AADNS News Feed

Sorting through all that is happening in LTC and then figuring out just what you need to know can be a daunting task. Luckily, we’re here to help. Our nursing experts scour through mountains of information to identify the breaking news and important updates and changes that you need to know today. Find the latest on important topics with links to resources, websites, and tools to keep you up-to date.

  • Implementation Issues, Long-Term Care Regulatory Changes: CMS S&C Memo (5/17)

    By CMS - May 22, 2017
    Implementation Issues, Long-Term Care Regulatory Changes: Substandard Quality of Care (SQC) and Clarification of Notice before Transfer or Discharge Requirements
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  • Advancing Care Coordination Through EPMs, Etc. Effective Date Change (5/17)

    By CMS - May 22, 2017

    Medicare Program: Advancing Care Coordination Through Episode Payment Models; Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model; Delay of Effective Date

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  • QIES Security Notice: Disabling and Deleting Accounts (5/17)

    By QTSO - May 22, 2017
    To better secure our applications, QIES security will require each user to successfully login every 60 days, effective June 26, 2017. If this does not occur, the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (800) 339-9313.
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  • Five Star Help Line Open May 22 - 26

    By QTSO - May 22, 2017

    Nursing Home Compare will update with April's Five Star data on May 24, 2017.

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  • Q4 2016 Antipsychotic Medication Use Data Report From CMS (5/17)

    By CMS - May 18, 2017
    National Partnership to Improve Dementia Care in Nursing Homes: Antipsychotic Medication Use Data Report: The official measure of the Partnership is the percentage of long-stay nursing home residents who are receiving an antipsychotic medication, excluding those residents diagnosed with schizophrenia, Huntington's Disease or Tourette’s Syndrome. In 2011Q4, 23.9 percent of long-stay nursing home residents were receiving an antipsychotic medication; since then there has been a decrease of 33.2 percent to a national prevalence of 16 percent in 2016Q4. Success has varied by state and CMS region, with many states and regions having seen a reduction of greater than 30 percent.

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  • Baseline Care Plan and Summary for Phase 2 Tool

    By AADNS - May 17, 2017
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  • Meeting the New Dementia Care Regulations and Initiatives: Are You Prepared?

    By Kim Warchol, OTR/L, President and Founder of Dementia Care Specialists - May 16, 2017
    In the late 1980s, as a young occupational therapist working in an inpatient geriatric rehab facility, I saw firsthand that it was the nurse, not a nursing aide, who provided all the activities of daily living (ADL) care, and that patients remained in the rehab hospital for several weeks, not days. That’s right, I said “weeks.” I’m also old enough to remember when you went to the doctor and saw only the doctor—not a tech, nurse, or physician assistant. Healthcare has gone through many changes through the years in order to become more effective and efficient. Transitions in healthcare, as in life, are often necessary to survive and thrive; challenges exist and change may be required. As our nursing facility population has become far more acute and complex, facility leaders are being confronted with a big challenge—transitioning to more specialized quality care and specialized skilled-care teams.
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  • Feedback Reports / Public Reporting: SNF VBP Gears Up

    By Caralyn Davis, Staff Writer - May 16, 2017
    Effective Oct. 1, 2018, all skilled nursing facilities participating in the skilled nursing facility prospective payment system (SNF PPS) will be hit with a 2 percent reduction in their traditional fee-for-service Medicare Part A payments under the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program. Between 50 and 70 percent of the amount withheld will simultaneously be redistributed to high performers in the program as a value-based incentive payment. Providers will receive advance notice of their performance via quarterly confidential feedback reports.
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  • Mega-Rule Phase 2: The Five Must-Haves of Baseline Care Planning

    By Emily Royalty-Bachelor, Staff Writer - May 16, 2017

    Phase 2 of the Mega-Rule is set to go into effect on November 28, 2017—and with it, the new federally mandated process of baseline care planning.

    Many components of the Mega-Rule have proved, or will prove, to be complex and difficult to implement. But not to worry: the baseline care plan should not be one of them.

    If anything, this particular aspect of the Mega-Rule should be a fairly straightforward update to your facility’s current interim care plan process—and a simple box to check off on your Phase 2 to-do list.

    So take the time to meet with your staff members on baseline care planning, update the aspects of your process that need updating, and delegate the separate components of this regulation. Then move on to the next item on your checklist.

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  • CMS Announcement: SNF QRP Data Submission Deadline Now June 1

    By CMS - May 12, 2017
    Due to extenuating circumstances, the reporting deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Fiscal Year 2018 payment determination has been extended from May 15, 2017 to June 1, 2017.
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  • Consequences Grow for Missing PBJ Deadlines

    By Caralyn Davis, Staff Writer - May 08, 2017
    Beginning with the May 15, 2017, submission deadline for Payroll-Based Journal (PBJ), providers that have not submitted any staffing data for two consecutive deadlines (in this case February 14 and May 15) will have their overall and staffing star ratings suppressed—i.e., removed—from the Five Star Quality Rating System on Nursing Home Compare until data is received, said officials with the Centers for Medicare & Medicaid Services (CMS) during the May 4 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF). In addition, Nursing Home Compare will continue to use an icon to indicate whether providers have submitted data by the most recent required deadline.
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  • Your Medicare $ is at risk: FY 2018 SNF PPS Proposed Rule

    By Carolyn Davis, Staff Writer - May 05, 2017
    Money will be extremely tight in fiscal year (FY) 2018—particularly for providers that haven’t met FY 2018 data submission requirements for the Skilled Nursing Facility Quality Reporting Program (SNF QRP), according to the FY 2018 SNF Prospective Payment System (PPS) Proposed Rule. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established a special rule for FY 2018 that requires a market basket percentage of 1.0 percent. That alone means that growth in aggregate SNF payments will slow dramatically in FY 2018 compared to FY 2017.

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  • SNF VBP: SNFRM Technical Report Supplement (5/17)

    By CMS - May 04, 2017
    April 2017 Skilled Nursing Facility Readmission Measure (SNFRM) NQF #2510: All-Cause Risk-Standardized Readmission Measure Technical Report Supplement – Skilled Nursing Facility Value-Based Purchasing program
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  • Survey Team Composition: CMS S&C Memo on Proposals in FY 2018 SNF PPS Proposed Rule (5/17)

    By CMS - May 04, 2017
    CMS proposed four changes to the Survey Team Composition within the NPRM which, include revision of the definitions of “complaint survey” and “abbreviated standard survey,” relocation of requirements related to complaint surveys, and revision of survey team composition requirements.
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  • FY 2018 SNF PPS Proposed Rule: SNF QRP QM Data Specs and Standardized MDS items (5/17)

    By CMS - May 04, 2017

    Proposed MDS item set changes for v1.16 and proposed new Skilled Nursing Facility Quality Reporting Program (SNF QRP)  quality measures (QMs). If adopted data collection would begin Oct. 1, 2018.

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