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Historically, many providers have treated the MDS and the Resident Assessment Instrument (RAI) process as a silo of government-mandated busywork. That’s always been a problem because, since day 1, the primary purpose of the MDS has been to identify resident care problems that are addressed in an individualized care plan. However, the footprints of the MDS are now carved deep into multiple facets of facility life, including:
· The Medicare Part A Skilled Nursing Facility Prospective Payment System (SNF PPS);
· Some Medicare Advantage payment systems;
· Some Medicaid payment systems;
· The MDS-based quality measures (QMs) that are publicly reported on Nursing Home Compare and used in the Five Star Quality Rating System; and
· The MDS-based QMs that will be publicly reported under the Skilled Nursing Facility Quality Reporting Program (SNF QRP) beginning in October 2018 assuming ongoing data issues are resolved timely. Note: SNFs also must meet an MDS-based reporting threshold under the SNF QRP to avoid a SNF PPS payment penalty each fiscal year.
Last but not least, the new Long-term Care Survey Process (LTCSP) makes sure that surveyors have MDS-based clinical indicators to guide their investigations from the moment they walk in the door, according to the LTCSP Procedure Guide.
In his children’s book Happy Birthday to You, Dr. Seuss eloquently wrote, “Today YOU are YOU, that is truer than true. There is no one alive who is youer than YOU.” The book was intended to encourage children to celebrate who they are and the ability they have to shape the course of their lives. Those same words can also be powerful in the life of a nurse leader. The long-term care environment is challenging, chaotic, and tumultuous, and that is on the good days. Changes in regulations, staff, processes, and census come fast. Nurse leaders need to celebrate who they are and their ability to shape the course of their lives. Nurse leaders need a little love!
“There is no one alive who is youer than YOU.” So what is your YOU and how can it be used to guide your leadership role? You can begin to identify your YOU by asking the following questions:
(1) What are my strengths?
(2) What do I do well?
(3) What energizes me? and
(4) How do people say I make them feel?
Infection prevention practices centered on hand hygiene (HH) protocols can save lives across all healthcare facilities, not just hospital settings. This includes nursing homes, according to a new study published in the February issue of theAmerican Journal of Infection Control (AJIC), the journal of the Association for Professionals in Infection Control and Epidemiology (APIC).
Researchers reviewed the impact of implementing a multicomponent HH program among nursing homes (NH). They found that incorporating consistent measures that prompt staff, residents and visitors to wash hands can lower mortality and antibiotic prescription rates, and increase overall hand cleaner use. This study is among the first to assess HH practices outside of the hospital setting through a randomized controlled trial.
Nursing homes across the United States routinely give antipsychotic drugs to residents with dementia to control their behavior, despite rules against the misuse of drugs as “chemical restraints,” Human Rights Watch said in a report and video released today. This abusive practice remains widespread, even though the use of antipsychotic drugs on older people with dementia is associated with a nearly doubled risk of death.
The 157-page report, “‘They Want Docile’: How Nursing Homes in the United States Overmedicate People with Dementia,” estimates that every week in US nursing facilities, more than 179,000 people, mostly older and living with dementia, are given antipsychotic drugs without an appropriate diagnosis. Facilities administer these drugs in many cases without obtaining informed consent from residents or their families.
The report is based on visits by Human Rights Watch researchers to more than 100 nursing facilities in six states and more than 300 interviews with people living in facilities, their families, staff, long-term care and disability experts, government officials, and advocates.
During this call, gain insight on the phase two changes for person-centered care planning and discharge planning. Also, learn about the new Alzheimer’s Association Dementia Care Practice Recommendations. Additionally, CMS shares updates on the progress of the National Partnership to Improve Dementia Care in Nursing Homes. A question and answer session follows the presentations.
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