Issue: March 9, 2015

Published on March 9, 2015

Articles in this issue:

E-Prescribing Legislation Update

Author: Esq. Stephen B. Hanse* Published in Legislative

On Monday, March 2nd, legislation (S.2486; Hannon/A.4274; McDonald), which would postpone the implementation date of the State's E-prescribing mandate for one year from March 27, 2015 until March 27, 2016 was delivered to Governor Cuomo. The Governor has until this Friday, March 13th to either sign or veto this bill. NYSHFA/NYSCAL are actively encouraging the Governor to support this legislation and have, among other things, delivered this letter to the Governor requesting he sign this bill into law.


Stephen B. Hanse, Esq.
Vice President & Counsel, Governmental Affairs
518-462-4800 x25

DOH Posts Revised 2015 Rates

Author: Carl J. Pucci* Published in Finance & Reimbursement

DOH has posted the revised 2015 rates for SNFs, Specialty and Adult Day Healthcare.  Below are the HCS log-in instructions:

  1. Log into the HCS at
  2. Under the MY APPLICATIONS heading, find “NH Rate Sheets 4/2009-Forward”
  3. Select your facility.
  4. Select NH 2015 Initial January – The DAL and all rate sheets are available from this link.

A complete rate-setting update was issued last week following the monthly DOH briefing.


Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36

DOH/Provider Meeting - March 5, 2015

Author: Nancy Leveille* Published in Clinical & Quality

NYSHFA staff met with the DOH staff and other association partners for this month’s meeting. The main topics discussed are as follows:

1.    DOH Staff Changes:

2.    NYS 2014 NHQI Program:

Raina Josberger and Emily Bean presented information on the 2014 NH Quality Initiative. All data is currently being uploaded to the HCS for individual providers and in aggregate to the DOH website. Again this year, providers will be scored by 5 quintiles for an overall ranking and the most improved facilities, in the QM section, have the ability to earn added points. SNF with an IJ or substandard care will be excluded the same as last year. For full details on the program see member mailing of February 25, 2015.

NYSHFA staff will be sorting the overall data base for more in-depth analysis of overall outcomes.

CMS approval is being sought for the payment to those in the top 3 quintiles for 2014. The 2013 rates have been approved and will be out soon.

3.    E-Prescribing: NYSHFA updated the group on the status of this law. Both the senate and the Assembly have passed their bills and they have been delivered to the governor. The governor must take an action by March 13th. NYSHFA had their lobbying day on March 2 and updated the group on our discussions with the legislators by first thanking them for their quick response and support, but we also discussed the current issues still at hand for need of technology testing and need of financial support for technology.

4.    QIS Training Update: DOH has decided to conduct their own train the trainer for surveyors (they are able to do this now independent of CMS trainers) to complete the Capital District office’s ability to fully implement QIS in this region. This training will start on March 9th.  Once completed (which takes about 3 months), DOH will evaluate their training process and then plan for Central NY’s initiation into QIS. Their goal remains to bring all regions into the QIS system and are moving forward.

5.    CMS Directs Each State to Conduct MDS Surveys: NYS has inquired, but has not received CMS direction on how to conduct these surveys in 2015. The MDS surveys are independent of the standard survey and take up to 2 days to conduct. Surveyors need to be trained specifically on this process before they can implement.  Previous discussion included 5 surveys in each state,but no specific details have come forth. DOH will let us know as soon as they receive more information.

6.    EPOC Training: Electronic POC training is available again to SNF as the DOH brings on Home Care into this system. So if SNF need help with EPOC, you are welcome to join the webinars as announced over the last month.

7.    Surge Protectors in SNF: DOH noted that CMS put out an S&C letter about use of surge protectors a few months ago and to follow their instruction for use in residents’ rooms.  CMS S&C letter 14-46.

8.    Medical Examiner Letter for NYC Burial: NYSHFA and GNYHCFA noted that all health care organizations in NYC each received a letter from the city medical examiner for unclaimed bodies and the need to complete a permit for them to transport the unclaimed bodies. This could take up to a couple days for the body to be removed from a NYC SNF. DOH was just hearing this issue and the problems that can occur with this process for SNF without any means to hold a body without proper refrigeration. DOH noted they will investigate this further and assess the PHL on how long a body can be legally held in this manner.


Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

AHCA Five Star Webinar

Author: Karen Morris* Published in Clinical & Quality

The Five Star reports have been updated in AHCA’s LTC Trend Tracker to reflect the recent CMS changes. These reports include the Five Star Overall, as well as the predictor reports – Five Star Quality Measure (QM) Report and Five Star Staffing Report. The Rating Predictor features allow users to see how potential changes can impact a center’s Five Star QM Rating and Staffing Rating.  LTC Trend Tracker is a FREE service for AHCA/NYSHFA members.  
Two webinars will be offered AHCA for members interested in learning how to use the new reports. Please click on the dates below to register.

March 26 – 2pm ET
April 2 – 2pm ET  
Login today at Please email with any questions or for additional assistance.


Karen Morris

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

Free Palliative Care Webinar on March 24, 2015: Facilitating Goals of Care Discussions in Complex Circumstances

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

Offering Palliative Care is the law for those residents with life limiting illnesses. HANYS has been conducting a free webinars on palliative care through their grant program. This is the last in their 10 part series.  See their attached brochure.


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

New York Chapter ACHCA Summer Leadership Conference

Author: Scott Jackson CMP* Published in Education

New York Chapter ACHCA Summer Leadership Conference
The Fairmont Southampton, Bermuda
July 27-31, 2015

Leadership and management in today's service sector organizations have never been more difficult.  External threats such as regulatory and payment challenges, human resource issues such as inter-generational misunderstandings, cultural and even language differences, as well as consumer demands are enough to give leaders and managers headaches.  Best-in-class models for leadership, presented in a series of highly interactive sessions.  Participants will return to work equipped with new insights, a replenished supply of management tools, as well as a personal program for success.

15 CEUs for LNHAs & ALAs

Brochure & Registration Information

Larry Slatky, (516) 567-4115