UPDATE Weekly

It is time once again to acknowledge front line, unlicensed personnel who have demonstrated outstanding achievements in the long term care profession. This awards program honors individuals who are the backbone in our facilities because of the support they provide to our residents. A panel of judges from the Education and Programs Committee will select a Nurse Aide winner from each of NCHCFA’s five districts. In addition, one recipient, in a non-nursing discipline, will receive the Riley W. Clapp Outstanding Service Award. Each of the award recipients will be honored at the Annual Awards Gala during the Annual Convention and Expo on Tuesday, January 30, 2018 in Greensboro, NC.

To complete nominations on-line or to obtain additional forms, visit the Member Center of the Association Web site at http://www.NursingHomesNC.com. Click on “News & Updates”, select “2018 NCHCFA Annual Awards Packet” and choose “Survey Monkey”. If you have any questions about the Annual Awards, call the Association office at (919) 782-3827. Click here to download and print the brochure. Click here to print the nomination forms. Nominations received in the Association office after Friday, October 20, 2017 will not be considered.

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A Quick Reference Guide for the SNF Quality Reporting Program (QRP) is now available on the SNF Quality Reporting Program Data Submission Deadlines Webpage. The guide includes frequently asked questions, information on QRP help desks, and helpful links to additional resources for the SNF QRP.

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The updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in September 2017 has been posted. The updated files are posted on OIG’s Web site at https://exclusions.oig.hhs.gov, and healthcare providers have an “affirmative duty” to check to ensure that excluded individuals are not working in their facilities or face significant fines.

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Last month, AHCA/NCAL relaunched the Quality Initiative Recognition Program to honor skilled nursing members for their individual work in achieving the goals of the AHCA/NCAL Quality Initiative. To be considered for recognition, eligible AHCA member organizations must submit the appropriate data through LTC Trend Tracker by October 13, 2017. Requirements for goals and data submission are outlined by clicking here.

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Although most nursing facilities in North Carolina are Trend Tracker registered users, there may be some facilities that may not know how to sign up for it. For information on enrolling in this free, useful tool click here.

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Make your overnight reservation today for the NCHCFA Annual Convention and Expo January 28 – 31, 2018. The meeting will be 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 2018 Convention” to receive the group discounted rate. Brochures outlining specific program details will be available in November.

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The North Carolina Health Care Facilities Association will present a full-day session on the following important topics with Cindy Deporter, MSSW, State Survey Agency Director, Division of Health Service Regulations (DHSR).

• New Interpretative Guidelines
• The second phase of the Requirements of Participation (RoP) to be implemented by November 28, 2017
• CMS’ intent to implement, as well as an overview of, the New Survey Process which is scheduled for implementation on November 28, 2017

**Please note that Ms. Deporter presented a shorter session on the above content at our recent Summer Symposium. This will be a more comprehensive, full day session.

We will conclude this session with a one hour presentation by Polly Welsh, Executive Vice President of the NC Health Care Facilities Association, that will focus on staff interface with the new RoP and the Survey Process. We have confirmed the following dates and locations. Click here to register on-line. Click here to download and print the brochure and registration form.

October 26th, 2017 – Embassy Suites, Concord, NC (Sold out!)
November 2nd, 2017 – Sheraton Imperial Hotel, Durham, NC
November 9th, 2017 – Hilton Greenville, Greenville, NC

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The North Carolina Health Care Facilities Association will be presenting this workshop to our members for the fourth time and now in the western part of the state. 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. When leaders shift their mindset and serve first, they unlock purpose and ingenuity in those around them, resulting in higher performance and engaged, fulfilled employees. As servant leaders, your purpose is to inspire and equip those you influence.

The goal of this workshop is to provide attendees with information and tools that are relevant, transformative, memorable, and actionable. You will learn and practice execution of the most critical skills needed for leading by serving first. You will come out of this course feeling energized and have a number of tools and skills you can start to apply immediately to empower your teams.

What You’ll Learn

• Why Lead This Way?
• Top Skills of Servant Leaders
• Practical Tips for Shifting to Servant Leadership
• Creating a Shared Vision and Getting Engagement
• Leading Through Change

This workshop will be Tuesday, October 24th in Asheville, NC. It 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.

For the complete brochure and registration information, click here.

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If your facility has achieved the AHCA Bronze Award for its commitment to quality, it may be time to apply for the Silver Award. In this two-day workshop, you will walk through the application process and apply the criteria to your organization. At the end of the workshop, participants will have the framework for the Silver AHCA/NCAL Quality Award application.

Learning Objectives

• Translate your Bronze application into a Silver Organizational Profile
• Understand the structure and demands of the Silver Quality Award criteria
• Learn how examiners will use key evaluation tools to score your application and how you write to meet the demands of these tools
• Develop an outline to address the basic demands of the Silver criteria and key systems to either describe or develop your application
• Discover effective strategies to avoid the four most common application mistakes

This workshop will be presented November 7th – 8th at the Association office in Raleigh, NC. Click here for more information and to download and print the brochure with registration form.

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Judy Wilhide Brandt will be presenting an encore presentation on the following topics in Durham, NC on November 16th, 2017. If you could not attend the previous sold-out seminar on September 26th, don’t miss out on this one. Click here to download and print the brochure and registration form. Click here to register on-line.

• Review SNF Quality Reporting Program (QRP), Section GG Coding
• Discuss the purpose of Post-Acute QRP and the role of SNF-QRP
• Understand which MDS items are used for MDS based QRP measures and how to avoid a 2% APU reduction
• List the current QRP claims and MDS based measures with overview of how they are calculated
• Discuss the new MDS items for QRP and new QRP measures to begin collection October 2018 as finalized in the FY18 SNF Final Rule
• Discuss implications of accurate coding for Section GG, to include assessment periods, timing and value in health information exchange for transitions
• Review 5 star quality measures and accurate coding
• Discuss administrative oversight of the MDS department to ensure compliance with accurate coding and transmission for all QMs that are MDS based
• Understand how MDS coding affects risk adjustment for claims based measures
• Review Requirements and Interpretative Guidelines for baseline care planning
• Discuss authentic ways to engage the physician and CNAs in care planning as required by Phase 2 ROP

About the Presenter

Judy Wilhide Brandt is one of the nation’s leading experts on skilled nursing facility (SNF) clinical Medicare compliance, Five Star Rating System, Quality Measures and the MDS/RAI process. Judy brings over thirty-five years of combined experience to the long term care profession, with over twenty years in positions of increasing responsibility in nursing facilities as a nurse manager, executive, and consultant. She is the principle for Wilhide Consulting, Inc. and serves as an advisor, auditor, and trainer for multiple providers from stand-alone communities to multi-state chains across the country.

PLEASE NOTE:
This is the same session that was presented on September 26th in Greensboro.

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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.

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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Alliant Quality, the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) 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 lead to 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 Centers 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 presents specific care strategies for all stages of dementia and emphasizes relatively simple interventions that nurses can incorporate into their care plans to prevent problems or address them before they escalate. The guide distinguishes between dementia and conditions that mimic dementia, discusses issues related to specific care settings, presents person-centered strategies for families and care partners, and covers the assessment and management of pain, safety concerns, communication strategies, and ethical and legal issues. It additionally provides numerous resources that nurses can offer to caregivers. Fast Facts for Dementia Care will serve as a daily companion for all clinical nurses who work with older patients in any setting, including the emergency room, medical-surgical unit, medical office, and community mental health settings.

Key Features:

• Easy to use and carry in all patient settings
• Provides communication techniques for different stages of dementia
• Describes numerous interventions for addressing issues such as pain, safety, behaviors, and ADLs
• Includes the “Fast Facts in a Nutshell” feature for quick reference
• Illustrates content with case vignettes

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

Product #8293
AHCA MEMBERS $30.00

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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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Football team surprises nursing home residents, escorts them to homecoming parade

Click here for McKnights article.

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70% of the oxygen we breathe is produced by the ocean.

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