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326 Results

  • ZPICs Use An Arsenal Of Weapons To Fight Fraud

    Contains 1 Component(s)

    The Centers for Medicare & Medicaid Services (CMS) significantly revised Chapter 4 of the Medicare Program Integrity Manual (PIM). The changes outline investigative instructions and procedures governing Zone Program Integrity Contractors (ZPICs), whose audits aim to prevent, detect, and deter fraud, waste, and abuse in the Medicare program.

    The Centers for Medicare & Medicaid Services (CMS) significantly revised Chapter 4 of the Medicare Program Integrity Manual (PIM). The changes outline investigative instructions and procedures governing Zone Program Integrity Contractors (ZPICs), whose audits aim to prevent, detect, and deter fraud, waste, and abuse in the Medicare program.

  • Part 3: Unintended Healthcare Outcomes - Building Prevention Into Every Day Practice: A Framework for Successful Clinical Outcomes

    Contains 4 Component(s) Recorded On: 11/16/2016

    After the OIG Report that shed light on several areas of care that put residents at risk, providers immediately got to work developing systems and responses that would help to minimize these unintended healthcare outcomes. Part 3 of the Quality Initiative Series focuses on clinical care, nutrition and team strategies that can make an immediate difference in the lives of residents. Additionally, The Association's Clinical Practice Committee designed a framework that outlines guiding elements such as individualized care approaches, effective transitions of care, QAPI concepts, safety, risk management, team-based care, and diagnostic quality that will support your efforts in fulfilling the Requirements of Participation. Discover what the Hillcrest team has done to succeed in this valuable program on reducing unintended healthcare outcomes. Join Dr. David Gifford, Dr. Anna Fisher, Joe DiMinico and Roxanne Dai in Part 3 of our series.

    After the OIG Report that shed light on several areas of care that put residents at risk, providers immediately got to work developing systems and responses that would help to minimize these unintended healthcare outcomes. Part 3 of the Quality Initiative Series focuses on clinical care, nutrition and team strategies that can make an immediate difference in the lives of residents. Additionally, The Association's Clinical Practice Committee designed a framework that outlines guiding elements such as individualized care approaches, effective transitions of care, QAPI concepts, safety, risk management, team-based care, and diagnostic quality that will support your efforts in fulfilling the Requirements of Participation. Discover what the Hillcrest team has done to succeed in this valuable program on reducing unintended healthcare outcomes.

    Join Dr. David Gifford, Dr. Anna Fisher, Joe DiMinico, RN, Admin, Jason Hagarty, Culinary Coordinator and Roxanne Dai in Part 3 of our series

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    Special Thanks to Our Sponsors


    Dr. Anna Fisher, DHA, CMDCP, CDP

    Director of Quality and Education. Hillcrest Health Services

    Dr. Anna Fisher,  DHA, CMDCP, CDP, is a Certified Montessori Dementia Care Practitioner and Director of Quality & Education at Hillcrest Health Services and is responsible for quality and education services for assisted living, memory support, adult day services, in-patient rehabilitation, outpatient therapy, home health care, private duty, telehealth, hospice, and skilled nursing care. She is also an adjunct professor in the College of Arts and Sciences at Bellevue University.

    Dr. Fisher is a Clinical Practice Committee Member, Emergency Preparedness Committee Member, and Silver Quality Award Senior Examiner for the American Health Care Association (AHCA) / National Center for Assisted Living (NCAL). Most recently, she serves as a leadership member of the Pioneer Network Artifacts 2.0 Advisory Group, Nebraska Culture Change Coalition, and the Developmental Disabilities Aging Coalition.

    In this webinar, Dr. Fisher will discuss QAPI and how health care communities can oversee and review their pain management approaches, including the use of opioids to treat pain as well as the expectations of surveyors and how facilities should address pain issues.

    David Gifford, MD, MPH

    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. 

    Joe DiMinico

    RN, Administrator of the Cottages at Hillcrest Country Estates

    Joe DiMinico joined Hillcrest Health Services in 2011 and is currently the Administrator of the Cottages at Hillcrest Country Estates. Joe is a Registered Nurse with experience in geriatric health care management and oversees a very innovative community of eight “household model" long-term care cottages and one post-acute rehabilitation cottage.

    Roxann Dai

    Nurse Technician

    Roxann has been with Hillcrest Health Services for 6 1/2 years.Her position with Hillcrest is a Nurse Tech, and she is also finishing up her Medication Aide classes.She has been nominated for employee of the month, employee of the year, and was a national finalist for CNA of the year through Cerner.

    Jason Hagarty

    Culinary Coordinator

    Jason Hagarty is the Culinary Coordinator with Hillcrest Country Estates at the Rehab Cottage since March 2014. Jason developed and designed menus and set up programming for the CBORD dietary food ordering system. Jason has three years experience with CHI Health Systems as Team Lead of Food and Nutrition, and initiated and implemented the new "Aladdin" Re-Therm food system throughout all CHI hospitals in Nebraska.

  • Taking Photos or Videos in SNFs - §483.10(e)

    Contains 1 Component(s)

    Purpose and Intent of §483.10(e): To provide guidance on the use of photographs and videos in SNFs

    Purpose and Intent of §483.10(e): To provide guidance on the use of photographs and videos in SNFs

  • QAPI Detailed Checklist (Phase 1) - § 483.75

    Contains 1 Component(s)

    Purpose & Intent of §483.75: To develop, implement, and maintain an effective comprehensive, data-driven QAPI program that focuses on systems of care, outcomes of care, and quality of life

    Purpose & Intent of § 483.75: To develop, implement, and maintain an effective comprehensive, data-driven QAPI program that focuses on systems of care, outcomes of care, and quality of life.

  • New CMS Regulatory LTC Requirements for Food/Nutrition and Dining

    Contains 1 Component(s)

    This session will present an overview of the key changes to put you in the “driver’s seat” for success with compliance.

    Session Objectives

    By the end of the session attendees will be able to:

    • Understand the key changes in the LTC Survey Requirements for Food/Nutrition and Dining
    • Describe the focus areas and key revisions related to Food/Nutrition and Dining
    • Maneuver through the regulatory maze of compliance and be a driver for positive outcomes.


    Presentation Overall Description:
    The LTC Survey Requirements for Participation are changing and SNF will be expected to be in compliance. Food, nutrition and dining are integral components for success in the survey process. Providers must know what these changes are and what surveyors will be looking at during the survey process. This session will present an overview of the key changes to put you in the “driver's seat" for success with compliance.


    Presenter:
    Brenda Richardson, MA, RDN, LD, CD, FAND, is a known leader in the field of dietetics and nutrition with aging. Brenda is a national acclaimed speaker, author, LTC nutrition-legal expert and consultant to health care providers. She is President of Brenda Richardson Associates, LLC. Brenda currently serves on the Academy of Nutrition and Dietetics Position Committee, is past Chair of the Academy of Nutrition and Dietetics Political Action Committee (ANDPAC) and serves on the Academy CMS Workgroup and IMPACT ACT Task Force.

  • 2016 AHCA ⁄ NCAL Annual Awards

    Contains 1 Component(s)

    Here are stories about some very special, compassionate leaders and groups in the long term and post-acute care profession: the recipients of the AHCA ⁄ NCAL annual awards. They will be recognized during the AHCA ⁄ NCAL 67th Annual Convention & Expo this month.

    Here are stories about some very special, compassionate leaders and groups in the long term and post-acute care profession: the recipients of the AHCA ⁄ NCAL annual awards. They will be recognized during the AHCA ⁄ NCAL 67th Annual Convention & Expo this month.

  • Slides from RoP Webinar

    Contains 1 Component(s)

    A high level overview of the new requirements of participation released by CMS on September 30, 2016

    A high level overview of the new requirements of participation released by CMS on September 30, 2016

  • Requirements of Participation

    Contains 1 Component(s) Recorded On: 10/03/2016

    This briefing will provide a high-level overview of the more than 700-page final rule.

    Please note, there will be second offering of this program on Wednesday, October 5th from 3-4pm ET if you are unable to attend this program. You may register for the October 5th program here.


    The final rule for the new Requirements of Participation has been released and AHCA will provide a briefing about the changes. This briefing will provide a high-level overview of the more than 700-page final rule. There is a 3 year Phase-In of the requirements and we will focus on the portions of the rule that are in Phase 1. Following our presentation there will be a Question and Answer period.


    Presenters:

    Mark Parkinson
    David Gifford
    Lyn Bentley

  • Part 2 Discharge to Community: Creating Seamless Transitions

    Contains 6 Component(s) Recorded On: 09/28/2016

    Part 2 Discharge to Community: Creating Seamless Transitions

    A significant shift we've experienced in our communities relates to discharge to community. Our role is to create seamless transitions that return residents safely home - a departure from our “long stay" roots. As a result, skilled nursing centers are responsible for assisting individuals in improving functional independence and adequately preparing individuals for discharge from the center.Assuring individuals and their families are able to manage care needs after discharge is critical to preventing rehospitalizations.

    Additionally, the Medicare Payment Advisory Commission (MedPAC), the IMPACT Act and changes to the Five-Star Quality Rating System all call for improving and measuring discharges back to the community. Managed care plans, ACOs, and bundled payment models are also looking for high performing partners

    Join Dr. David Gifford and his team of experts, Lynn Chase, , Massachusetts QIO Program Director, Healthcentric Advisorsand Tina Roberts, CNA, Genesis Healthcare who will provide valuable insights on how to provide high quality and seamless service related to discharge to community.

    Special thanks to our sponsor Healthcare Academy

    HCA Healthcare Academy.png

    Lynn Chase

    Massachusetts QIO Program Director, Healthcentric Advisors

    Ms. Chase is the Program Director for the New England QIN-QIO work in Massachusetts. She has led the Healthcentric Advisors' Care Transitions effort since 2009 and now also serves as the regional lead for the QIO care transitions activities across New England.

    Prior to joining Healthcentric Advisors, Ms. Chase spent 17 years on the Organizational Development team at CVS, building educational curriculums and materials for their pharmacy staff.

    She holds a Bachelor's degree in Psychology.


    David Gifford, MD, MPH

    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. 

    Tina Roberts

    CNA

    Tina Roberts brings a world of experience to our discussion. She has been a CNA for 40 years and understands what it takes to help people heal and grow healthy and strong to return home. She works at Cumberland Village in Lafollette, TN. She comes from a long line of caregivers including her mom, grandmother and sister who are all RN's. She loves being a CNA. She also loves being a grandmother and has 10 grandchildren.

  • The Iowa Nursing Home Leaders Academy of Excellence Webinar Series

    Contains 9 Component(s)

    The Iowa Nursing Home Leaders Academy of Excellence Webinar Series

    The Iowa Nursing Home Leader Academy of Excellence

    OVERVIEWThe Nursing Home Leader Academy of Excellence is a national effort whose goal is to provide an intensive, interactive experience that prepares nursing home administrators to be competent and inspired leaders in skilled nursing centers. This is an advanced and specialized leadership course designed to build on the basic business and management skills. The focus of the program is to teach participants how to effectively lead their centers using a quality assurance –performance improvement approach; to use high level human resource practices to build a skilled and stable workforce; to promote quality of life and quality of care for residents; and to successfully compete in the changing landscape of post-acute care. In addition to the traditional format of lecture and assigned reading, participants will be engaged in a variety of learning activities including their selection of a unique quality improvement target in their own practice setting.


    8 Part Webinar Series:

    Falls as a Quality Improvement Target - Sue Ann Guildermann

    Customer Satisfaction as a Quality Improvement Target - Mary Tellis Nayak

    Staff Stability & Consistent Assignment Strategies - Barbara Frank & Cathie Brady

    Hospital Readmission Reduction; Not Just Nursing's job - David Farrell

    Vision Lead organizations -Phil Fogg

    Antipsychotics as a Quality Improvement Target- David Gifford

    QAPI in Action - Janet Snipes




    Falls create a significant problem for many settings affecting the lives of residents and staff alike. In this session, Sue Ann Guildermann will guide listener thru the causes and cures. Attendees will recognize:

    1. The relationship between sleep and falls
    2. The Relationship between meds and falls
    3. An array of practical ways to prevent falls

    Speaker: Sue Ann Guildermann

    Customer Satisfaction is an important focus area for organizations who are intent on being a top provider in the eyes of residents, families and hospitals, and ACOs. Discover concrete ways to use the QAPI process to resolve common resident complaints. Attendees will recognize:

    1. The relationship between customer satisfaction and key quality indicators for skilled nursing centers

    2. The most common resident complaints

    3. How to use QAPI process to resolve the customer complaints and improve satisfaction

    Speaker: Mary Tellis Nayak

    This session will offer ideas and implementation strategies related to staffing and consistent assignment. Attendees will recognize:

    1. The connection between consistently assigned staff and improved quality

    2. The steps and processes to initiate and sustain consistent assignments

    Speakers: Barbara Frank& Cathie Brady

    Discover techniques applied by NHA and SSD role in reducing hospital readmissions. Attendees will recognize:

    1. Why hospital readmissions are not just a nursing problem

    2. The role of NHA and SSD in reducing hospital readmissions

    3. The steps to build team- work to achieve the shared goal of hospital readmission reduction

    Speaker: David Farrell

    Proactive organizations use strategic planning, self-assessment, customer satisfaction and other metrics to help stay on track toward their quality goals. Learn how to create a process that works for your center. Attendees will recognize:

    1. The importance of forward- looking leadership

    2. The role strategic planning plays in achieving and sustaining quality

    Speaker: Phil Fogg

    Discover the latest information on reducing antipsychotics for people with dementia. Attendees will recognize:

    1. The importance and progress of the national campaign to improve dementia care in skilled nursing centers

    2. Behaviors as an unmet need.

    Speaker: Dave Gifford

    Refresh your understanding about systems and quality improvement (i.e. QAPI & Baldrige). During this session we'll talk about the two process improvement models, and hear about successful implementation strategies currently being used by nursing centers and assisted living communities. Attendees will recognize:

    1. The practical applications of CMS QAPI tools in skilled nursing centers from providers who use them

    2. The common wins and challenges related to developing an effective QAPI program


    Speaker: Janet Snipes

    This session will focus on resident centered factors that result in behaviors, including falls, while exploring individualized intervention selection that will make the resident successful and the staff member empowered. Attendees will recognize:

    1. The motivational causes of all behaviors, including falls.

    2. The assessment components that must be done to determine who the resident is as a social being

    3. The resident's cognitive functional age is the basis for selection of person-centered interventions

    Speaker: Diana Waugh

NCAL AHCA