We recommend this format if you do not have access to a high-speed internet connection for downloading large media files.

Experience the best of the AAPACN 2020 Virtual Conference. The AAPACN 2020 Virtual Conference Recorded Sessions bundle features 25 education sessions from leaders and experts in the LTPAC field, along with seven additional Learning Labs sponsored by SimpleLTC, as an educational bonus. Session recordings are a compilation of digital audio and video recordings and synchronized slides - all accessible on your computer, tablet, or phone.

Your sessions will be pre-loaded onto a flash drive and shipped to you. Because of current shipping delays, please allow 10-14 days for delivery.

You may earn up to 34.5 ANCC continuing education hours (CEs) for viewing these recorded sessions.

Click here for more session and CE information.

We recommend a high-speed internet connection for the best downloading experience.

Experience the best of the AAPACN 2020 Virtual Conference. The AAPACN 2020 Virtual Conference Recorded Sessions bundle features 25 education sessions from leaders and experts in the LTPAC field, along with seven additional Learning Labs sponsored by SimpleLTC, as an educational bonus. Session recordings are a compilation of digital audio and video recordings and synchronized slides - all accessible on your computer, tablet, or phone.

Your files will instantly be available on your My Downloads page after purchase.

You may earn up to 34.5 ANCC continuing education hours (CEs) for viewing these recorded sessions.

Click here for more session and CE information.

You may either purchase immediate access to the downloadable files, available in your My Downloads area, or purchase the pre-loaded flash drive that will be shipped to you. If you do not have access to a high-speed internet connection for downloading large media files, we recommend purchasing the flash drive.

Experience the best of the AAPACN 2020 Virtual Conference. The AAPACN 2020 Virtual Conference Recorded Sessions bundle features 25 education sessions from leaders and experts in the LTPAC field, along with seven additional Learning Labs sponsored by SimpleLTC, as an educational bonus. Session recordings are a compilation of digital audio and video recordings and synchronized slides - all accessible on your computer, tablet, or phone.

You may earn up to 34.5 ANCC continuing education hours (CEs) for viewing these recorded sessions.

Click here for more session and CE information.

The new survey results from CMS are in and every DON needs to know the top 10 trends in survey citations. Join this 60-minute webinar to learn about the most common citations that nurse leaders are facing today and how to prevent them.

Learners will:

• Identify the top ten citations being cited today
• Learn effective prevention measures for these common citations
• Become familiar with available resources to prepare staff for survey

In skilled nursing facilities (SNFs), questions continue to swirl around the topic of whether a resident is skilled or not. Understanding the nuances of Original Medicare is no small task when looking at our ever-changing world of long-term care services. This 90-minute webinar discusses not only the basics of Medicare coverage, but also the complex details including the 30-day transfer rule and the medical appropriateness exception regulation.

Following this session, attendees will be able to:

• Describe the elements of technical eligibility for Medicare Part A coverage
• Detail when Medicare eligibility begins and ends
• Review the necessary requirements for the validation of a skilled level of care
• Describe the specifics of direct and indirect skilled services
• Delineate documentation needed to support skilled decisions and minimize denials

Introduction to RAI Process, OBRA ’87, and RAI User’s Manual

Start building a strong foundation of knowledge by understanding how the RAI process drives individualized resident care, reimbursement, and survey outcomes.

This session will help you:

• Realize the basics and history of the RAI process
• Understand the content and how to use the RAI Manual
• Identify the importance of MDS accuracy and impact the RAI process has on care plans, quality measures, reimbursement, and survey results

MDS Coding Essentials: Sections A, B, C, H, and I

Begin your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover five MDS Sections (A, B, C, H, and I) and will start to introduce MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Sections D, E, F, and Q

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover four MDS Sections (D, E, F and Q) and will continue to help develop your MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Section G and J

The journey through the MDS section-by-section continues as we explore the intent and rationale of each item. This session will cover two MDS Sections (G and J) and will introduce you to the Rule of 3 for ADL coding.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Apply the Rule of 3 to real-life situations

MDS Coding Essentials: Section GG and K

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover two MDS Sections (GG and K) and walk you through the nuances of the Section GG requirements.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize the differences between Section GG and Section G
• Apply the calculation of weight loss and weight gain

MDS Coding Essentials: Sections L, M, N, and P

Delving into the essentials of the MDS continues as we explore the intent and rationale of each item in four Sections (L, M, N, and P).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements

MDS Coding Essentials: Sections O, V, X, and Z

The journey through the MDS continues as we explore the intent and rationale of each item. This session will cover four MDS Sections (O, V, X, and Z).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize when the MDS correction policy is needed for inactivations and modifications
• Apply guidelines concerning signatures for MDS coding, completion, CAA notes, and care plans

MDS Essentials: Introduction to CAA Documentation/Care Plan

Continue your journey through the next step in the RAI process as we explore the RAI requirements for Care Area Assessment notes and care plans.

This session will help you:

• Understand the RAI process for Care Area Triggers and Care Area Assessment Summary
• Apply RAI requirements for care plans
• Review case studies and examples for Care Area Assessments and care plans

MDS Scheduling Essentials: Introduction to OBRA Scheduling and Transmission Requirements

A critical piece of the RAI process is the OBRA assessment schedule.

This session will introduce you to the OBRA scheduling and transmission process by:

• Establishing key acronyms and definitions that are essential to understand the scheduling requirements
• Explaining scheduling, completion, and transmission deadlines
• Demonstrate how different assessments will impact the OBRA assessment schedule

MDS Scheduling Essentials: Introduction to PPS Scheduling and PDPM

Our journey comes to a close as we explore the SNF Medicare Prospective Payment System (PPS) schedule that is a requirement for Original Medicare Part A residents in order for the facility to receive reimbursement with the Patient-Driven Payment Model (PDPM).

This session will help you:

• Understand the assessment scheduling requirements for PDPM PPS
• Describe the ramifications of non-compliance with the assessment schedule
• Review the six components of PDPM
• Recognize the concepts of the interruption stay window
• Determine the HIPPS Codes used for billing

MDS Essentials: An Introduction to the MDS 3.0 is ten sessions of a recorded webinar that moves through the Resident Assessment Instrument (RAI) User’s Manual, helping you to understand the intent, rationale, and coding requirements of each MDS item set, Care Area Assessments, care plans, and scheduling. The program is perfect for a new NAC with less than six months of experience. Each of the ten sessions runs 75 minutes, and covers information based on the RAI User's Manual version 1.17.1, effective October 1, 2019.

1. 1. MDS Essentials: An Introduction to RAI Process, OBRA ’87, and RAI User’s Manual – 1.25 CEs
2. 2. MDS Essentials: Coding Sections A, B, C, H, and I – 1.25 CEs
3. 3. MDS Essentials: Coding Sections D, E, F, and Q – 1.25 CEs
4. 4. MDS Essentials: Coding Sections G and J – 1.25 CEs
5. 5. MDS Essentials: Coding Sections GG and K – 1.25 CEs
6. 6. MDS Essentials: Coding Sections L, M, N, and P – 1.25 CEs
7. 7. MDS Essentials: Coding Sections O, V, X, and Z – 1.25 CEs
8. 8. MDS Essentials: Introduction to CAA Documentation and Care Plans – 1.25 CEs
9. 9. MDS Essentials: Introduction to OBRA Scheduling – 1.25 CEs
10. 10. MDS Essentials: Introduction to PPS Scheduling and PDPM – 1.25 CEs

Back in May, CMS posted a draft version of the RAI User’s Manual and notified providers to check back for updates before Oct. 1, 2019. CMS released the final version 1.17.1 on Sept. 18, 2019, which contained a few additional changes when compared to the earlier draft version. And because of the monumental change to SNF PPS with the implementation of PDPM, chapters 2 and 6 of the manual received major revisions. Luckily, CMS has offered several trainings and Skilled Nursing Facility/Long-Term Care Open Door Forums, which have allowed providers to keep up-to-date with all of these changes.

After the NAC and IDT members have had some time to delve into the new processes and get beyond the transition, AANAC offered a 60-minute webinar on Oct. 17, 2019, to ensure you did not miss any of the RAI changes during the hustle and bustle of the transition. We reviewed the major differences between the early and final versions of the RAI User’s Manual, discussed some lessons learned during the first two weeks of PDPM, and provided a 30-minute live question and answer period to address your pressing issues.

At the end of this session, the participants will be able to:

• Review the major changes to the RAI User’s Manual v1.17 compared to the final v1.17.1.
• Identify the SNF PPS assessments and when to use them.
• Discuss lessons learned during the first two weeks of PDPM.
• Get your most pressing issues resolved in a question and answer session with MDS experts.

A year following the implementation of the Patient-Driven Payment Model (PDPM) and medical reviews returning from the hiatus caused by COVID-19 and the public health emergency (PHE), providers may begin seeing Medicare claims come under scrutiny.  Areas of non-compliance can result in both financial and possible criminal implications depending on the finding. Nursing facilities are being denied payment related to improper documentation or coding.  Through this 60-minute session, nursing facilities will identify ways to improve audits, develop solid systems for accurate documentation and data collection resulting in accurate revenue and compliance.

 Learners will:

• Identify the five levels of appeals
• Describe the consequences of non-compliance
• Recognize the importance of supportive documentation for accurate coding 
• Explain the link between primary diagnosis and supportive documentation

The risks posed to the frail elderly population living in nursing homes from infections requires an intentional strategy now more than ever given the public health crisis from COVID-19. This 60-minute webinar will provide insight into how to take QAPI beyond paper compliance and use it to fuel infection prevention and control efforts. This proactive, data-driven approach will help protect nursing home residents from infections including COVID-19 and the seasonal flu.

 Following this webinar, you will be able to:

• Identify the regulatory requirements for Quality Assurance and Performance Improvement (QAPI) that correlate to the regulatory requirements for the Infection Prevention and Control Program (IPCP)
• Apply the proposed data that can be used to measure and improve infection prevention efforts
• Distinguish what information should be included and discussed on the QAPI/QAA meeting agenda that pertains to IPCP
• Understand how the data can guide the QAA Committee and the Infection Preventionist to take corrective action that will lead to a more robust and wholistic approach to infection prevention and control

The Patient-Driven Payment Model (PDPM), certification surveys, and the QAPI process create great opportunities for the director of nursing services (DNS) and the nurse assessment coordinator (NAC) to join forces. The clinical nurse leader and reimbursement expert must come together for a meeting of the minds—where expertise, experience, and collaboration can translate into facility performance and positive resident outcomes. At times, the DNS and NAC work on islands, independently from each other, but the time to collaborate is now! Join Jane Belt and Alexis Roam in this 60-minute webinar to walk those lines of convergence as the value of collaboration reaches both islands as the lifeline of success.

At the end of this session, the participants will be able to:

• Identify opportunities for collaboration between the DNS and the NAC
• Describe the parameters of the SNF PPS assessments and why collaboration is two-way
• Recognize the realities of reimbursement for the facility’s cash flow and the impact on the nursing budget
• Understand how survey, PDPM, and QAPI are dependent upon the relationship and collaboration between the DNS and the NAC

Do you know how the April 2019 changes to the Five-Star Rating System will impact your facility rating? We anticipated the unfreezing of the health inspection star, but the recently released updates brought about unexpected impacts to all three Five-Star domains, including a threshold adjustment to the staffing domain and separate weighting and thresholds for the short- and long-stay quality measures and the new and retired measures. During this 60-minute webinar, we will dive into some of the significant Five-Star changes and how they may impact your Five-Star Quality Rating.

Following this webinar, you will be able to:

• Describe the changes in each of the three domains impacting the Five-Star rating
• Understand how inaccurate Payroll-Based Journal staffing hours can heavily influence the staffing star
• Detail strategies to improve your Five-Star Quality rating

Nursing and therapy teams serving in post-acute care are now presented with unique challenges and opportunities in treatment of COVID-19 patients. This course will serve as an overview of best practices for clinical assessment, methods for limiting cough eliciting procedures, and treatment of swallowing disorders (i.e. dysphagia) which are compounded by and resulting from active COVID-19 diagnoses and the following recovery.

Resources will be provided to address the dynamics of clinical practice in PAC settings, including clinical decision-making, methods to maintain quality of like and choice, and service delivery options for those providing dysphagia services in this era of the COVID-19 global pandemic.


Following completion of this course learners will be able to:

• Describe the complex phases of swallowing including oral, pharyngeal and esophageal phases.
• Define interprofessional practice for dysphagia clinical assessment, methods for limiting cough eliciting procedures, and treatment of swallowing disorders (i.e. dysphagia)
• Explain dynamics of care in the post-acute (PAC) world including clinical decision-making, methods to maintain quality of life and choice, and service delivery options for those providing dysphagia services in this era of the COVID-19 global pandemic

Have you been discussing the April 2019 Five-Star Rating System changes with your director of nursing and administrator? We all need to be prepared for the very real possibility of losing stars. With the April 2019 revision of the Five-Star Technical User’s Manual, we learned there will be changes to all three Five-Star domains. In this 60-minute webinar, we cover some of the significant changes that facilities need to be aware of, including the “unfreezing” of the survey ratings, the threshold adjustments to the staffing domain, the separate weighting and thresholds for the short- and long-stay quality measures, and the new and retired measures. Watch to gain a better understanding of what you need to know and how to prepare as these Five-Star changes take effect.

At the end of this session, the participants will be able to:

• Describe the changes in each of the domains impacting the Five-Star rating
• Delineate the calculation of the overall Five-Star rating
• Discuss strategies for managing your facility's Five-Star rating

With just a few months away from the deadline to implement the Phase 3 requirements of participation, you may be asking yourself if your facility teams are ready? During this session, the presenter will focus on the key elements of the required compliance and ethics programs, staff training, QAPI governing body role and responsibilities, and trauma-informed care. The presenter will provide knowledge and instruction related to these requirements and tips/tools to ease implementation. Don't miss this opportunity to evaluate your readiness and shore up any gaps before your first standard survey after the Nov. 28, 2019 deadline.

Following this webinar, you will be able to:

• Gain an understanding of compliance and ethics programs
• Comprehend staff training requirements
• Increase your knowledge of trauma-informed care
• Create an immediate plan of action to begin the development and implementation of Phase 3 requirements

Have you ever thought you knew the reason an adverse event happened but found out later you were wrong when the event reoccurred? When an adverse event happens, nurse leaders must respond by investigating the incident and determining its root cause. Preventing re-occurrence is the overall goal, but in order to do this, there needs to be a strong and consistent process in place. During this 60-minute webinar, we will use a real-life scenario and apply a six-step approach to a comprehensive root cause analysis that enables you to get to the REAL root cause of a problem. 

Learners will:

• Understand why root cause analysis is necessary
• Compare the differences between the root cause and its contributing factors
• Learn six steps to complete a root cause analysis

Workforce pressures are THE conversation at this and other learning sessions. We all want to succeed against these challenges, and we have tried so many things. Let’s take a step back and look at what evidence says are the fewest practices to address the broadest numbers of pressures like staffing, turnover, vacancy, workplace injuries, engagement and the like.

Following this webinar, you will be able to:

• Learn the significance of engagement related to desired outcomes like improved resident/patient/family experience, improved staffing patterns, improved margin and improved quality metrics like reduced falls with injury and increased hand hygiene compliance
• Learn that Rounding for Outcomes on direct reports, an Evidence-Based Leadership℠ practice, drives engagement and thus, desired outcomes. A demonstration will be provided.
• Learn that real-time recognition, aligned to organizational values, creates consistency practices, predictable results and high engagement. Examples will be provided.

The Patient-Driven Payment Model (PDPM) is coming this October and with it the Interrupted Stay Policy, which determines when Medicare will treat multiple SNF stays as one single “interrupted” stay, rather than separate stays. During this 90-minute webinar, we will divulge the details of this new policy and explore several case studies—learning how an interrupted stay will be applied, the billing implications, the impact on the variable per diem, and the effect on the PPS schedule. Nurse assessment coordinators (NACs) will develop the skills needed to track interrupted stays, adjust the schedules of both the OBRA and PPS assessments, and ensure appropriate billing during the interruption window.

At the end of this session, the participants will be able to:

• Learn the criteria of the Interrupted Stay Policy and the definition of the interruption window.
• Review the impact an interrupted stay will have on the PPS and OBRA assessment schedules and the variable per diem rates.
• Understand the application of an interrupted stay through a series of case studies.
• Gain strategies for success and appropriate billing when an interrupted stay occurs.

This webinar will teach the DNS how to use the information contained in the CASPER reports that are of primary importance to them. Tips, tactics, and realistic examples will be shared helping the DNS prioritize areas of improvement, take proactive steps to maintain survey readiness, and most importantly, provide excellent care.

Following this webinar, attendees will be able to:

• Review the CASPER reports that are of primary importance to the DNS.
• Explain how each of these reports is related to the decisions the DNS makes and the direction in which the DNS leads the clinical team. 
• Discuss how to apply the use of the reports using realistic examples, tips and tactics.