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.

  • COVID-19 Medicare FAQs Updated (1/21)

    By CMS - January 06, 2021

    Documents include: 

    • Frequently Asked Questions to Assist Medicare Providers
    • Medicare Telehealth Frequently Asked Questions (PDF) (now included in all-inclusive FAQs) 
    • Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction
    • Frequently Asked Questions (FAQs), CLIA Guidance During the COVID-19 Emergency

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  • CDC COVID-19 Vaccination Toolkit for SNFs/NFs (1/21)

    By CDC - January 05, 2021

    Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility

    Answering Common Questions About COVID-19 Vaccines

    This toolkit provides long-term care facility (LTCF) administrators and clinical leadership with information and resources to help build vaccine confidence among healthcare personnel (HCP) and residents. You play a critical role in providing trusted information and ensuring high COVID-19 vaccination coverage in your facility.

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  • LTCSP Survey Resources: Surveyor Tools Updated (1/21)

    By CMS - January 05, 2021

    This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP).

     

     

    01/04/2021 Survey Resource folder update: 

    1. Added FAQ on Resumption of LSC, EP, and LTC Health Surveys

    2. Added F tag Waiver Guide

    3. Added K tag Waiver Guide

     

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  • COVID-19 Vaccinations: Importance for Residents and Staff (12/20)

    By CDC - December 29, 2020
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  • Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Suspended Through March (12/20)

    By CMS/MLN Matters - December 28, 2020

    Special Edition – Monday, December 28, 2020

    The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the payment adjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1 through December 31.  The Consolidated Appropriations Act, 2021, signed into law on December 27, extends the suspension period to March 31, 2021.


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  • Considerations for Use of SARS-CoV-2 Antigen Testing in Nursing Homes (12/20)

    By CDC - December 28, 2020
    This document provides a summary of considerations for use of SARS-CoV-2 (the virus that causes COVID-19) antigen testing in nursing homes and is intended for nursing home providers and state and local public health departments.

    Also see: Guidance for SARS-CoV-2 Point-of-Care Testing

    UPDATE: 


    As of December 28, 2020

    • Updated To whom long-term care facilities (LCTFs) should report point-of-care antigen testing data under “Reporting requirements for SARS-CoV-2 tests”
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  • FY 2021 ICD-10-CM Code Update and Official Coding Guidelines Updated With New COVID-19 Codes (12/20)

    By CDC - December 26, 2020

    In response to the national emergency that was declared concerning the COVID-19 outbreak, the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) is implementing 6 new diagnosis codes into the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), effective January 1, 2021.

    The files below contain information on the ICD-10-CM COVID-19 updates effective with discharges and patient encounters on and after January 1, 2021.

     

    <span xml:lang="EN">The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021 and for patient encounters occurring from October 1, 2020 through September 30, 2021.

    Note:<span xml:lang="EN"> There is no FY 2021 GEMs file. As stated in the FY 2016 IPPS/LTCH PPS final rule (80 FR 49388), the GEMs have been updated on an annual basis as part of the ICD-10 Coordination and Maintenance Committee meetings process and will continue to be updated for approximately 3 years after ICD-10 is implemented.

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  • ACIP Interim Recommendation for Use of Pfizer-BioNTech and Moderna COVID-19 Vaccines (12/20)

    By CDC - December 24, 2020
    The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine — United States, December 2020 Early Release / December 13, 2020 / 69


    Summary

    What is already known about this topic?

    On December 11, 2020, the Food and Drug Administration issued an Emergency Use Authorization for the Pfizer-BioNTech COVID-19 vaccine.

    What is added by this report?

    On December 12, 2020, after an explicit, evidence-based review of all available data, the Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use of the Pfizer-BioNTech COVID-19 vaccine in persons aged ≥16 years for the prevention of COVID-19.

    What are the implications for public health practice?

    The recommendation for the Pfizer-BioNTech COVID-19 vaccine should be implemented in conjunction with ACIP’s interim recommendation for allocating initial supplies of COVID-19 vaccines.


    The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Moderna COVID-19 Vaccine — United States, December 2020

    Summary

    What is already known about this topic?

    On December 18, 2020, the Food and Drug Administration issued an Emergency Use Authorization (EUA) for the Moderna COVID-19 vaccine.

    What is added by this report?

    On December 19, 2020, after a transparent, evidence-based review of available data, the Advisory Committee on Immunization Practices (ACIP) issued an interim recommendation for use of the Moderna COVID-19 vaccine in persons aged ≥18 years for the prevention of COVID-19.

    What are the implications for public health practice?

    Use of all COVID-19 vaccines authorized under an EUA, including the Moderna COVID-19 vaccine, should be implemented in conjunction with ACIP’s interim recommendations for allocating initial supplies of COVID-19 vaccines.

     


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  • CDC Strategies for Optimizing the Supply of PPE and Other Equipment (12/20)

    By CDC - December 22, 2020

    The Centers for Disease Control and Prevention (CDC) offers strategies for optimizing the supply of:

    N95 respirators

    Face masks

    Isolation gowns

    Eye Protection

    Gloves

    Powered Air-Purifying Respirators (PAPRs)

    Elastomeric respirators

    Ventilators

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  • OIG Report: Onsite Surveys of Nursing Homes During the COVID-19 Pandemic: March 23-May 30, 2020

    By OIG - December 22, 2020
    Onsite Surveys of Nursing Homes During the COVID-19 Pandemic: March 23-May 30, 2020 (OEI-01-20-00430)

    States conducted onsite surveys at 31 percent of nursing homes during March 23-May 30, 2020; however, States varied significantly.

    During the same time period in 2019—when States and the Centers for Medicare and Medicaid Services were under normal operations and conducting standard and other surveys—53 percent of nursing homes received an onsite survey.

    The infection control surveys conducted during this time frame in 2020 resulted in few deficiencies, in part because of their limited scope and less surveyor time onsite. State officials reported ongoing challenges to securing adequate personal protective equipment (PPE) and surveyors to complete onsite surveys.

    States provided guidance and other support—such as training—to nursing homes outside of the survey process.
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  • Dec. 22 CMS-CDC Nursing Home Stakeholder Call on COVID-19 Vaccinations

    By CMS and the CDC - December 21, 2020

    Date:                          Tuesday, December 22

    Time:                          1:00 – 2:00 pm ET

    Toll Free Dial-In:       833-614-0820  

    Access Passcode:     7979889

    Overview: Please join CDC and CMS for this call with Nursing Homes focused on COVID 19 vaccination among residents and staff. During this call, you’ll receive:

     

    ·         Updates on Pharmacy Partnership for Long-Term Care Program;

    ·         Critical clinical, safety, and infection prevention and control considerations associated with implementation;

    ·         Communication resources you can use to address resident and staff questions and concerns; and

    ·         General reminders for the holiday season.

    ·         A questions and answer session will follow updates.

     

    Conference lines are limited. We encourage you to join via audio webcast, either on your computer or smartphone web browser. These calls are not intended for the press.

     

    For More Information:

    ·         Coronavirus.gov

    ·         CMS Current Emergencies

    ·         Podcast and Transcripts  view transcripts and listen to audio recordings of COVID-19 calls

    ·         Coronavirus (COVID-19) Partner Toolkit view this webpage for the most current information including call schedule changes.

     

     


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  • AHRQ Study: Transforming Medication Regimen Review With Telemedicine to Prevent Adverse Events (12/20)

    By AHRQ - December 21, 2020
    Transforming the medication regimen review process using telemedicine to prevent adverse events

    AHRQ News Now:

    KaneGill SL, Wong A, Culley CM, et al. J Am Geriatr Soc. 2020;Epub Nov 25.

    Medication reconciliation and medication regimen reviews can reduce adverse drug events (ADEs) in older adults. This study assessed the impact of a pharmacist-led, patient-centered telemedicine program to manage high-risk medications during transitional and nursing home care. The program included telemedicine-based medication reconciliation at admission and medication regimen reviews throughout the nursing home stay, coupled with clinical decision support. Residents in the program experienced fewer adverse drug events compared to a usual care group. This innovative model has the potential to further reduce medication errors in nursing home residents.

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  • F610 Investigations: Improving Resident Care While Avoiding Citations

    By Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA - December 15, 2020

    The phone rings early one Saturday morning; it’s the night shift nurse calling to tell you that Mrs. Jones has a large bruise on her chest and staff does not know how it occurred. What you do next affects not only Mrs. Jones’ and other residents’ safety—it also has potential survey implications.

     

    A facility confronting such a scenario must conduct a thorough and effective investigation. Most long-term care leaders both know and dread the requirement for investigations. When one is necessary, something unintended has occurred. Staff must actively work to uncover the cause or causes so interventions can be put in place to prevent future or widespread occurrences.

     

    The State Operations Manual (SOM), Appendix PP, provides guidance to surveyors determining compliance with regulations. Under the regulatory group 483.12, Freedom from Abuse, Neglect, and Exploitation, the SOM details 10 citations, or F-tags. F610, which deals with investigating, preventing, and correcting alleged violations, is one of the abuse citations. It also is one of the top 20 most cited F-tags. Regulations under F610 require facility staff to respond to allegations of abuse, neglect, exploitation, or mistreatment by conducting a thorough investigation. For full details of all the requirements under F610, refer to Appendix PP. In this article, we will discuss F610 citation findings and share some tips to help you avoid them.

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  • Aligning Staff Workflows With the EHR Begins With the DNS

    By Caralyn Davis, Staff Writer - December 15, 2020

    As of 2017, 66 percent of nursing homes used an electronic health record (EHR) in some capacity, according to the Office of the National Coordinator for Health Information Technology. However, directors of nursing services (DNSs) are not always taking full advantage of the capabilities these tools offer. “Implementing or optimizing an EHR is hard work, but like anything with nursing leadership, if you put that time in to build a culture, it will save you and your staff so much time down the road,” says Becky Kaufmann, RN, vice president of quality assurance and education for Lutheran Life Communities in Arlington Heights, IL.

     

    The following steps can help DNSs and other nurse leaders either implement a new EHR or optimize the use of an existing EHR to align with staff workflows:

     

    Start with the data

    An EHR should provide DNSs and other clinicians with access to data that will lead to a solution of an identified problem’s root cause, says Kevin Whitehurst, senior vice president for Skilled Nursing Solutions at MatrixCare in Bloomington, MN.

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  • CDC Post-COVID-19 Vaccine Considerations for Healthcare Workers (12/20)

    By CDC - December 14, 2020

    Infection prevention and control considerations for healthcare personnel with systemic signs and symptoms following COVID-19 vaccination

    Note: Strategies are needed for healthcare facilities to appropriately evaluate and manage post-vaccination signs and symptoms among healthcare personnel (HCP). The approach described in this document is intended to reduce the risks for disruptions in care and pathogen (e.g., SARS-CoV-2) transmission resulting from:

    ·  unnecessarily excluding HCP with only post-vaccination signs and symptoms from work, and

    ·  inadvertently allowing HCP with SARS-CoV-2 or another transmissible infection to work.

    These considerations are based on the current understanding of signs and symptoms following COVID-19 vaccination, including timing and duration, and might change as experience with the vaccine accumulates.

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