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.

  • Nursing Facilities to be Nationally Ranked on Readmissions

    By Caralyn Davis, Staff Writer - March 21, 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. 
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  • March 23 SNF/LTC Open Door Forum Agenda and Call-in Info UPDATED

    By CMS - March 20, 2017

    The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:  Date:  Thursday, March 23, 2017. Start Time:  2:00 PM – 3:00 PM Eastern Time (ET).

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  • Appendix PP / State Operations Manual Mega-Rule Official Update REVISED & S&C Memos (3/17)

    By CMS - March 09, 2017
    Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities 

    CMS has replaced the first transmittal it issued to correct some errors; the Interpretive Guidance has not been updated. Interpretive guidance will be revised at a later date. The current F-Tags have been revised to include the requirements and regulation text as is presented in the final rule.

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  • Overview of New Psychotropic Drug Regulation (effective 11.28.17) and New Section N MDS Items (effective 10.1.17)

    By AADNS - March 08, 2017
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  • Person-centered Care in Nursing Homes: Study (3/17)

    By Journal of Aging Science - March 08, 2017
    This study demonstrates the effectiveness of a person-directed care model in multiple long term care facilities. Over a period of five years a selection of data from Signature HealthCare communities was taken to demonstrate the efficacy of a person-directed care model in a nursing home setting on specific metrics to include occupancy rates, return to hospital percentages, finance (EBITDA), and Centers for Medicare and Medicaid Services (CMS) 5-star ratings.
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  • FY 2017 Special Focus Facility (SFF) Program Update: CMS S&C Memo

    By CMS - March 08, 2017

    • Total SFF slots and candidates for each State: The number of designated slots and candidates for FY 2017 will not change from those effective since May 1, 2014.

    • Initial selection notice: The State Survey Agency (SA) must notify the provider in writing of their SFF selection and conduct a meeting (either onsite or via telephone) with the nursing home’s accountable parties, and the Centers for Medicare & Medicaid Services (CMS) Regional Office (RO), if the RO wants to be included. 

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  • March 29 IMPACT Act Standardized Patient Assessment Data Activities Call: Register Now

    By CMS - March 08, 2017

    During this call, find out about efforts to develop, implement, and maintain standardized Post-Acute Care (PAC) patient assessment data, including pilot testing results and plans for the upcoming national field test. Topics:

    • Goal of the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act)
    • Timeline of activities
    • Alpha 1 results
    • Alpha 2 progress
    • Plans for beta test
    • How to get involved
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  • Best Practices for Involving Nurse Aides in Care Planning

    By Caralyn Davis, Staff Writer - March 07, 2017

    The Final Rule revising the Medicare/Medicaid conditions of participation (aka the Mega Rule) requires that a nursing assistant who has responsibility for the resident participate on the interdisciplinary team that develops the comprehensive person-centered care plan, including the discharge plan, for each resident. “Industry leaders have been trying to get nursing assistants involved in care plan meetings since the early ‘80s,” notes Anna Ortigara, RN, MS, FAAN, organizational change consultant for the Paraprofessional Health Institute (PHI) in the Bronx, NY. “Now we have the actual regulatory language that that has to happen.”

     

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  • So Many New Regulations, So Little Time: The Implementation of Phase 1

    By Jessica Kunkler, MA, Staff Writer - March 07, 2017

    Having so much to do from day to day in addition to there being a seemingly endless list of regulations to implement can give any director of nursing services (DNS) tunnel vision. It’s almost hard to forget that you aren’t alone in your work and that DNSs across the country are struggling with similar challenges. We asked Shelly Acus, RN, DNS-CT, DNS for Maple Knoll Village in Ohio, and nurse consultant Linda Winston, RN, MSN, BS, DNS-MT, RAC-CT, how things have gone since November 28, 2016, and what their best tips for compliance are. 

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  • Resident Satisfaction Ratings: How Happy Are Your Residents to Call Your Facility Home?

    By Emily Royalty-Bachelor, Staff Writer - March 07, 2017

    The federally mandated Five-Star rating is, undoubtedly, the nationwide benchmark for measuring the quality of a long-term care facility.

     

    But there’s another metric—one that is often ignored but is in many ways just as important for providing key insights into the facility’s strengths and areas needing improvement: the resident satisfaction rating.

     

    And though the Centers for Medicare & Medicaid Services (CMS) doesn’t presently require facilities to gather this information, that may soon change.

     

    CMS is currently in the testing phase to introduce a resident satisfaction metric to the MDS.

     

    Amy Franklin, RN, DNS-MT, RAC-MT, QCP-MT, and AADNS curriculum development specialist, says that we may see this new metric go into effect as soon as fiscal year 2020—and it’s a good idea to start preparing now.

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  • PBJ Electronic Data Staffing Submissions Data Specs Effect. June 26, 2016 PLUS UPDATED ERRATA

    By CMS - February 24, 2017
    The PBJ 2.0 Data Submission Specifications Version 2.00.0 package is now available.  These specifications went into effect on June 26, 2016, and they include a now updated errata and a PBJ XSD File Update.
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  • Jimmo v. Burwell: Part A Therapy Decision Update (2/17)

    By Center for Medicare Advocacy - February 24, 2017
    Judge Accepts Medicare’s Plan To Remedy Misunderstanding on Therapy Coverage
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  • How Staff Can Encourage Resident Mobility: Quick Tips (2/17)

    By Lake Superior Quality Innovation Networ - February 24, 2017
    One-page tip sheet for promoting resident mobility.
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  • Medicare Episode Payment Model Operations: CMS Transmittal (2/17)

    By CMS - February 24, 2017

    Rules for new Episode Payment Models (EPMs) that focus on acute myocardial infarction (AMI), coronary artery bypass graft (CABG), and surgical hip and femur fracture treatment (SHFFT), most frequently hip pinning. These models will begin in 2017 and run for 5 performance years (PY). Addresses the qualifying three-day hospital stay and other issues.

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  • March 21 National Partnership to Improve Dementia Care and QAPI Call: Register Now

    By CMS - February 24, 2017
     During this call, learn about the Creating a Culture of Person-Directed Dementia Care project grant award. The Lake Superior Quality Innovation Network will share information about the new QAPI Written Plan How-To Guide that can assist long-term care providers with performance improvement efforts. Additionally, CMS experts share updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes and Quality Assurance and Performance Improvement (QAPI). A question and answer session follows the presentation.
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