Risk Management

In a SNF, there are a lot of moving pieces, a lot to manage, and a lot can go wrong. Mitigating the risk of adverse events is a daily task. From care systems review and root cause analysis to anticipatory management, the resources below are designed to help you do just that. Protect your staff and residents now before you have to pick up the pieces after the fact. 

  • April 27 SNF PEPPER Update Webinar: Register Now

    By TMF Health Quality Institute - February 24, 2017

    SNF PEPPER Update

    When:  Thursday, April 27, 1 p.m. to 2 p.m. Central Daylight Time

    What:  A WebEx presented by Kimberly Hrehor with TMF Health Quality Institute

    Topic:  A review of the Q4FY16 PEPPER for Skilled Nursing Facilities (SNFs) and other available resources

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  • Medication Errors and Their Profound Impacts on the Long-Term Care Resident

    By Sophie A. Campbell, MSN, RN, CRRN, RAC-CT, CNDLTC - February 08, 2017
    Medication errors in long-term care facilities result in needless suffering and preventable costs. American researchers have estimated that for every dollar spent on drugs in nursing facilities, $1.33 in healthcare resources is consumed in the treatment of drug-related problems. Ferrah, Lovell, and Ibrahim (2016), in their discussion of the scale of preventable harm inflicted by medication errors on nursing home residents, state that adverse drug events (ADEs) reported for nursing home residents have an estimated incidence rate of 1.2–7.3 per 100 resident months, with an estimated annual cost of $7.6 billion nationally. Residents are especially vulnerable to ADEs because of their multiple comorbidities and complex drug regimens as well as the higher potential for drug interactions due to age-related physiological changes. These age-related changes, in turn, increase the difficulty of attributing symptoms to adverse drug reactions.
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  • 2014 SNF Utilization and Payment Public Use File (SNF PUF) Released by CMS (1/17)

    By CMS - January 19, 2017

    CMS has posted the second annual release of the Skilled Nursing Facility Public Use File (Skilled Nursing Facility PUF) with data for 2014. The Skilled Nursing Facility PUF presents summarized information on services provided to Medicare beneficiaries by skilled nursing facilities. It contains information on utilization, payment (Medicare payment and Medicare standardized payment), submitted charges, and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service. 


    The new 2014 PUF has information for 15,026 skilled nursing facilities, almost 2.5 million stays, and over $27 billion in Medicare payments for 2014. New in the 2014 data is the demographic and chronic condition information. CMS protects beneficiaries’ personal information in all public data releases.

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  • Winter is Here: Keep Your Residents Safe

    By Caralyn Davis, Staff Writer - January 18, 2017
    Snow, ice, freezing temperatures—winter ushers in a host of weather conditions that can impact the frail elderly. Some of the issues that directors of nursing services (DNSs) should consider during the winter months include the following:
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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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  • Antipsychotic Drugs / Alzheimer's Patients: New Study

    By HealthDay - December 28, 2016

    Antipsychotic Drugs May Up Risk of Early Death in Alzheimer's Patients. Increased odds were nearly doubled if two antipsychotic medications were taken, study says

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  • INTERACT Hospitalization Tracking Tools for 2017 and Bridging 2016 - 2017

    By INTERACT - December 28, 2016
    The INTERACT 2017 Tracking Tool has been loaded onto the INTERACT website. 
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  • Life Safety Code Fire Safety and Fire Sprinklers: Two CMS S&C Memos (12/16)

    By CMS - December 23, 2016

    (1) Use of the Fire Safety Evaluation System (FSES), National Fire Protection Association (NFPA) 101A, Guide on Alternative Approaches to Life Safety, 2013 Edition by Health Care Occupancies and Board and Care Occupancies and (2) Clarification of Automatic Fire Sprinkler System Installation Requirements in Attic Spaces in Long-Term Care (LTC) Facilities.

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  • Beta Blockers / Dementia Patients: New Study (12/16)

    By HealthDay - December 14, 2016
    Study of 1,100 nursing home residents. In this group, use of the meds after a heart attack compromised quality of life, study finds
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  • OSHA Seeks Public Comment re: Workplace Violence in Healthcare (11/17)

    By OSHA - December 06, 2016
    The Occupational Safety and Health Administration issued a Request for Information on whether to propose a standard to prevent workplace violence in healthcare and social assistance settings. The agency has also scheduled a public meeting on Jan. 10, 2017, in Washington, D.C., to discuss strategies for reducing incidents of violence in these workplaces.
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  • Fiscal Year 2017 HHS OIG Work Plan

    By CMS - November 10, 2016
    The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2017 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. Work planning is an ongoing and evolving process, and the Work Plan is updated throughout the year.
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  • Want to Test Change Using a PDSA Cycle? Here's a Tool (11/16)

    By National Nursing Home Quality Improvement Campaign - November 02, 2016

    This tip sheet explains how to test change using a PDSA cycle. Tips on how to start small and collect data are also provided. 

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  • Emergency Preparedness Rule FAQs and Other Resources (11/16)

    By CMS - November 02, 2016
    The Centers for Medicare & Medicaid Services (CMS) Survey and Certification Group is providing general information regarding the implementation plans for the new Emergency Preparedness Rule. The information addresses the implementation date for providers and suppliers, the development of Interpretive Guidelines (IGs), surveyor training and resources available to assist in the implementation of this regulation.
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  • Quality Improvement Organization (QIO) Manual Changes (10/16)

    By CMS - October 24, 2016

    These updates appear to be associated with new regulations published in the Nov. 15, 2012, Federal Register as part of a final rule on the 2013 outpatient hospital PPS. (See Section XVIII, Revisions to the Quality Improvement Organization Regulations, on pages 68508 – 68526 of the final rule.)

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