toddpatterson9

[toddpatterson9]

QIES ASAP System Walkthrough and the Key CASPER Management and QM Reports charts

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/qies-asap-system-walkthrough-and-the-key-casper-management-and-qm-reports-charts/2019-05-02

[toddpatterson9]

CDC Training: Legionella Water Management Programs (5/19)

Preventing Legionnaires’ Disease: A Training on Legionella Water Management Programs (PreventLD Training) from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/cdc-training-legionella-water-management-programs-5-19/2019-05-02

[toddpatterson9]

OIG Assessment of Nursing Home Deficiency Trends Finds Need for Improvement (5/19)

Trends in Deficiencies at Nursing Homes Show That Improvements Are Needed To Ensure the Health and Safety of Residents (A-09-18-02010)

In this data brief, we analyze nursing home deficiencies that were identified by State survey agencies (State agencies) across the Nation for calendar years 2013 through 2017 (review period). This data brief offers the Centers for Medicare & Medicaid Services (CMS) and other stakeholders (e.g., State agencies and nursing home management) insight into deficiency trends at nursing homes nation-wide. It also complements our previous report on State agencies' verification of correction of nursing home deficiencies.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/oig-assessment-of-nursing-home-deficiency-trends-finds-need-for-improvement-5-19/2019-05-02

[toddpatterson9]

CDC: Outbreak of Multidrug-Resistant Shigella sonnei Infections in a Retirement Community (5/19)

Strysko J, Fialkowski V, Marsh Z, et al. Notes from the Field: Outbreak of Multidrug-Resistant Shigella sonnei Infections in a Retirement Community — Vermont, October–November 2018. MMWR Morb Mortal Wkly Rep 2019;68:405–406. 

On October 22, 2018, the Vermont Department of Health (VDH) notified CDC’s Waterborne Disease Prevention Branch of an outbreak of diarrhea caused by Shigella sonnei among residents, visitors, and staff members of a retirement community in Chittenden County, the state’s most populous county. High-quality single nucleotide polymorphism (SNP) analysis predicted initial isolates were multidrug resistant (MDR), and were closely related to a concurrent multistate cluster (differing by 0–11 SNPs). In the United States, rates of MDR shigellosis are increasing (1); outbreaks of MDR shigellosis are more common among men who have sex with men and are rare in retirement community settings (2). CDC collaborated with VDH to identify additional cases, determine transmission routes, and recommend prevention and control measures.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/cdc-outbreak-of-multidrug-resistant-shigella-sonnei-infections-in-a-retirement-community-5-19/2019-05-02

[toddpatterson9]

May 7 - 8 SNF QRP Training Materials Available

May 7 - 8 SNF QRP Training Materials Available from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/may-7-8-snf-qrp-training-materials-available/2019-05-02

[toddpatterson9]

PBJ Reports Help Verify Your MDS Census Numbers

Last fall, the Centers for Medicare & Medicaid Services (CMS) released two new CASPER reports for the Payroll-Based Journal (PBJ) system that went under the radar at many nursing homes. However, these reports are worth paying attention to because nurse assessment coordinators (NACs) can use them to help assess the accuracy and timeliness of MDS census data, says Carol Maher, RN-BC, RAC-MT, CPC, director of education for Hansen, Hunter & Co. PC in Vancouver, WA.

  “Since CMS changed the staffing census to MDS data instead of data submitted to PBJ, many facilities have seen their staffing stars decrease in the Five-Star Quality Rating System,” says Maher. “But a lot of providers haven’t connected that decrease to the change to MDS census data—they seem to think it’s a mystery.”

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/pbj-reports-help-verify-your-mds-census-numbers/2019-05-01

[toddpatterson9]

Going From Skip Days to Interrupted Stays

Mr. Jones admitted to Happy Acres Nursing Home on Original Medicare a couple of weeks ago, but an acute exacerbation of his COPD has resulted in an emergency room visit and an overnight stay for observation. The nurse assessment coordinator is closely watching the clock to see if Mr. Jones will return within 24 hours from discharge to meet the “midnight rule.” As another hour passes and more than 24 hours has elapsed, the NAC knows she must complete both an OBRA and a Part A PPS Discharge assessment. And for now—until October—her thinking is correct. Once the Patient-Driven Payment Model (PDPM) is implemented though, all of this will change with the “interrupted stay” policy.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/going-from-skip-days-to-interrupted-stays/2019-05-01

[toddpatterson9]

TIP: CMS Issues FY 2020 Proposed Ruled

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/tip-cms-issues-fy-2020-proposed-ruled/2019-05-01

[toddpatterson9]

Q&A: A resident elected hospice on 4/10, the Significant Change in Status Assessment (SCSA) is open for 4/15, but the resident passes away 4/17 prior to completion. Do I need to complete and submit the SCSA?

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/q-a-do-i-need-to-complete-and-submit-the-scsa/2019-05-01

[toddpatterson9]

Q&A: What items, at a minimum, need to be on the baseline care plan that is provided to the resident/family?

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/q-a-what-items-at-a-minimum-need-to-be-on-the-baseline-care-plan-that-is-provided-to-the-resident-family/2019-05-01

[toddpatterson9]

Q&A: I was just notified that a resident switched from Original Medicare to an HMO over a month ago. Do I need to complete the missed Part A PPS Discharge assessment?

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/q-a-do-i-need-to-complete-the-missed-part-a-pps-discharge-assessment/2019-05-01

[toddpatterson9]

May 30 Webinar Early Identification of Sepsis in Nursing Facilities: Opportunities and Hurdles: Register Now

Please join Christine LaRocca, MD and the National Nursing Home Quality Improvement Campaign to learn more about sepsis, who is at risk and the signs and symptoms for early detection. In addition, we will:

·        Review examples of sepsis screening tools commonly used in hospital settings;

·        Learn what tools to use while recognizing the limitations of sepsis screening tools in the nursing home population; and 

·        Understand the elements of evidence-based treatment for optimal outcomes.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/may-30-webinar-early-identification-of-sepsis-in-nursing-facilities-opportunities-and-hurdles-register-now/2019-05-01

[toddpatterson9]

SNF QRP SNF Provider Preview Reports - Now Available (5/19)

Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. The data contained within the Preview Reports is based on quality data submitted by SNFs between Quarter 4 – 2017 and Quarter 3 – 2018, for assessment-based quality measures, and between Quarter 1 – 2017 to Quarter 4 – 2017, for claims-based quality measures. Providers have until May 30, 2019 to review their performance data prior to the July 2019Nursing Home Compare site refresh, during which this data will be publicly displayed. Corrections to the underlying data will not be permitted during this time; however, providers can request CMS review of their data during the preview period if they believe the quality measure scores that are displayed within their Preview Reports are inaccurate.  from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/snf-qrp-snf-provider-preview-reports-now-available-5-19/2019-05-01

[toddpatterson9]

SNF QRP FY 2020 Reconsideration Request Process Estimated Timeline (5/19)

The estimated CMS reconsideration process timeline for FY 2020 payment determination. from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/snf-qrp-fy-2020-reconsideration-request-process-estimated-timeline-5-19/2019-05-01

[toddpatterson9]

CMS Updates State Operations Manual re: New Medicare Cards (5/19)

SUBJECT: Revisions to the State Operations Manual (SOM 100-07) Chapter 2, The Certification Process, Chapter 3, Additional Program Activities, and Chapter 4, Program Administration and Fiscal Management

  I. SUMMARY OF CHANGES: The purpose of this revision is to update Chapters 2, 3 and 4 in Publication 100-07 with the New Medicare Card Project-related language.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/cms-updates-state-operations-manual-re-new-medicare-cards-5-19/2019-04-29

[toddpatterson9]

CMS Policy Change for Assessment Submission Time Frame Will Impact MDS Correction Policy (5/19)

 The following April 30, 2019 e-mail from CMS will impact the MDS correction policy in chapter 5 of the RAI Manual .

  The current CMS policy for submission of patient assessment records allows providers to submit records for up to 36 months from the assessment target date.  Effective October 1, 2019, the CMS policy for patient assessment submission will be changed to 24 months from the assessment target date.  The policy change applies to new, modified, and inactivated records.

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/cms-policy-change-for-assessment-submission-time-frame-will-impact-mds-correction-policy-5-19/2019-05-01

[toddpatterson9]

Care Transitions: Keys to Reducing Post-Discharge Hospital Readmissions

The Centers for Medicare & Medicaid Services (CMS) is pushing skilled nursing facilities (SNFs) to be accountable for hospital readmissions—even post-discharge from the SNF—via multiple fronts. First and foremost is the claims-based SNF 30-Day All-Cause Readmission Measure (SNFRM). This measure shows the risk-standardized rate of unplanned, all-cause inpatient hospital readmissions of Medicare beneficiaries within 30 days of discharge from a prior hospital stay (i.e., both hospital readmissions within the SNF stay and after discharge).

from Health Care News https://www.aanac.org/Information/AANAC-Blog/Blog-Detail/post/care-transitions-keys-to-reducing-post-discharge-hospital-readmissions/2019-04-25