Nursing Leadership

Being a leader in your facility, although sometimes overwhelming, is a rewarding role that allows you to touch the lives of many people including your residents, their families, and, of course, your staff. Your efforts and attitude impact everything from resident outcomes, to survey results, to workplace culture in your facility. Find resources that explore topics such as leadership styles, strategies for successfully managing staff, and more to support you in your important role.  

  • Strategic Innovation Engine Wants Your Innovative Practices (3/17)

    By CMS - March 26, 2017
    Do you have an innovation that is improving health care quality and safety in your practice?  We would like to hear from youThe SIE has simplified and streamlined the submission process to gather innovative practices. These practices will be evaluated for their effectiveness in advancing CMS’ goals of better care, healthier people, and smarter spending. Selected innovative practices will be widely disseminated via various channels throughout the CMS quality community.
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  • Laying the Groundwork for Person-Centered Care

    By Caralyn Davis, Staff Writer - February 08, 2017
    The Final Rule revising the Medicare/Medicaid Conditions of Participation (aka the Mega Rule) represents a seismic shift in regulatory focus, turning surveyor attention squarely toward person-centered care. While person-centered care is a positive for long-term care residents, directors of nursing services (DNSs) often face multiple implementation challenges. Steps that can lay the groundwork include the following:
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  • Five Tips Preventing Tags Under Section 483.25, Quality of Care

    By Jessica Kunkler, MA, Staff Writer - January 18, 2017
    When it comes to survey, F-Tag 309, which covers a variety of quality-of-care issues under §483.25, can be a dark hole that’s difficult for facility leaders to dig out of once cited. Although you might fix what surveyors had originally cited for (for example, a pain management issue), because the tag covers so many quality-of-care issues, surveyors may find another issue under the same tag when they return to confirm compliance. This can extend noncompliance, resulting in daily fines that build exponentially. Here are five best practices for preventing citations for F309 in your facility.  
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  • Q&A: Is anyone using photos to document the status of wounds in the medical record? If so, would you be willing to share your policy procedure?

    By Barbara Bates, RN, MSN, DNS-CT, RAC-CT, QCP - January 18, 2017
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  • Q&A: Would anyone be willing to share their facility's procedure regarding reporting and documenting medication errors?

    By Kathy P. Hurst RN, GN-BC, CHC, MSN, JD, Esq. - January 18, 2017
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  • Where does AADNS Advocacy Start? Find out!

    By AADNS - January 06, 2017
    AADNS was created by nurse leaders committed to providing nurses with a voice on the issues affecting nursing, but we’re only as strong as our members. Participating in advocacy efforts is one of the most important ways you can effect positive change in long-term care and help shape the future of our profession. Learn more from AADNS nurse leadership expert, Judi Kulus, in this short video.
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  • Six Tips for Taking the Stress Out of the Holiday Season

    By Emily Royalty-Bachelor, Staff Writer - December 08, 2016

    ’Tis the season! The season for giving. The season for family. The season for peppermint mocha lattes.

    But for directors of nursing services across the country, it’s also the season for stress. What with planning holiday parties and activities for your residents and juggling holiday staffing schedules—not to mention the constant stressors of regulatory changes, staffing issues, and all your daily tasks—the idea of having a restful, relaxing holiday may feel like starry-eyed wishful thinking.

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  • CMS Extends Fourth Quarter FY 2016 PBJ Submission Deadline to Dec. 1

    By Caralyn Davis, Staff Writer - November 22, 2016
    The Centers for Medicare & Medicaid Services (CMS) has decided to give nursing homes a little extra time to submit staffing data for the fourth quarter of fiscal year 2016 (July 1 – Sept. 30) to the Payroll-Based Journal (PBJ) electronic submission system, said officials during the Nov. 17 Skilled Nursing Facility/Long-term Care Open Door Forum (ODF). “Approximately 90 percent of providers have submitted PBJ data. [However], some providers experienced challenges,” they noted. “Also, the large number of provider submissions that occurred as we neared the submission deadline resulted in high network utilization, which subsequently caused slowed system response times for some users.”
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  • Q&A: Should I administer a flu vaccine to a resident on hospice?

    By AADNS Community Member - November 09, 2016
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  • New National Survey Process to Roll Out in November 2017

    By Caralyn Davis, Staff Writer - November 01, 2016
    Currently, states are split roughly 50-50 between the traditional survey process and the Quality Indicator Survey (QIS) process. However, the Centers for Medicare & Medicaid Services (CMS) will implement a new survey process nationwide—in addition to a brand-new F-tag coding system and some new interpretive guidance—during Phase 2 (effective Nov. 28, 2017) of the three-phase implementation schedule for the new regulations in the final rule to update the Medicare/Medicaid conditions of participation (CoPs), said agency officials during the Oct. 27 Long-Term Care Facilities: Reform of Requirements National Provider Call. 
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  • Improve Care Transitions: Reassess When To Send Residents to the Emergency Department

    By Caralyn Davis, Staff Writer - October 12, 2016
    Nursing homes face multiple pressures to send residents to the emergency department (ED) to mitigate the potential risks of adverse events such as falls, acknowledged panelists at the Sept. 15 National Provider Call (NPC) on the National Partnership to Improve Dementia Care and QAPI. However, providers can take steps that potentially could eliminate the need for this resident transfer, as well as possible hospital readmissions. ED visits and particularly hospital readmissions are targeted via several Centers for Medicare & Medicaid Services (CMS) quality initiatives, including the Five Star Quality Rating System on Nursing Home Compare, the Skilled Nursing Facility Quality Reporting Program (SNF QRP), and the SNF Value-Based Purchasing (SNF VBP) program.
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  • LTC Staff Flu Vaccinations Up But Still Lag Behind Hospitals and Other Settings (10/16)

    By CDC - October 04, 2016
    Influenza Vaccination Coverage Among Health Care Personnel — United States, 2015–16 Influenza
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  • Section GG Data Collection Tool II

    By AANAC - September 26, 2016
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  • Effective Pain Management for New Admits: A Work in Progress

    By Caralyn Davis, Staff Writer - September 14, 2016

    For years, the Controlled Substance Act has hindered the process for obtaining Schedule II drugs for long-term care residents. It’s a big-enough issue that the American Society of Consultant Pharmacists in Alexandria, Va., continues to engage with Drug Enforcement Agency leadership to try to improve access for geriatric patients. In addition, this past March the Centers for Disease Control and Prevention issued the CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016, further impacting some long-term care providers’ ability to get effective pain medication for residents even though the guideline “is not intended for patients undergoing active cancer treatment, palliative care, or end-of-life care.” Between these two issues, providing effective pain management can be difficult, especially for new admissions to the nursing facility.

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  • From Volume to Value: Advocating for Your Staff in the Face of PBJ

    By Emily Royalty-Bachelor, Staff Writer - August 10, 2016
    Budgeting season is upon us . . . and with it come some tough staffing decisions for many directors of nursing services (DNSs). From July through September, many facility administrators are beginning to look ahead to next year’s budget, including the funds allocated for staffing—and evaluating what that means for the facility’s staffing levels. While doing so, says Amy Stewart, RN, DNS-MT, RAC-MT, andcurriculum development specialist at AADNS, it’s crucial to keep in mind the facility’s needs and to be an advocate for your personnel.
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