Nursing Leadership

Being a leader in your facility, although sometimes overwhelming, is a rewarding role that allows you to touch the lives of many people including your residents, their families, and, of course, your staff. Your efforts and attitude impact everything from resident outcomes, to survey results, to workplace culture in your facility. Find resources that explore topics such as leadership styles, strategies for successfully managing staff, and more to support you in your important role.  

  • F-Tag Crosswalk Tool

    By AADNS - July 27, 2017
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  • Emergency Preparedness Training / Testing Requirements: What You Need to Know

    By Caralyn Davis, Staff Writer - July 12, 2017
    By Nov. 15, 2017, the Centers for Medicare & Medicaid Services (CMS) expects Medicare- and/or Medicaid-certified nursing homes to be able to demonstrate in survey that they have completed all training and testing requirements in the Emergency Preparedness Requirements Final Rule, said agency officials during the April 27 Emergency Preparedness Requirements Final Rule Training Call. Those requirements include the completion of two exercises. (Access the slide presentation, call transcript, and audio recording here.)
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  • Q&A: Does anyone have a fall assessment tool that they would like to share?

    By Deborah J. Kriegh RN DNS-CT, RAC-CT, WCC, CHPN, GRN - July 11, 2017
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  • CMS Releases New Appendix PP Interpretive Guidance for Multiple Tags

    By Caralyn Davis, Staff Writer - June 30, 2017

    Nov. 28, 2017, marks the implementation of some significant changes in how the Centers for Medicare & Medicaid Services (CMS) expects nursing homes to operate—and in the survey process that state surveyors will use to assess those operations. CMS survey-and-certification memo S&C: 17-36-NH gives providers critical information about how to prepare for these changes that are required under Phase 2 of the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. This information includes an advance copy of 696 pages of revisions to the F-tags and the Interpretive Guidance in Appendix PP, “Guidance to Surveyors of Long-term Care Facilities,” of the State Operations Manual. Providers should note that the Appendix PP revisions include new subregulatory guidance for multiple F-tags, not just the Phase 2 regulatory changes.

    Here’s a summary of critical news—and what’s still to come:

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  • Change Package: A Curated Collection of Great Ideas & Practices to Create Lasting Change - Revised (6/17)

    By National Nursing Home Quality Care Collaborative - June 26, 2017
    The National Nursing Home Quality Improvement Campaign has posted an updated version of the National Nursing Home Quality Care Collaborative’s Change Package: A Curated Collection of Great Ideas & Practices to Create Lasting Change in Your Nursing Home. 

    Version 2.2 includes change bundles to help nursing homes:

    • promote avoidance of antipsychotic medications in residents living with dementia,
    • promote resident mobility,
    • prevent healthcare-acquired infections,
    • prevent C. difficile infections, and
    • build capacity for QAPI success
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  • Strategic Innovation Engine Wants Your Innovative Practices (3/17)

    By CMS - March 26, 2017
    Do you have an innovation that is improving health care quality and safety in your practice?  We would like to hear from youThe SIE has simplified and streamlined the submission process to gather innovative practices. These practices will be evaluated for their effectiveness in advancing CMS’ goals of better care, healthier people, and smarter spending. Selected innovative practices will be widely disseminated via various channels throughout the CMS quality community.
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  • Laying the Groundwork for Person-Centered Care

    By Caralyn Davis, Staff Writer - February 08, 2017
    The Final Rule revising the Medicare/Medicaid Conditions of Participation (aka the Mega Rule) represents a seismic shift in regulatory focus, turning surveyor attention squarely toward person-centered care. While person-centered care is a positive for long-term care residents, directors of nursing services (DNSs) often face multiple implementation challenges. Steps that can lay the groundwork include the following:
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  • Five Tips Preventing Tags Under Section 483.25, Quality of Care

    By Jessica Kunkler, MA, Staff Writer - January 18, 2017
    When it comes to survey, F-Tag 309, which covers a variety of quality-of-care issues under §483.25, can be a dark hole that’s difficult for facility leaders to dig out of once cited. Although you might fix what surveyors had originally cited for (for example, a pain management issue), because the tag covers so many quality-of-care issues, surveyors may find another issue under the same tag when they return to confirm compliance. This can extend noncompliance, resulting in daily fines that build exponentially. Here are five best practices for preventing citations for F309 in your facility.  
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  • Q&A: Is anyone using photos to document the status of wounds in the medical record? If so, would you be willing to share your policy procedure?

    By Barbara Bates, RN, MSN, DNS-CT, RAC-CT, QCP - January 18, 2017
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  • Q&A: Would anyone be willing to share their facility's procedure regarding reporting and documenting medication errors?

    By Kathy P. Hurst RN, GN-BC, CHC, MSN, JD, Esq. - January 18, 2017
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  • Where does AADNS Advocacy Start? Find out!

    By AADNS - January 06, 2017
    AADNS was created by nurse leaders committed to providing nurses with a voice on the issues affecting nursing, but we’re only as strong as our members. Participating in advocacy efforts is one of the most important ways you can effect positive change in long-term care and help shape the future of our profession. Learn more from AADNS nurse leadership expert, Judi Kulus, in this short video.
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  • Six Tips for Taking the Stress Out of the Holiday Season

    By Emily Royalty-Bachelor, Staff Writer - December 08, 2016

    ’Tis the season! The season for giving. The season for family. The season for peppermint mocha lattes.

    But for directors of nursing services across the country, it’s also the season for stress. What with planning holiday parties and activities for your residents and juggling holiday staffing schedules—not to mention the constant stressors of regulatory changes, staffing issues, and all your daily tasks—the idea of having a restful, relaxing holiday may feel like starry-eyed wishful thinking.

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  • CMS Extends Fourth Quarter FY 2016 PBJ Submission Deadline to Dec. 1

    By Caralyn Davis, Staff Writer - November 22, 2016
    The Centers for Medicare & Medicaid Services (CMS) has decided to give nursing homes a little extra time to submit staffing data for the fourth quarter of fiscal year 2016 (July 1 – Sept. 30) to the Payroll-Based Journal (PBJ) electronic submission system, said officials during the Nov. 17 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF). “Approximately 90 percent of providers have submitted PBJ data. [However], some providers experienced challenges,” they noted. “Also, the large number of provider submissions that occurred as we neared the submission deadline resulted in high network utilization, which subsequently caused slowed system response times for some users.”
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  • Q&A: Should I administer a flu vaccine to a resident on hospice?

    By AADNS Community Member - November 09, 2016
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  • New National Survey Process to Roll Out in November 2017

    By Caralyn Davis, Staff Writer - November 01, 2016
    Currently, states are split roughly 50-50 between the traditional survey process and the Quality Indicator Survey (QIS) process. However, the Centers for Medicare & Medicaid Services (CMS) will implement a new survey process nationwide—in addition to a brand-new F-tag coding system and some new interpretive guidance—during Phase 2 (effective Nov. 28, 2017) of the three-phase implementation schedule for the new regulations in the final rule to update the Medicare/Medicaid conditions of participation (CoPs), said agency officials during the Oct. 27 Long-Term Care Facilities: Reform of Requirements National Provider Call. 
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