Issue: August 29, 2013

Published on August 29, 2013

Articles in this issue:

DAL – Influenza Vaccination Report due by November 15

Author: Karen Morris and Nancy Leveille* Published in Clinical & Quality

Attached is a recently issued DAL related to the additional influenza vaccination reports that will be required this year. DOH has also issued a FAQ document and Instructions for completing the report with this DAL. It is our understanding at this time, that the timely completion of this report, as well as any subsequent reports the Commissioner requires and the annual May 1st report, will all be used as qualifiers for the Quality Pool.  We will seek to verify this issue with DOH at the next rate setting meeting scheduled for September.

Please ensure a member of your staff is responsible for completing these reports and has an active HCS account. The DAL includes contact information for questions related to this requirement and questions regarding your HCS account.

 

NYSHFA contacts: 

Nancy Leveille
Sr. Director, Member Operational Support Services
518-462-4800 ext 20 

 

Karen Morris
Director, Clinical & Quality Services
518-462-4800 ext 15 

 

CMS S&C Letter: Minimum Data Set (MDS) 3.0 Discharge Assessments that Have Not Been Completed and/or Submitted

Author: Nancy Leveille and Karen Morris* Published in Clinical & Quality

 

The Centers for Medicare & Medicaid Services (CMS) is clarifying steps to take to address Minimum Data Set (MDS) 3.0 discharge assessments that have not been completed and/or submitted as required under 42 CFR §483.20(g) and 42 CFR §483.20(f)(1). Beginning October 1, 2013, MDS assessments older than 3 years will no longer be accepted.  Since the discharge assessment information is used for quality measurement (QM) and to minimize impact on QM data, CMS has selected a reference date of October 1, 2012.  CMS is requiring centers to take the following steps when discharge assessments have not been completed and/or submitted prior to September 30, 2013:

  1. Identify any residents appearing on the facility’s current MDS 3.0 Roster report who are no longer active residents.
  2. If the resident was discharged prior to October 1, 2012, a discharge assessment must be completed for the resident indicating the actual date of discharge in Item A2000, Discharge Date.
  3. If the resident was discharged on or after October 1, 2012, a discharge assessment must be completed for the resident indicating the actual date of discharge in Item A2000, Discharge Date.

See attached for full information.

NYSHFA CONTACTS: Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20
  Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15


 

Advancing Excellence Campaign Announces 9 New Quality Goals and Updated Tools

Author: Nancy Leveille and Karen Morris* Published in Clinical & Quality

The Advancing Excellence Campaign has announced its completion of nine new quality goals and toolkits and will feature them in a free, informational webinar on September 10 at 3pm ET. The Campaign’s objective is to engage and challenge nursing homes to provide valuable data as well as make quality improvements. It envisions every nursing home resident in America experiencing person-centered quality of life as a result of a stable and empowered workforce, dedicated to improving clinical and organizational outcomes, and engaging in open communication and transparency.

“We are very excited to announce our nine quality goals and free toolkits,” said Dr. David Gifford, MD, MPH, SVP, Quality & Regulatory Affairs, AHCA and Co-Chair, Advancing Excellence Campaign. “This effort demonstrates the Campaign’s ongoing commitment to make nursing homes better places to live, work, and visit.” 

More than 60% of the nation’s nursing homes have joined the Campaign. They participate by committing to work on at least one process and one clinical goal. The Campaign aspires to establish national standards and best practices in line with the new CMS Quality Assurance Performance Improvement requirements.

The Advancing Excellence Campaign is supported by 52 Local Area Networks of Excellence (LANEs). These state-level coalitions promote the Campaign and engage nursing homes in performance improvement. The LANEs disseminate Campaign information and resources and organize statewide projects to improve nursing home performance related to Campaign goals.

The nine new quality goals are:

“These nine new quality goals, along with their toolkits, were developed by many of the most esteemed experts in their fields,” commented Cheryl Phillips, MD, SVP, Advocacy, LeadingAge and Co-Chair, Advancing Excellence Campaign. “The unprecedented collaboration behind Advancing Excellence is what makes such impressive, meaningful impact possible.”

Free resources, including implementation tools correlating to each goal, are available at www.nhqualitycampaign.org.

The Campaign will host a free, informational webinar on September 10, 2013, at 3pm EST. Registration information can be found online.

Keynote speakers will include Advancing Excellence Board members:

About Advancing Excellence: The Advancing Excellence in America’s Nursing Homes Campaign is a coalition of long-term care providers, caregivers, medical and quality improvement experts, government agencies and consumers working to make Nursing Homes better places to live, work and visit. For more information, contact Adrienne Thomas at athomas@aeltcc.org.

NYSHFA CONTACTS: Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20
  Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15