Wednesday, June 27, 2018

7 am  7 pm – Registration and Information Desk Open

2 3:30 pm Optional Event

2 3:30 pm

The AADNS Board of Directors invites you to participate in a roundtable discussion with them and other nurse leaders. Come prepared with your thoughts on how AADNS can support you and advance the profession of long-term and post-acute care nursing. Board members will facilitate this group discussion to gather information and to align their goals with yours. This event is free to all interested conference attendees, but space is limited. To reserve your spot, make sure to add this session to your conference registration.

4  5:30 pm – Welcome and Opening Keynote

4 5:30 pm

Joy Baldridge, CPC, CSP

Join us for this humorous and hard-hitting opening keynote to learn the 10 characteristics of the best leaders and how to incorporate them into your leadership style in a unique, consistent, and powerful way. Discover how to build greater trust, develop a self-managed team, and prosper in your nurse leadership position.

Joy is a self-management expert who helps the best organizations in the world become even better at increasing productivity while decreasing stress and frustration. She began her speaking and training career at birth; she was born into a family of driven entrepreneurs and dynamic educators. Her parents founded the Baldridge Learning Center in 1956. Her first official speaking engagement was at the White House at the age of 19. She got there by cold-calling the president.

Joy speaks, trains, and consults with a wide range of talent both domestically and globally. Her clientele consists of 200+ corporations, publishing/media organizations, associations, and government agencies, including American Express, 3M, GE Capital, Time Inc., Toshiba America Inc., United States Surgical Corporation, Time/Warner, Energizer, National Geographic, GQ, Vanity Fair, Oprah, Newsweek, Architectural Digest, Rolling Stone, UBS, Citi Private Bank, Coldwell Banker, JPMorgan, PepsiCo, Club Med, IBM, Xerox, Basement Systems, the American Bar Association, and the United States Tennis Association.

5:30 – 7:30 pm – Opening Reception with Exhibitors

5:30 7:30 pm

After our inspiring keynote, grab a bite, mingle with your friends, and network with other professionals at this not-to-be-missed celebration.

Thursday, June 28, 2018

7:30 am  6:30 pm – Registration and Information Desk Open

7:30 – 8:30 am – Product Theater Breakfast, Sponsored by 

8:30– 9:45 am – General Session

8:30 – 9:45 am

Judi Kulus, MSN, MAT, RN, NHA, DNS-CT, QCP-MT, RAC-MT

With the new Patient-Driven Payment Model (PDPM) on the horizon, and value-based payments rolling out through the Quality Reporting Program and Value-Based Purchasing, clinical systems need to be strong now and into the future! In this session, we’ll review the current payment landscape and discuss how nursing systems will help or hurt us. With the coming tidal wave of payment changes, we’ll see an impact on revenue, care delivery models, and Medicare programs. As the nurse leader, you don’t want to be caught off-guard by the changes and swept out to sea. Value-based payments and the potential PDPM have an impact on resident length of stay, therapy programming, case management, revenue, staffing, third-party auditing, and quality outcomes, just to name a few. This session will provide you with the framework for how to prepare and lead your teams effectively through this payment transition.

  • Discuss the payment landscape that is shaping care delivery systems
  • Overview and update on PDPM payment model
  • Identify the effect of current and potential future payment models on therapy services, restorative nursing, and the MDS department
  • Provide the opportunity to ask questions and discuss potential new payment models and their anticipated impacts with nursing colleagues

9:45 – 10:15 am – Refreshment Break with Exhibitors

10:15 – 11:45 am – Breakout Sessions

10:15 – 11:45 am

Kevin Daugherty Hook, MSN, MA, MS, CRNP

Shared accountability is the way forward to developing a culture of safety and quality in healthcare. Building on that paradigm, the airline industry has led the way in doing just this. The idea of shared accountability rests on managerial and leadership responses to staff choices in providing care and it centers on three behaviors: error, drift, and negligence. By understanding that drift and human error are inevitable, organizations create processes so that staff feel empowered to speak up for what they believe to be right. Just culture is a way forward to creating non-punitive managerial responses and a culture that promotes shared accountability, ultimately serving our staff and our patients/residents better.

Learning Objectives:

  • Differentiate behavioral choices of error, drift, and negligence
  • Articulate the concept of shared accountability
  • Identify your own examples of drifting behavior
  • Understand the relationship between just culture and a non-punitive culture

10:15 – 11:45 am

Deb Patterson Burdsall, PhD, RN-BC, CIC, FAPIC

The Centers for Medicare and Medicaid Services (CMS) enacted the Requirements of Participation for infection control practices in long-term care in November 2016. Long-term care facilities are required to have an infection prevention and control program (IPCP) tied to the individual facility assessment, an antibiotic stewardship program, and an Infection Preventionist (IP) starting in 2019. You and your facility staff are working hard to shore up your infection prevention and control systems. The IP is responsible for managing the infection prevention and control program, which includes surveillance, antibiotic stewardship, outbreak control, and a host of other responsibilities. The nationally recognized infection control certification for long-term care by APIC (Association for Professionals in Infection Control and Epidemiology) is setting the standard for this new role in long-term-care. Deb Burdsall, an expert from APIC will be presenting the latest information on infection control practices for LTC.

Learning Objectives:

  • Describe three current trends in LTC infection control best practices
  • Explain the role of the Infection Preventionist in LTC and how to effectively integrate it into facility practices
  • Define an antibiogram, and detail the process for developing a facility specific antibiogram and how the information fits into the antibiotic stewardship program

10:15 – 11:45 am

Heather D. McGowan, RN, BSN, RAC-CT

The DNS and various members of the interdisciplinary team have responsibility for developing and implementing the citations on the 2567. Writing a plan of correction that effectively addresses the citations, facilitates ease of implementation, and is acceptable to the state surveyors is critical. Gain an understanding of the time frames involved with the 2567 and how to effectively write your plan of correction.

Learning Objectives:

  • Identify how to begin developing the plan of correction prior to receiving the 2567
  • Understand time frames for receiving and responding to the 2567
  • Participate in developing a plan of correction to enhance learning

11:45 am – 12:45 pm – Product Theater Lunch, Sponsored by

12:45  1:45 pm  Coffee and Dessert with Exhibitors

1:45 – 3 pm – General Session

1:45 – 3:15 pm

Evan Shulman, CMS (invited)

CMS Deputy Director for the Division of Nursing Homes, Evan Shulman will share valuable information about the current national initiatives that affect the everyday lives of nursing home residents and staff. The topics covered will include payroll-based journal, quality reporting, survey, and other CMS initiatives.

3 – 3:30 pm – Refreshment Break with Exhibitors

3:30 – 5 pm – Breakout Sessions

3:30 – 5 pm

Madeline Coleman, JD, MS, RN, CPHQ

Lack of a thorough investigation by nursing home staff often leads to deficiencies being cited. These deficiencies are often cited as Immediate Jeopardy. This can impact nursing homes financially in the form of civil money penalties, suspension of admission by the state and CMS, or lawsuits. As a nurse leader, you are often responsible for investigating incidents and implementing processes to prevent future incidents. Gain valuable insight into how to shore up your investigative processes by attending this critical session.

Learning Objectives:

  • Understand the importance of investigating incidents thoroughly
  • Recognize the importance of implementing and following policies and procedures related to incidents
  • Learn about common mistakes in an investigation
  • Identify and implement interventions that are necessary to preventing future incidents

3:30 – 5 pm

Lisa Thomson, BS, NHA, CIMT and Susan LaGrange, RN, BSN, NHA, CIMT

Facing the challenges of recruiting and retaining qualified staff in the ever-changing workforce is a top priority of healthcare leaders today. Staff turnover affects clinical, quality, operational, and financial outcomes. During this engaging presentation, you will gain keen insights into recruitment, creative retention strategies, and engaging a multigenerational workforce.

Learning Objectives:

  • Identify the quality and operational implications of staff turnover
  • Describe innovative recruitment and retention techniques for healthcare providers
  • Distinguish key leadership strategies to motivate a multigenerational workforce

3:30 – 5 pm

F. Amos Bailey, MD, FACP, FAAHPM and Regina M. Fink, PhD, APRN, CHPN, FAAN

While long-term care settings have focused on excellence in rehabilitation services, long-term care staff often care for a large number of residents who would benefit from early integration of palliative care services throughout the care continuum. Additionally, appropriate use of opioids during end of life has become confusing for clinicians. Learn about palliative care strategies that can be implemented in long-term care settings to improve advance care planning, symptom management, and psycho-social-spiritual-ethical support throughout the trajectory of care, including at the end of life. Through a case-study approach, you will learn to Identify four symptoms residents experience at the end of life.

Learning Objectives:

  • Describe palliative care approaches associated with improved end-of-life outcomes
  • Recognize how organizational structure in long-term care influences delivery of palliative care
  • Demonstrate appropriate application of CDC opioid guidelines for the assessment and management of pain in long-term care residents

5 – 6:30 pm – Happy Hour with Exhibitors

Friday, June 29, 2018

7:30 am – 2:30 pm – Registration and Information Desk Open

7:45 – 8:30 am – Breakfast

8:30 – 10 am  General Session

8:30 – 10 am

Janet Feldkamp, RN, BSN, LNHA, CHC, JD

Get the latest information and potential action items regarding survey and certification protocol and requirements, including recent changes, citations, and interpretations. CMS and state agencies frequently readjust their focus on procedures and processes for surveys. The Office of Inspector General’s annual work plan provides information on that agency’s current areas of focus. Understanding current trends is vital for quality purposes, and understanding the importance of regulatory compliance is imperative for good leaders.

Learning Objectives:

  • Learn about current regulatory requirements and challenges for post-acute care facilities, including new transmittals, guidance, and other issuances from CMS
  • Comprehend the need for proactively addressing facility challenges facing the post-acute care field
  • Analyze the impact of the Office of Inspector General’s work plan on post-acute care providers and multiple agencies focused on fraud enforcement and prevention

10 – 10:15 am – Refreshment Break

10:15 – 11:45 am – Breakout Sessions

10:15 – 11:45 am

Barbara A. Bates, MSN, DNS-MT, QCP-MT, RAC-CT and Linda J. Winston, RN, BS, MSN, DNS-MT, QCP-MT, RAC-CT

New regulations have added requirements that facility leaders ensure competency-based training and skill sets for all staff members providing care to residents, whose needs are identified through the facility assessment, resident assessments, and care planning process. CMS provides direction that facilities must have sufficient staff who provide direct services to residents with “appropriate” competencies. The new requirements specifically address behavioral healthcare services related to residents with mental illness and various psychological disorders, as well as residents with a history of trauma and/or PTSD. The requirements focus on using an interdisciplinary approach to person-centered care for these residents using non-pharmacological interventions. During this session, you will learn to assist the IDT in understanding the regulations and to provide a basic understanding of these conditions, the symptoms frequently seen, and interventions that could be used to develop person-centered care plans. These conditions are not all managed with the same techniques, and competencies will need to be evaluated and monitored to ensure these residents receive quality care.

Learning Objectives:

  • Understand and identify three behavioral health conditions frequently seen in long-term care
  • Identify, describe, and differentiate three symptoms of dementia and delirium
  • Describe the requirements of the behavioral health services regulations
  • Understand the need for identifying potential behavioral triggers to enhance person-centered care planning

10:15 – 11:45 am

Patty Embree, MBA and Michelle Bulger

The journey to value-based care is clearer than you think. By viewing care through residents’ eyes and building leadership commitments and awareness, you can see the true current state of care and identify opportunities for change. Using data captured through shadowing, you will build the right teams, implement viable changes, and sustain a culture that supports staff engagement and continuous improvement—all with the voices of residents and families at the core. These are real, cost-effective tools you can use today.

Learning Objectives:

  • Engage facility leadership, staff, and residents in the process of making impactful improvements and upgrading your culture
  • Learn the process of shadowing as the way to see the true versus perceived current state of the resident experience
  • Identify opportunities for improvement and build the right teams to expedite solutions using low-cost, high-impact tools
  • Initiate and sustain improvements to quality, process, efficiency, and experience

10:15 – 11:45 am

Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT

The new survey process has forced many SNF leaders to do a lot of changing—from codifying myriad policies and procedures to training staff on what to expect. With so many new requirements to adjust to, resistance can feel like the most natural reaction, but it won’t lead to success. During this session, you will learn about and discuss the experiences of nurse leaders across the country who hit roadblocks with the new process but adjusted to find success. Come hear about their biggest challenges, surprises, lessons learned, and tips to help prepare for success when surveyors knock on your facility’s door.

Learning Objectives:

  • Identify three commonly cited survey citations and learn tips to prevent them
  • Learn about two challenges faced by other nurse leaders during the new survey process and action steps to avoid them
  • Understand the implications of the end of the Five-Star rating freeze and moratorium on Phase 2 penalties

11:45 am – 2 pm – Lunch, Awards Presentation, and Closing Keynote

11:45 am

Honor your profession and your peers at the inaugural AADNS Awards, Grants, and Scholarships Celebration. Hosted during lunch before the closing keynote, this first-ever event is not to be missed. Last fall, AADNS opened applications for individuals to be nominated and recognized for their significant contribution to long-term and post-acute care. A committee of peer volunteers reviews the applications and selects the most-deserving winners. We’ll celebrate the following 2018 winners together at this special celebration:

  • DON of the Year Award recipient
  • President’s Professional Development Grant recipient
  • Founder’s Professional Development Grant recipient
  • Cheryl M. Thomas Scholarship recipient

After Awards – 2 pm

Linda M. Shell, DNP, MA, RN, DNS-CT

The field of aging services is tumultuous, chaotic, and challenging, and that is on the good days! The outcome of this difficult working environment is increased turnover, decreased levels of satisfaction, poor quality, or, at worst—burnout! What is a nurse leader to do? How does one rise above the challenges and lead others in a positive way? During this inspiring presentation, you will gain insight into finding your leadership DNA and using it to build your resilience. You will learn practical strategies and tips that you can offer to your staff to assist them in building their resilience. After this presentation, you will be motivated toward “thriving vs. surviving” and feel reenergized in your passion for eldercare.

Linda Shell is a leadership coach and educator dedicated to developing resilient leaders in aging services who can challenge the status quo through innovative ideas and evidence-based practices. Her career began as a staff nurse in long-term care and has evolved through various executive leadership positions. She has been instrumental in the development and delivery of numerous leadership programs. After completion of her doctoral work on resilience, she developed SurTHRIVELeadership, and has taught and coached thousands of emerging leaders nationwide.