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.

  • FY 2021 SNF QRP Program Data Collection & Final Submission Deadlines (12/18)

    By CMS - December 18, 2018

    Skilled Nursing Facility Quality Reporting Program Data Collection & Final Submission Deadlines for the FY 2021 SNF QRP

     

    This table provides the data collection time frames and final submission deadlines for the Fiscal Year (FY) 2021 Skilled Nursing Facility Quality Reporting Program (SNF QRP). The first column displays the measure name, the second column displays the data collection time frame, and the third column displays the final data submission deadlines.

    Read more
  • LTCSP Initial Pool Care Areas UPDATED (12/18)

    By CMS - December 18, 2018
    This includes four documents, one each for: record review, resident interview, resident observations, and resident representative interview. They walk through what the surveyors investigate/ask related to each care area during the initial pool to help determine which residents they will choose for in-depth investigations in the final sample. In other words, these screening tools trigger surveyors to either investigate further or not investigate further.
    Read more
  • LTCSP: CMS-802 Provider Matrix 12/2018 version

    By CMS - December 18, 2018

    Provider Matrix used in the Long-term Care Survey Process

    Read more
  • LTCSP Survey Resources Including Entrance Conference Worksheet and Beneficiary Protection Notification Review Worksheet UPDATED (12/18)

    By CMS - December 18, 2018
    This Long-term Care Survey Process ZIP file contains a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing how they edit and finalize statements of deficient practices, and a tool breaking out resident interview questions in the initial pool process by care areas, such as choices, activities, abuse, etc. In addition, this file is now the only resource containing the Entrance Conference Worksheet and the Beneficiary Protection Notification Review Worksheet.

    NOTE: CMS updated this file In December  2018.

    Read more
  • NNHQIC All-Cause Harm Prevention in Nursing Homes Change Package (12/18)

    By National Nursing Home Quality Improvement Campaign - December 07, 2018

    Change Package to prevent harm related to medication adverse events, other adverse events, infection, and abuse,and neglect for nursing home residents.

     

    Read more
  • CMS Addresses Medicaid RUG-III & RUG-IV Case Mix Effective Oct. 1, 2019

    By CMS - December 07, 2018

    Summary: States will have access to an optional assessment to support RUG-III and RUG-IV from October 1, 2019 through September 30, 2020. Effective, Oct. 1, 2020, states that continue to use RUG-III or RUG-IV after October 1, 2020 will need to implement a new process to gather the needed data because many of the corresponding MDS items will no longer be present on the MDS.

    Memo:

    On October 1, 2020 CMS will no longer support RUG-III and RUG-IV case-mix methodologies via the Minimum Data Set (MDS). PDPM utilizes a streamlined assessment schedule compared to RUG-III and RUG-IV by eliminating all current scheduled assessments, except the 5-day, and all unscheduled assessments (i.e., Other Medicare-Required Assessments). For States that rely on these assessments for calculating their case-mix group, CMS has created an optional assessment so that Medicaid payment is not adversely impacted when PDPM is implemented on October 1, 2019. States will have some flexibility in crafting policies associated with this assessment. The optional assessment will be effective from October 1, 2019 through September 30, 2020.

    Finally, in an effort to reduce provider burden, improve quality of care, and standardize data elements across provider settings, CMS will be removing several MDS data elements over the next few years. Many MDS data elements used in RUG-III and RUG-IV are no longer required for Federal purposes. With the removal of data elements, RUG-III and RUG-IV will no longer be functional. States that continue to use RUG-III or RUG-IV after October 1, 2020 will need to implement a new process to gather the needed data.

    Read more
  • Nursing Home Compare Claims-based Measures Technical Specifications Plus Appendix Updated (12/18)

    By CMS - December 07, 2018

    Nursing Home Compare Claims-based Measures Technical Specifications -Update December 2018  plus Appendix


    Read more
  • Some States Urge Providers to Check Freezers Due to National Ground Beef Recall (12/18)

    By USDA - December 06, 2018

    Some states, including Texas, have urged nursing homes to check their freezers for ground beef that may be recalled in this Class ! recall, meaning the beef should not be consumed.

    Read more
  • PBJ Policy Manual v2.5, FAQs UPDATED (12/18)

    By CMS - December 06, 2018
    This manual and FAQs provide basic policy information to be used for electronically submitting staffing and census information through the Payroll Based Journal system. 
    Read more
  • SNF/LTC ODF: CMS Talks Quality and Payment

    By Caralyn Davis, Staff Writer - December 04, 2018

    Change is the one constant nursing homes face these days as the Centers for Medicare & Medicaid Services (CMS) pushes providers to transform from an institutional, service-driven approach to a patient-focused, clinical-need approach that highlights quality of care and quality of life. While this drive began on the survey side with the implementation of the revised Medicare/Medicaid conditions of participation, it now also is taking root on the payment side via several quality programs impacting the fee-for-service Medicare Part A program.

     

    During the Nov. 29 Skilled Nursing Facility/Long-term Care Open Door Forum, CMS officials addressed programs on both sides of the aisle, including:

    Read more
  • Taking a Person-Centered Approach to Drug Regimen Review

    By Linda Shell, DNP, MA, RN, DNS-CT - December 03, 2018

    Nurses are critical to the health and well-being of residents in long-term care, overseeing all aspects of care, including residents’ physical, mental, social, and spiritual wellness. Although members of the interdisciplinary team (IDT) assist with their respective disciplines, the nurse is ultimately the one with 24/7 oversight of resident care. Nurses are the eyes and ears of the physician in the long-term care setting and serve as advocates for the residents during the drug regimen review (DRR).

    Since the most recently updated CMS guidelines regarding DRR which includes medication reconciliation in the skilled nursing facility were released, facilities have struggled to understand the rules. One of the significant drivers behind these new regulations is the increased rate of medication-related adverse drug events (ADEs). One critical item, however, is still missing from the updated requirements—the resident perspective on medications. The CMS guidelines address DRR and identify the medications that must be reviewed, the scheduling of reviews, clinically significant medication issues, the facility-designated person responsible for conducting the DRR, and communication between the physician and nurse. Little to no mention is made of resident preference and choice related to medications. Do residents want to take all those medications? Is their quality of life improving?

    Read more
  • Quick Guide to Readmission Measures

    By AADNS - December 03, 2018
    Read more
  • Staff Didn’t Accept Flu Vaccine? Get a Declination Form

    By Caralyn Davis, Staff Writer - December 03, 2018
    Long-term care staff continue to have lower rates of influenza vaccination coverage (67.4 percent) than staff working in all other health care settings, according to “Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season,” a panel survey conducted by the Centers for Disease Control and Prevention (CDC) that was published in the Sept. 28, 2018, Morbidity & Mortality Weekly Report. In comparison, flu vaccinations among healthcare workers achieved a high of 91.9 percent in hospitals, followed by 75.1 percent in ambulatory care, and 74.9 percent in other clinical settings.
    Read more
  • SNF QRP Hurricane Michael Data Submission Exceptions (12/18)

    By CMS - December 03, 2018
    The memo lists specific counties that get the exceptions but also notes that SNFs outside those counties can request exceptions if there are extraordinary circumstances.
    Read more
  • CMS Alerts States re: SNFs/NFs With Potential Staffing Issues, Etc. (12/18)

    By CMS - December 02, 2018

    Payroll Based Journal (PBJ) Policy Manual Updates, Notification to States and New Minimum Data Set (MDS) Census Reports

    • Notification to States –

    The Centers for Medicare & Medicaid Services (CMS) will provide CMS Regional Offices (ROs) and State Survey Agencies with a list of facilities with potential staffing issues to support survey activities for evaluating sufficient staffing and improving resident health and safety.

    • Updates in the PBJ Policy Manual and Frequently Asked Questions (FAQs) – We are expanding the guidance on the meal breaks policy to ensure consistency. In addition, we are adding guidance regarding reporting hours for “Universal Care Workers.”

    • Additional Technical Support for Facilities – New MDS-based census reports in the Certification and Survey Provider Enhanced Reporting (CASPER) system.

    Read more
Previous 2 of 36 Next