UPDATE Weekly

Make plans today to attend the NCHCFA Annual Convention and Expo February 26 – March 1, 2017. You do not want to miss Teepa Snow, MS, OTR/L, FAOTA, Dementia Care & Training Specialist, Positive Approach, LLC & Counseling Associate, Duke University School of Nursing. Ms. Snow will present Dementia 360: Seeing It from All Directions on Tuesday, February 28th at 8:00 am for Package One attendees.

Dementia 360: Seeing It from All Directions will provide attendees with a wide variety of perspectives on dementia. It will help you develop programming and services that meet the needs of all those affected by the disease. It will address dementia-related issues from the point of view of the individuals with dementia, individuals without dementia, family members, caregiving staff, food service and housekeeping staff, maintenance and reception staff, as well as friends and visitors, regulators, and marketing. By the end of this session, you will be able to discuss the impact of dementia on each of these ‘players’, describe some of the key strategies to meet the needs each has, and begin to develop programming and services that have a high probability of making a positive difference in the lives of all concerned.

In addition, Teepa will also present Improving Our Hands on Skills for Giving Care When Someone is Living with Dementia for Package Two (Nurses and Nurse Aides) attendees on Tuesday, February 28th at 10:30 am.

During Improving Our Hands on Skills for Giving Care When Someone is Living with Dementia, Teepa will build on what we now ‘know’ and understand about dementia as we develop new skills to better support and help. We will start with our approach, our cues, and our ability to connect. Then we will work on hands on ways of communicating and assisting with daily life and in times of distress.

Objectives:

• Recognize the role that your words and actions play in the behavior and responses of people with dementia
• Describe some of the critical factors for optimizing positive interactions
• Identify techniques that improve the potential for successful communication
• Demonstrate use of positive communication strategies in an interaction

Brochures outlining specific program details will be available soon. To view the tentative agenda click below:

http://nursinghnc.webfactional.com/files/2016/12/2017_CoventionAgenda-12072016.pdf

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The North Carolina Health Care Facilities Association would like to thank our 2017 Gold Convention Hosts for supporting the upcoming Annual Convention & Expo. Be sure to visit Blue Ridge Pharmacy at booths 425 & 524, Medipack Pharmacy at booths 315 & 414, and NH Med Services at booths 415 &514 on Tuesday, February 28th during EXPO 2017 – Mardi Gras – Laissez Les Bon Temps Rouler.

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Make your overnight reservation today for the NCHCFA Annual Convention and Expo February 26 – March 1, 2017 at the Sheraton Greensboro Hotel at Four Seasons/Joseph S. Koury Convention Center, Greensboro, NC. Call the Sheraton at (800) 242-6556 and identify that you are with “NC Health Care Facilities Association 2017 Convention” to receive the group discounted rate.

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Access these learning opportunities using the links provided:

• Watch and share the NEW animated video, “Know Your Role in Preventing HAIs.”
• Join the ASTHO/CDC-hosted Webinar on Friday, December 16, 2-3 p.m. ET. Learn ways to use these tools to reach and engage public health and healthcare audiences.
• Visit the ASTHO Website to find more information and materials available for download.

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The 1999 US Supreme Court decision in Olmstead v L.C. (Olmstead) challenges the federal government to develop more opportunities for individuals with disabilities through more accessible systems of cost-effective community-based services.

Recently, there has been new federal activities to ensure that residents living in nursing care centers and assisted living communities (centers) are not “unjustifiably institutionalized,” and instead, living in the most integrated setting. The white paper, Olmstead v L.C. – What Nursing Care Centers and Assisted Living Communities Need to Know, compiles the most recent and significant information about Olmstead and community integration into one document, providing centers with a foundation for a complete understanding and effective compliance with the federal government’s position.

To read the complete document on-line, please click here.

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Issued on Dec. 9, the memorandum clarifies “no enforcement of the new rule prohibiting the use of pre-dispute binding arbitration agreements in skilled nursing facilities, nursing facilities, and dually-certified facilities while there is a court-ordered injunction in place prohibiting enforcement of this provision”.

To view the memorandum, click https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-17-12.html?DLPage=1&DLEntries=10&DLFilter=arbitration&DLSort=3&DLSortDir=descending

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Registration limit has been reached, but a cancel list has been created. This workshop is an interactive, dynamic, developmental session focusing on what it truly means to serve others as a leader. Discuss what employees, customers, and others truly need from leaders. Learn how to operate most effectively in a leadership role using Servant Leadership core principles.

Based on the James Hunter book, “The Servant: A Simple Story About the True Essence of Leadership”, Servant Leadership is a set of behaviors and practices that turn the traditional “power leadership” model upside down; instead of the people working to serve the leader, the leader exists to serve the people. The goal of this workshop is to provide attendees with information and tools that are relevant, transformative, memorable, and actionable.

Some of the most successful companies, known for their positive and effective culture, develop and promote Servant Leadership. These include Starbucks, Southwest Airlines, Chick-Fil-A, SAS, and Nordstrom. Servant Leadership was found to have a significant effect on employee commitment.

This style of leadership is strongly correlated to employee satisfaction and, a considerable body of research has illustrated that Servant Leadership is associated with a variety of favorable employee outcomes, including:

• Improved psychological well-being
• Favorable job attitudes
• Improved job performance
• Decreased workplace deviance

This seminar will be facilitated by Mark Gogal, a Human Resources Leader with over 25 years of progressive, global, and diverse human resources experience, practical business partnering expertise, strong organizational and analytical skills, and proven strategic management experience. He has a multi-faceted background in developing and implementing core HR policies/practices to meet the changing business, legal and labor compliance environment. He has worked in a variety of industries in the public and private sectors including healthcare.

Mark is an enthusiastic, energetic, and passionate leader and presenter who truly enjoys developing others to reach their fullest potential both professionally and personally.

Although registration is now closed, NCHCFA will accept registrations for those interested in being added to the cancellation list. For the complete brochure and to add your name to the cancellation list, click here. NCHCFA is also working to schedule a second workshop after the 2017 Convention and Expo.

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Alliant Quality wants to encourage SNFs to keep signing up for the National Collaborative – or SPACE. Alliant recommends having as much time as possible to get started on Quality Assurance Performance Improvement (QAPI) work and improving facility quality measures in a systems approach to improve their five star and composite scores.

Alliant Quality is the Medicare Quality Innovation Network (QIN)-Quality Improvement Organization (QIO) for North Carolina. Under contract with the Centers for Medicare & Medicaid Services (CMS), Alliant Quality invites your nursing home to participate in a collaborative designed to ensure that every nursing home resident receives the highest quality of care.

The Collaborative offers an exciting opportunity to learn from high performing nursing homes regarding their processes as they pertain to consistent/permanent staff assignment, teamwork and communications, leadership, regulatory compliance, clinical models, and quality of life indicators. The Collaborative aligns national nursing home quality initiatives and partnerships such as the Advancing Excellence in America’s Nursing Homes Campaign, The Partnership to Improve Dementia Care, and QAPI. Targeted focus areas will include increasing mobility, decreasing unnecessary use of antipsychotics in residents with dementia, decreasing potentially avoidable hospitalizations and decreasing healthcare acquired infections and conditions.

When ready to register, click here for the Participation Agreement and fax or e-mail it back to Lisa Klemis, contact information is on the Participation Agreement. For more details, e-mail Leighann Sauls at Leighann.Sauls@area-F.hcqis.org or call (919) 745-4730.

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Every year the Nursing Home Licensure and Certification Section offers training for MDS coding. The classes are provided quarterly at the Black Mountain and Raleigh offices. Each MDS Coding class is one full day. Additionally, there is a half-day session dedicated to Care Area Assessments & Care Planning.

Dates for the trainings can be found at http://www2.ncdhhs.gov/dhsr/nhlcs/training.html Click on a date to make a reservation.

Staff completing any portions of the MDS should always have access to a current RAI Manual for guidance and it is suggested that attendees bring an electronic or hard copy of the manual to the training. The RAI Manual version 1.14 (10-2016) is available by clicking https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html

Other helpful training can be found at
http://surveyortraining.cms.hhs.gov/index.aspx
Click on “I AM A PROVIDER” and then click “WEBCASTS”

WHO SHOULD ATTEND: This training is for Long Term Care facilities (SNF/NF) or Swing Bed hospital personnel who are actively involved with the completion of the Minimum Data Set (MDS) as well as Directors of Nursing (DON) and Administrators.
Space is limited so reservations are limited to two individuals per facility per quarter.

OVERVIEW: Participants will be provided with practical knowledge that will enable them to implement the MDS 3.0 as part of the RAI, and correctly code each section of the MDS 3.0 assessments.
Manual updates will also be reviewed.

COST: These training sessions are free of charge. Coffee and water are provided throughout the training. Directions to local restaurants will be provided where attendees can purchase lunch.

For questions, please contact:
Mary Maas, RN, MSN
RAI Clinical Coordinator
Division of Health Service Regulation
North Carolina Department of Health and Human Services
919-855-4554 office
919-733-8274 fax
Mary.Maas@dhhs.nc.gov

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Alliant Quality, the QIN-QIO (Quality Innovation Network-Quality Improvement Organization) for North Carolina is seeking central North Carolina skilled nursing facilities interested in collaborating on the Special Innovation Project (SIP) Improving Access to Palliative Care in the Long Term Care Facility.

Palliative care focuses on comfort and improving quality of life. A team of professionals helps residents and families navigate through the health care system and make health care decisions that are right for them. Goals of this project not only include providing quality of life and satisfaction for residents of skilled nursing facilities (SNFs), but also provision of services that minimize risks of potentially avoidable transfers to acute care.

Often nursing home residents lack advance directives that would assist them at the end of life. When a resident without an advanced directive suffers a worsening of their clinical condition a cascade of care is put into motion and can trigger unwanted emergency room visits and admissions, which can cause other complications. The provision of palliative care services for SNF residents supports person-directed care in a proactive way to honor the patient and their choices.

Alliant Quality, in partnership with SNFs and palliative care organizations, will develop customized education and learning sessions for SNF leaders to better understand palliative care and its beneficial role for the residents whom they are caring for each day. This educational offering will be pilot-tested in central North Carolina with SNFs who are interested in this Special Innovation Project offered through the Center for Medicaid & Medicare Services.

Participating SNFs will have the opportunity to:

• Receive free training programs designed to improve their SNF staff competency and knowledge related to end-of-life care
• Join a learning network with experts on palliative care in the SNF setting
• Partner with palliative care providers in order to improve the quality of life of their residents
• Implement low-burden measurement strategies that monitor resident and family satisfaction with end-of-life care
• Improve rates of avoidable acute care transfers and hospital admission and readmission rates

For more information, contact:
Jennifer Judson RN, BSN
Project Lead, Palliative Care
Office: 678-527-3473
Jennifer.Judson@alliantquality.org

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This book covers 28 challenging cases that cover pivotal issues that most health care administrators and managers are likely to encounter at some point in their work – quality improvement, strategic planning, ethical dilemmas, organizational dynamics, cost-benefit analyses, resource utilization, and more. Providing an exceptional framework for decision-making and debate, Cases in Health Services Management is an outstanding casebook that provokes thought and discussion.

To order, visit http://www.AHCApublications.org or call (800) 321-0343. Fax orders may also be placed at (800) 869-5605.

Product # 8248
AHCA Members (on-line price) $64.95

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This DVD, Mobility and Safe Movement of the Elderly, Improving Your Skills to Prevent Injuries and Reduce Falls, by Teepa Snow, MS, OTR/L., FOTA, Dementia Care & Training Specialist, was developed in conjunction with Wake Allied Health Education Center, Durham Technical Community College and the University of North Carolina School of Medicine, Office of Information Systems. The content is formatted in separate segments in order to customize the delivery of content to your learning objective. Handouts developed by Teepa accompany each video and may be reproduced. To order, e-mail your request to Donna Snyder at donnas@nchcfa.org. The price is $35.00 (tax and shipping included).

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Standardized Measures To Assess Satisfaction Receive National Endorsement

http://www.providermagazine.com/news/Pages/2016/1216/Standardized-Measures-To-Assess-Satisfaction-Receive-National-Endorsement-.aspx

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The first radio broadcast from space was transmitted to Earth on December 19, 1958, when President Eisenhower’s Christmas message went out via short wave frequency.

In the pre-recorded message the president wished for peace on Earth:

“This is the President of the United States speaking. Through the marvels of scientific advance, my voice is coming to you from a satellite circling in outer space. Through this unique means I convey to you, and to all mankind, America’s wish for peace on Earth and goodwill toward men everywhere.”

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