Issue: June 9, 2016

Published on June 9, 2016

Articles in this issue:

Minimum Wage Workgroup Meeting

Author: Esq. Stephen B. Hanse* Published in Finance & Reimbursement

On Tuesday, June 7th, the Department of Health conducted the first of four planned minimum wage workgroup meetings with provider associations representing nursing homes, ALPS, hospitals and home care providers. As previously reported, the State is committed to funding the non-compression labor costs of increasing the minimum wage for nursing homes, ALPS and other Medicaid providers. The purpose of this meeting was to review certain baseline assumptions, set a workgroup timeline and set forth the policy issues that need to be addressed over the summer, including the following:

NYSHFA/NYSCAL will continue to provide updates as this issue progresses.


Stephen B. Hanse
Vice President & Counsel
518-462-4800 x25

NYSHFA’s Candidates for Elected Office – Your Vote Counts!

Author: Richard J. Herrick* Published in From the President

Letters of Intent for NYSHFA’s elected offices were due by June 3, 2016. They were received from the following members two of which have been serving on your Executive Committee for some time now and one new comer.

Per the by-laws of the Association the Nominating Committee will meet to consider all candidates and ensure that they meet the qualifications for Officers as outlined in the Constitution and By-Laws of the New York State Health Facilities.

Letters of Intent received from:

The Nominating Committee will meet on June 22, 2016 to set the slate of candidates that will be voted for at the annual General Membership meeting held at the Annual Convention and Trade Show in Bolton Landing, NY on June 28, 2016.

Your vote counts! If you have not already registered for the convention there is still time to do so.  Even if you are unable to attend the entire convention you can register for just the Tuesday program so that you can express your support of these candidates for office.  To register for the convention complete a registration form and submit it as soon as possible.


Richard J. Herrick
President & CEO
518-462-4800 x11

Association Announces 2016 Bronze National Quality Award Recipients

Author: Rick Patterson

The New York State Health Facilities Association/New York State Center for Assisted Living (NYSHFA/NYSCAL) announces that six member long term and post-acute care providers from across New York state were recognized with a 2016 Bronze - Commitment to Quality Award by the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). The award is the first of three distinctions possible through the AHCA/NCAL National Quality Award Program, which honors long term and post-acute care centers that have demonstrated their commitment to improving quality care for seniors and individuals with disabilities.

“A commitment to always improve the quality of care and quality of life for the residents and families we serve is what this award represents,” said AHCA/NCAL National Quality Award Board of Overseers Chair Christine Boldt. “This year’s recipients have demonstrated that commitment. I commend all of them for their hard work and dedication.”

Implemented by AHCA/NCAL in 1996, the National Quality Award Program is centered on the core values and criteria of the Baldrige Performance Excellence Program, which is the foundation of the metric-based AHCA/NCAL Quality Initiative. The program assists providers of long term and post-acute care services in achieving their performance goals.

The program has three levels: Bronze, Silver, and Gold. Providers begin the quality improvement process at the Bronze level, where they develop an organizational profile with fundamental performance elements such as vision and mission statements and an assessment of customers’ expectations. Bronze applicants must also demonstrate their ability to implement a performance improvement system. Trained Examiners review each application to determine if the center has met the demands of the criteria. Recipients may now move forward in developing approaches and achieving performance levels that meet the criteria required for the Silver - Achievement in Quality Award.

The New York state recipients are:

Bridgewater Center for Rehabilitation and Nursing, Binghamton
Highland Rehabilitation and Nursing Center, Middletown
Schofield Residence, Kenmore
Sunrise Senior Living of North Lynbrook, Lynbrook
Sunrise Senior Living of West Babylon, West Babylon
Wingate at Ulster, Highland

The Association will announce the 2016 Silver - Achievement in Quality and Gold – Excellence in Quality Award recipients in the coming months. The National Quality Award Program is sponsored by AHCA/NCAL Associate Business Members: My InnerView, National Research Corporation; PointRight; Team TSI Corporation; and First Quality.  The awards will be presented during AHCA/NCAL’s 67th Annual Convention and Exposition in Nashville, Tennessee, October 16-19, 2016.

NYSHFA Contact
Rick Patterson
Senior Director, Business Development
518-462-4800 ext. 19

National Pressure Ulcer Advisory Panel Update

Author: Karen Morris* Published in Clinical & Quality

The National Pressure Ulcer Advisory Panel (NPUAP), a group of national and international experts on pressure ulcers and wounds, has issued updates related to its recent revision of pressure ulcer definitions and staging as determined during their recent consensus conference. These changes reflects a change and additions to terminology only, not a change in the actual staging of pressure ulcers. The attached documents review these changes in terminology which are designed to more accurately describe pressure ulcers and their etiology. The second document is an FAQ which also addresses the issues of how these changes will affect the MDS:

How soon will the Federal documents, MDS, OASIS, Acute Rehab IRF –PAI reporting regulations for skin conditions, change to the new staging terms? The NPUAP is responsible for using science to make needed changes combined with consensus to clarify or amplify the wording. The NPUAP has shared the changes with CMS and looks forward to working with them on an implementation plan. All the changes are aimed at improving assessment and documentation precision.” Therefore, there are no changes currently to the MDS with relation to these revisions. It is anticipated that at some point the MDS will be revised by CMS to reflect this change in professional practice.


Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

AHCA Press Release - Long Term & Post-Acute Care Advocates Applaud Senate Passage of Rural Health Care Access Bill

Author: Lisa Volk and Nancy Leveille* Published in Clinical & Quality

AHCA has issued a press release: Long Term & Post-Acute Care advocates applaud Senate passed of rural health care access bill.  Please see attached for details.


Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

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

Medication Reconciliation: A Fundamental Approach to Reduce Readmissions

Author: Scott Jackson CMP* Published in Education

Hospital readmission rates have been a constant discussion topic among healthcare providers over the past few years and a common determinate in Pay-for-Performance initiatives, Value Based Purchasing (VBP) and inclusion in an Accountable Care Organization (ACO). The challenge to reduce readmissions will continue when CMS adds this quality measure to Nursing Home Compare and the Five-Star Calculation July 1, 2016.

Polypharmacy and poor communication of physician orders creates a perfect storm and should be a primary focus for skilled nursing facilities and medical providers to prevent adverse drug events that can precipitate hospital readmissions. SNFs need a comprehensive admission process that includes medication reconciliation incorporating a thorough review of the hospital discharge medications to identify needed clarifications (i.e., unclear diagnosis or indication, uncertain dose or route of administration, stop dates, hold parameters, laboratory tests needed for monitoring, doses that may be different than before hospitalization), medication duplications and a review of medications prior to hospitalization to ensure they are ordered or resumed when appropriate.


Amy E. Lee, RN, BSN, MSN, CRRN

2.0 CEUs are available for LNHAs and ALAs.

Brochure & Registration Information


Scott Jackson, CMP
Director, Education & Conference Planning
518-462-4800 x27

2016 Audio Conference Announcement- National Update: Assisted Living

Author: * Published in Education

Join us on Tuesday, June 28, 2016 for "National Update: Assisted Living" audio conference from 8:00am - 9:45 am.

This session offers updates on emerging industry trends, state regulatory requirements, changing payment models, Medicaid funding for long term care services and supports, and the implementation of the final rule defining home and community based settings under the Medicaid waiver program. Several initiatives being undertaken by federal departments and agencies that affect assisted living will be presented. Risk management and key quality initiatives that help assisted living providers thrive in a changing marketplace will also
be discussed.

Learning Objectives
Attendees will learn the following: 1) An understanding of what activities federal policymakers are undertaking that impact assisted living; 2) State and national industry, regulatory, and legislative trends and developments; and 3) Current quality initiatives and data collection efforts to help assisted living professionals succeed now and in the future.


Scott Tittle | Executive Director, National Center for Assisted Living

1.75 CEUs Approved by NAB for LNHAs and ALAs

Brochure & Registration Information

NYSHFA Contact:
Scott Jackson, CMP
Director, Education & Conference Planning
518.462.4800, ext.27

2016 Audio Conference Announcement: Post Acute Strategies

Author: * Published in Education

Join us on Monday, June 27, 2016 for "Post Acute Strategies for Sustaining Partnerships: The Key is Nursing" audio conference from 10:00am - 12:00pm.

Hospitals, ACOs and managed care plans are evaluating post-acute strategic partnerships. This session will explore what you, as a
post-acute provider, need to do to establish and maintain these relationships. The session will explore 10 criteria acute care partners are expecting and what you need to consider in terms of your nursing staff model while preparing your staff for this changing environment. Learn what a successful nurse leader has done to prepare for and maintain relationships and gain the confidence of hospitals and managed care providers. This session will highlight tools for acuity based staffing, strategies for reducing re-hospitalizations, ensuring patient
satisfaction as well as looking at a model for root cause analysis.


Mary Tellis-Nayak | MyInnerView by National Research Corporation

Ellen Rychlik, RN, BC | Mainstreet Health

2.0 CEUs Approved by NAB for LNHAs and ALAs

Brochure & Registration Information

NYSHFA Contact:
Scott Jackson, CMP
Director, Education & Conference Planning
518.462.4800, ext.27

NYSHFA/NYSCAL 2016 Annual Convention - A Day of Education


"A Day of Education" at the NYSHFA/NYSCAL 2016 Annual Convention will be held on June 28, 2016 at The Sagamore Resort in Bolton Landing, NY.

6.0 CEUs for LNHAs & ALAs.

Up to four additional registrants are FREE!

Recommended for the Following Audiences:
Administrators, Directors of Nursing, Social Workers, Activities Directors, Quality Assurance Coordinators, Nurse Managers.

Brochure & Registration Information

Scott Jackson
Director, Education & Conference Planning
518-462-4800 x27