Gifford, MD, MPH, is a geriatrician and former medical director of several nursing homes in Rhode Island. He currently serves as the Senior Vice President of Quality and Regulatory Affairs at the American Health Care Association. He helped create the Quality Department at AHCA which assists providers in their quality improvement efforts and works with administration officials on regulations and policies impacting the profession. Dr. Gifford also serves on the Board of the Advancing Excellence in America’s Nursing Homes campaign and the Baldrige Foundation Board. He is a former Director of the Rhode Island State Department of Health, where he received the National Governor’s award for Distinguished Service Award for State Officials. Prior to that he served as Chief Medical Officer for Quality Partners of Rhode Island where he directed CMS’ national nursing home-based quality improvement effort. He also holds a faculty appointment at Brown University Medical School and School of Public Health. He received his medical degree from Case Western Reserve University and conducted his geriatric fellowship at UCLA where he also earned his Master’s in Public Health while a Robert Wood Johnson Clinical Scholar. 

    Courtney Bishnoi

    Vice President of Quality and Programs, AHCA NCAL

    Courtney Bishnoi joined the American Health Care Association (AHCA) and National Center of Assisted Living (NCAL) in 2008. She is a national expert in performance excellence with a passion for strategic planning and systems-based performance improvement.

    As the Senior Director of Quality, Courtney oversees the AHCA/NCAL National Quality Award program, a progressive program based on the Baldrige Performance Excellence criteria that recognizes quality performance in member organizations. Under Courtney’s leadership, the program has expanded significantly, both in scope and size. The program receives well over 1,000 applications per year and is the largest Baldrige-based program in the country. It has also increased its recognition by stakeholders and policy makers and is formally included in four separate states’ regulatory and payment programs. She is also responsible for managing the 12-member Board that oversees the program, including facilitating their annual strategic planning process.

    Courtney is also responsible for the AHCA Quality Initiative, a national, multi-year focused effort to further improve quality of care in America’s long term and post-acute care centers.

    Before joining AHCA, Courtney served as the Award Program Coordinator at the American Society of Hematology (ASH), managing several medical grant-based award programs. She received her Bachelor of Arts (BA) from the University of Arizona with a major in Communications and a minor in Business.

    Ruth Link-Gelles, MPH, PhD

    Doctoral Epidemiologist, Division of Viral Diseases, Centers for Disease Control and Prevention (CDC)

    Ruth Link-Gelles is an epidemiologist serving in CDC’s Division of Viral Diseases and is leading CDC’s planning efforts for rollout of COVID-19 vaccine in long-term care facilities. Dr. Link-Gelles completed CDC’s Epidemic Intelligence Service program in the Division of Viral Hepatitis, and then spent 2 years with CDC’s Division of Healthcare Quality Promotion focusing on outbreak response in healthcare settings, including long-term care. She has deployed for numerous CDC emergency responses including Zika, hepatitis A, mumps, and COVID-19. Dr. Link-Gelles completed her MPH at Emory University and earned her PhD in Epidemiology at the University of North Carolina, Chapel Hill. Dr. Link-Gelles serves as a Lieutenant Commander in the U.S. Public Health Service Commissioned Corps. 

  • Medical Director’s Role in the SNF PDPM World CE Webinar

    Contains 3 Component(s), Includes Credits

    The recent transition of the Medicare Part A skilled nursing facility prospective payment system (SNF PPS) from a RUG-IV model primarily driven by therapy delivery to a patient driven payment model (PDPM) based on resident characteristics, including a new emphasis on admitting and comorbid diagnoses has escalated the importance of the role of the SNF medical director. The onset of the COVID-19 pandemic earlier this year escalated the value further. In this session, the presenter, a nationally known geriatrician and spokesperson for high-quality SNF care, will describe how integrating the medical director more fully into the facility’s strategic as well as front-line PDPM-related operational and clinical activities in managing the care delivery of beneficiaries during a Medicare post-acute stay improves care.

    The recent transition of the Medicare Part A skilled nursing facility prospective payment system (SNF PPS) from a RUG-IV model primarily driven by therapy delivery to a patient driven payment model (PDPM) based on resident characteristics, including a new emphasis on admitting and comorbid diagnoses has escalated the importance of the role of the SNF medical director.  The onset of the COVID-19 pandemic earlier this year escalated the value further.  In this session, the presenter, a nationally known geriatrician and spokesperson for high quality SNF care, will describe how integrating the medical director more fully into the facility’s strategic as well as front-line PDPM-related operational and clinical activities in managing the care delivery of beneficiaries during a Medicare post-acute stay improves care.      

    1.25 NAB CEs available upon successful completion of quiz.

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    Michael R. Wasserman, MD 

    Doctor Wasserman is a geriatrician who has devoted his career to serving the needs of older adults. He is Editor-in-Chief of Springer’s upcoming textbook, Geriatric Medicine: A Person Centered Evidence Based Approach. Springer previously published his book, “The Business of Geriatrics,” in 2016, which details how to succeed in Geriatrics in today’s healthcare marketplace.

    Dr. Wasserman previously served as Chief Executive Officer overseeing the largest nursing home chain in California. Prior to that, he was the Executive Director, Care Continuum, for HSAG, the QIN-QIO for California. In 2001 he co-founded Senior Care of Colorado, which became the largest privately owned primary care geriatric practice in the country, before selling it in 2010.

    In the 1990’s he was President of GeriMed of America, a Geriatric Medical Management Company which successfully operated senior clinics in Central Florida under full-risk contracts with Humana and Cigna. In 1989, in the Journal of the American Geriatrics Society, Doctor Wasserman published "Fever, White Blood Cells and Differential Count in Diagnosing Bacterial Infection in the Elderly,” the findings of which are now part of the McGeer Criteria, used widely in nursing homes to evaluate residents for infections.

    Dr. Wasserman is a graduate of the University of Texas, Medical Branch. He completed an Internal Medicine residency at Cedars-Sinai Medical Center and a Geriatric Medicine Fellowship at UCLA. He spent five years with Kaiser-Permanente in Southern California where he developed Kaiser's first outpatient Geriatric Consult Clinic.

    Dr. Wasserman was the lead delegate from the State of Colorado to the 2005 White House Conference on Aging. He also co-chaired the Colorado Alzheimer’s Coordinating Council. Dr. Wasserman has actively supported the Wish of a Lifetime Foundation since its inception and serves on its Board. He is Past-President of the California Association for Long Term Care Medicine.

NCAL AHCA