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CMS’ Resident Classification System Version 1 – An Overview and Preliminary Action Steps for RMF
Contains 1 Component(s)AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
Learning Objectives
- Understand CMS’ Goals and Overarching RCS-1 Construct
- Learn about Each Component and Associated Patient Characteristics
- Learn about Member Expert Preliminary Analyses and Steps to Assess RCS-1 Impacts
- Outlook for Implementation and Transition from RUGS IV to RCS-1
If you already have an AHCANCAL account, click the_LOG IN_button at the top right
corner of the Home page. There, you will see the familiar AHCA log in screen. Apply your user name and password and you will be redirected to ahcancalED.
What if you forgot your password? If you forgot:_click the_LOG IN_button
at the top right corner of the Home page and you will be redirected to the AHCA log
in screen. Just below the blue SIGN IN box (toward the bottom of the page) you will see
a message that says: If you need help retrieving your Username or Password Click HERE.
Please email educate@ahca.org if you need help or have additional questions.
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The AHCA Quality Initiative 2018-2021
Contains 5 Product(s)The AHCA Quality Initiative is a national, multi-year effort to further improve quality of care in America’s long term and post-acute care centers. Since the launch of the Initiative in 2012, members have been challenged to meet measurable targets in key areas such as hospitalizations and antipsychotics usage. While significant improvements have been made, more must be done. The next phase of the effort continues to challenge providers to achieve quantitative results in four areas by March 2021. These areas are top priorities for the Centers for Medicare & Medicaid Services (CMS), Accountable Care Organizations (ACOs) as well as Managed Care Organizations (MCOs), and are aligned with federal mandates that link financial outcomes to quality performance.
The AHCA Quality Initiative is a national, multi-year effort to further improve quality of care in America’s long term and post-acute care centers. Since the launch of the Initiative in 2012, members have been challenged to meet measurable targets in key areas such as hospitalizations and antipsychotics usage. While significant improvements have been made, more must be done. The next phase of the effort continues to challenge providers to achieve quantitative results in four areas by March 2021. These areas are top priorities for the Centers for Medicare & Medicaid Services (CMS), Accountable Care Organizations (ACOs) as well as Managed Care Organizations (MCOs), and are aligned with federal mandates that link financial outcomes to quality performance.
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Hospitalizations
Contains 5 Component(s) Recorded On: 05/07/2014Safely reduce long-stay and short- stay hospitalizations by improving 10% (Q1 2017 baseline rates)- or maintain a rate of 10% or less- by March 2021.
Hospital readmissions not only have the potential for negative physical, emotional, and psychological impacts on individuals in skilled nursing care, but also cost the Medicare program billions of dollars.
Preventing these events whenever possible is always beneficial to residents and has been identified by policymakers and providers as an opportunity to reduce overall health care system costs through improvements in quality. The issue is a top priority for the Centers for Medicare & Medicaid Services (CMS) and managed care programs. An example of this is the Skilled Nursing Facility (SNF) Value Based Purchasing (VBP) Program, a CMS effort that links financial outcomes to quality performance that starts on October 1, 2018. -
Customer Satisfaction
Contains 4 Component(s) Recorded On: 04/11/2012Improve long- stay and short- stay satisfaction by 10% (Q1 2017 baseline rates) - or achieve a rate of > 90%- by March 2021.
Similar to many other professions, the happiness and peace of mind of residents and their families is paramount to skilled nursing care centers. That is why the Association has made great progress in identifying a customer satisfaction survey—CoreQ—that can be uniformly used by long term and post-acute care providers.
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Antipsychotics
Contains 5 Component(s) Recorded On: 10/27/2014Safely reduce the off-label use of antipsychotics by 10% (Q1 2017 baseline rates)- or maintain a rate of 8% or less in long- stay residents, and maintain a rate of 1% or less in short- stay residents- by March 2021.
A large number of the individuals in skilled nursing centers are living with some type of dementia. For these individuals and as illness progresses, behavior often becomes a key form of communication. This can be challenging for families and staff, and too often, antipsychotic medication is used in an attempt to modify behavior. The use of antipsychotic medication to treat behavior associated with dementia is not supported clinically and is considered off-label by the FDA, which issued a “black box” warning for the elderly with dementia.
Antipsychotic drugs are expensive, costing hundreds of millions of Medicare dollars. They also increase the risk of death, falls with fractures, hospitalizations and other complications resulting in poor health and high costs.
The intent of the AHCA Quality Initiative goal to safely reduce the off-label use of antipsychotics is to encourage alternative strategies for responding to challenging behavioral expressions in persons living with dementia before considering medications and to ensure that antipsychotic medications, when used, are as appropriate and safe as possible.
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The Quality Initiative Fact Sheet
Contains 2 Component(s)The American Health Care Association (AHCA) has broadened its Quality Initiative* to further improve the quality of care in America’s skilled nursing care centers. The expansion of the Initiative will challenge members to apply the Baldrige Excellence Framework to meet measurable targets in eight critical areas by March 2018. These areas are aligned with the Centers for Medicare & Medicaid Services (CMS)’ Quality Assurance/Performance Improvement (QAPI) program and federal mandates, such as Five-Star and the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
The American Health Care Association (AHCA) has broadened its Quality Initiative* to further improve the quality of care in America’s skilled nursing care centers. The expansion of the Initiative will challenge members to apply the Baldrige Excellence Framework to meet measurable targets in eight critical areas by March 2018. These areas are aligned with the Centers for Medicare & Medicaid Services (CMS)’ Quality Assurance/Performance Improvement (QAPI) program and federal mandates, such as Five-Star and the Improving Medicare Post-Acute Care Transformation (IMPACT) Act.
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CMS’ Resident Classification System Version 1 – An Overview and Preliminary Action Steps for CPAC
Contains 1 Component(s)AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
Learning Objectives
- Understand CMS’ Goals and Overarching RCS-1 Construct
- Learn about Each Component and Associated Patient Characteristics
- Learn about Member Expert Preliminary Analyses and Steps to Assess RCS-1 Impacts
- Outlook for Implementation and Transition from RUGS IV to RCS-1
If you already have an AHCANCAL account, click the_LOG IN_button at the top right
corner of the Home page. There, you will see the familiar AHCA log in screen. Apply your user name and password and you will be redirected to ahcancalED.
What if you forgot your password? If you forgot:_click the_LOG IN_button
at the top right corner of the Home page and you will be redirected to the AHCA log
in screen. Just below the blue SIGN IN box (toward the bottom of the page) you will see
a message that says: If you need help retrieving your Username or Password Click HERE.
Please email educate@ahca.org if you need help or have additional questions.
-
CNA Solutions Using Technology to Solve Workforce Challenges
Contains 1 Component(s) Recorded On: 03/06/2018Introducing the Online CNA solution utilizing the AHCA How to be curriculum. This program is approved in the state of South Dakota. Reduced Early Adopter pricing for statewide classes will be discussed. During this program we will discuss: • The workforce challenges that impact the industry • The need for quality trained workforce to meet the growing demand. •Explore the use of a blended learning approach to train staff • How to use the course as tool to attract additional staff into the aging care field. • We will demonstrate the course for ease of use and discuss the three components necessary in order to utilize this method. • We will cover customization, compliance and state certification • We will discuss the career ladder options and the need for partnerships for the delivery into the market. • We will discuss Early Adopter pricing for State classes held bi-monthly (offer good for next 6 months) Speaker: John Reinhart, MBA, CPA
Introducing the Online CNA solution utilizing the AHCA How to be curriculum. This program is approved in the state of South Dakota. Reduced Early Adopter pricing for statewide classes will be discussed.
During this program we will discuss:
- The workforce challenges that impact the industry.
- The need for quality trained workforce to meet the growing demand.
- Explore the use of a blended learning approach to train staff.
- How to use the course as tool to attract additional staff into the aging care field.
- We will demonstrate the course for ease of use and discuss the three components necessary in order to utilize this method.
- We will cover customization, compliance and state certification.
- We will discuss the career ladder options and the need for partnerships for the delivery into the market.
- We will discuss Early Adopter pricing for State classes held bi-monthly (offer good for next 6 months).
Speaker: John Reinhart, MBA, CPA
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CMS’ Resident Classification System Version 1 – An Overview and Preliminary Action Steps for State Executives and State Reimbursement Specialists
Contains 1 Component(s)AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
AHCA staff and member experts will provide a technical overview, as well as technical insights into, CMS’ Resident Classification System Version 1 (RCS-1). The proposed patient characteristics-based system is a fundamental departure from the current Resource Utilization Group Prospective Payment System (RUGS IV). AHCA staff and member experts will discuss the overarching RCS-1 goals and features. Presenters also will discuss each new component as well as likely alternations in SNF operations required to deliver services in the proposed system should it be implemented.
Learning Objectives
- Understand CMS’ Goals and Overarching RCS-1 Construct
- Learn about Each Component and Associated Patient Characteristics
- Learn about Member Expert Preliminary Analyses and Steps to Assess RCS-1 Impacts
- Outlook for Implementation and Transition from RUGS IV to RCS-1
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Facility Assessment Elements (Phase II) - § 483.70 Administration_Tool
Contains 2 Component(s)Purpose & Intent of § 483.70: Facilities need to know themselves, their staff, and their residents.
Purpose & Intent of § 483.70: Facilities need to know themselves, their staff, and their residents.
