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The Final Rule revising the Medicare/Medicaid conditions of participation (aka the Mega Rule) requires that a nursing assistant who has responsibility for the resident participate on the interdisciplinary team that develops the comprehensive person-centered care plan, including the discharge plan, for each resident. “Industry leaders have been trying to get nursing assistants involved in care plan meetings since the early ‘80s,” notes Anna Ortigara, RN, MS, FAAN, organizational change consultant for the Paraprofessional Health Institute (PHI) in the Bronx, NY. “Now we have the actual regulatory language that that has to happen.”
Having so much to do from day to day in addition to there being a seemingly endless list of regulations to implement can give any director of nursing services (DNS) tunnel vision. It’s almost hard to forget that you aren’t alone in your work and that DNSs across the country are struggling with similar challenges. We asked Shelly Acus, RN, DNS-CT, DNS for Maple Knoll Village in Ohio, and nurse consultant Linda Winston, RN, MSN, BS, DNS-MT, RAC-CT, how things have gone since November 28, 2016, and what their best tips for compliance are.
The federally mandated Five-Star rating is, undoubtedly, the nationwide benchmark for measuring the quality of a long-term care facility.
But there’s another metric—one that is often ignored but is in many ways just as important for providing key insights into the facility’s strengths and areas needing improvement: the resident satisfaction rating.
And though the Centers for Medicare & Medicaid Services (CMS) doesn’t presently require facilities to gather this information, that may soon change.
CMS is currently in the testing phase to introduce a resident satisfaction metric to the MDS.
Amy Franklin, RN, DNS-MT, RAC-MT, QCP-MT, and AADNS curriculum development specialist, says that we may see this new metric go into effect as soon as fiscal year 2020—and it’s a good idea to start preparing now.
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