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.

  • SNF QRP Measure Calculations and Reporting User's Manual Update (9/18)

    By CMS - September 14, 2018

    This manual presents methods used to calculate quality measures that are included in the Centers for Medicare & Medicaid Services (CMS) Skilled Nursing Facility (SNF) Quality Reporting Program (QRP). This manual provides detailed information for each quality measure (QM), including quality measure definitions, inclusion and exclusion criteria and measure calculation specifications.

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  • July 31/August 1 SNF QRP Post-Training Materials & Videos (9/18)

    By CMS - September 14, 2018

     

    Post-training materials (includes answers to knowledge checks) from the July/August 2018 Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Provider Training held in Baltimore, MD, on July 31 and August 1, 2018, are now available. Some screenshots included in presentations for the Section GG and Section N sessions and the Case Study Coding Sheet were updated to reflect recent changes to the Minimum Data Set (MDS) 3.0 Version 1.16.0, which will become effective October 1, 2018.
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  • Hand in Hand Training Course Update (9/18)

    By CMS - September 14, 2018
    Section 6121 of the Affordable Care Act of 2010 requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matters experts, created this training to address the need for nurse aides’ annual in-service training on these important topics.

    The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse.
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  • Most-Cited F-tags Nationwide: F880 And F689 Are The Top Concerns

    By Caralyn Davis, Staff Writer - September 11, 2018

    The top five most commonly cited F-tags in the new Long-term Care Survey Process (LTCSP) haven’t changed much since Feb. 26, when AADNS first took a look at the data available in QCOR, the Quality, Certification, and Oversight Reports site of the Centers for Medicare & Medicaid Services (CMS). F880 (Infection Prevention and Control) maintains its position as the most frequently cited new survey tag across the country. In addition. F880 is the third most-cited new F-tag with a severity level of F or above, as well as the 10th most-cited tag with a severity level of J, K, or L (immediate jeopardy).

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  • Choice vs. Liability: Honoring Resident Preferences While Maintaining Safety

    By Emily Royalty-Bachelor - September 11, 2018

    The field of long-term care has been undergoing culture change over the past number of years.

     

    Where previously the culture of care was centered on maintaining resident safety (often without consideration of residents’ personal preferences), now the culture emphasizes the importance of honoring resident voices and choices when it comes to their own care. The Centers for Medicare & Medicaid Services (CMS) has been consistently updating its rules and regulations to reflect this new direction.

     

    The shift in regulatory focus to improve resident-focused care—and the improvements it has brought to residents’ experience and life quality—cannot be overlooked.

     

    However, it has presented a previously unseen challenge for long-term care staff:

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  • Effective Opioid Use Requires Strong Systems Management

    By Caralyn Davis - September 11, 2018

    Opioids remain a significant concern throughout the healthcare system. This past June, the Centers for Medicare & Medicaid Services (CMS) published a roadmap outlining its ongoing and future plans to combat the national opioid epidemic. CMS’ approach starts with the prevention of new cases of opioid use disorder, which includes identifying and stopping the overprescription of opioids and promoting effective, non-opioid pain treatments.

     

    “Opioid therapy is in the spotlight right now because of overuse and abuse of those medications today. However, they are very effective in relieving pain used when necessary,” says Susan LaGrange, RN, BSN, NHA, CDONA, FACDONA, CIMT, director of education for Pathway Health in Lake Elmo, MN. “To ensure effective opioid use, directors of nursing services (DNSs) need to be involved on two fronts. First, you have to be involved in the oversight of the facility’s pain management program, Second, you should also be involved in overseeing the facility’s system for monitoring opioid use.”

     

    Taking the following steps can help DNSs ensure optimal opioid management:

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  • Do you report C difficile data to NHSN? (9/18)

    By NNHQIC - September 06, 2018
    CMS, the CDC, and the Quality Innovation Network Quality Improvement Organizations encourage nursing homes to continue to track and report C. difficile data to NHSN. These data inform national work on patient safety and are valuable for individual nursing home quality improvement projects, including C. difficile prevention and antibiotic stewardship.
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  • New Dementia Care and Psychotropic Med Tracking Tool: NNHQIC Seeks Pilot Testers (9/18)

    By NNHQIC - September 06, 2018

    The National Nursing Home Quality Improvement Campaign (NNHQIC) seeks pilot testers for a new Dementia Care and Psychotropic Medication Tracking Tool. This Excel-based tool will track information for individuals living with dementia AND any resident for whom psychotropic medications are prescribed.  It will support and prompt individualized care, document key processes, and provide information to identify opportunities and drive improvement. Interested organizations please send a message to Help@nhQualityCampaign.org to request additional information on participating in the pilot test.

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  • Antibiotic Stewardship: Fluoroquinolones and Black Box Warning Update (9/18)

    By CDC - September 06, 2018

    The U.S. Food and Drug Administration (FDA) Recently Strengthened its Black Box Warning About Fluoroquinolone Use

    Appropriate fluoroquinolone prescribing is important for patient safety. A recent study published in Clinical Infectious Diseases reports that fluoroquinolones are commonly prescribed for conditions when antibiotics are not needed at all, or when fluoroquinolones are not the recommended first-line therapy.

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  • PBJ Provider User Guide V3.0.2, Incl. Error Messages / Descriptions - UPDATED (9/18)

    By QTSO - September 04, 2018
    This manual explains how to connect to the Payroll-Based Journal (PBJ) system and submit data. It also defines error messages and descriptions, identifying errors by number, severity, error message, and error description. The description section includes potential corrective actions for providers to take to resolve the errors.
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  • CASPER Reporting User’s Guide for PBJ Providers UPDATED (9/18)

    By QTSO - September 04, 2018
    This user’s guide provides information and instructions pertaining to the CASPER Reporting application. Section 12, Payroll Based Journal (PBJ) Reports, addresses the staffing and census reports available to providers, including the Employee Report, the Census Report, the Staffing Summary Report, and the PBJ Submitter Final File Validation Report.
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  • SNF VBP Performance Score Report Overview video (8/18)

    By CMS - August 30, 2018
    Skilled Nursing Facility Value-Based Purchasing Performance Score Report Overview: 15-minute video from CMS
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  • RAI Updates Impact Nursing Systems Changes Effective October 1, 2018

    By Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, DNS-CT, QCP - August 29, 2018

    Nursing leaders in skilled nursing facilities are putting aside their thoughts on the Patient-Driven Payment System and the Requirements of Participation’s Phase 3 implementation, both coming October 1, 2019, and focusing attention on a closer deadline: October 1, 2018, when the Minimum Data Set (MDS) changes go into effect, impacting the Quality Reporting Program (QRP). This year, we can’t simply leave it to the MDS nurse to learn and implement the changes—it’s all hands on deck to be successful in the QRP program!

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  • RAI Manual v1.16 Effective Oct. 1, 2018 Posted

    By CMS - August 22, 2018
    Here is the MDS 3.0 RAI Manual v1.16 and MDS forms, effective October 1, 2018. This version of the MDS 3.0 RAI Manual incorporates clarifications to existing coding and transmission policy; it also addresses clarifications and scenarios concerning complex areas.
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  • SNF Uses AHRQ Toolkit to Boost Residents' Health Literacy Skills

    By AHRQ - August 22, 2018

    Occupational therapists (OTs) at Greenwich Woods Rehabilitation and Health Care Center improved their ability to assess and implement health literacy interventions for patients by 36 percent after a 6-week workshop that featured AHRQ’s Health Literacy Universal Precautions Toolkit. The workshop was administered to OTs, OT assistants, and other therapy and rehabilitation staff at the 217-bed skilled nursing facility in Greenwich, Connecticut.

    Improving OTs’ ability to provide information that patients can readily understand and use in their daily lives is an important aspect of their overall rehabilitation, according to Virginia Koenig, who has a clinical doctorate in occupational therapy. Dr. Koenig is an academic fieldwork coordinator at Touro College, New York, and developed and administered the intervention at Greenwich Woods. 

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