Issue: July 18, 2016

Published on July 18, 2016

Articles in this issue:

FDA Announcement: Voluntary Recall of Certain Liquid Docusate Products, CDC/FDA Continue to Recommend Not Using Any Type of Liquid Docusate

Author: Lisa Volk* Published in Clinical & Quality

[7/16/16] U.S. Food and Drug Administration is alerting health care professionals that PharmaTech LLC, Davie, Florida, is voluntarily recalling all non-expired lots of Diocto Liquid, a docusate sodium solution distributed by Rugby Laboratories, Livonia, Michigan. The agency confirmed the product has been contaminated with Burkholderia cepacia, a bacteria linked to an outbreak in five states. FDA and CDC continue to recommend that clinicians and patients not use any liquid docusate sodium product as a stool softener or for any other medical purpose. See below for further information:

From: Katherine Turner (CDC/OID/NCEZID)

Colleagues:

We are asking for your assistance with sharing the following notification to inform health departments, clinicians, pharmacists and patients. This information is also linked from the CDC outbreak site: https://www.cdc.gov/hai/outbreaks/b-cepacia/index.html.

FDA has released a statement (below and linked) regarding a voluntary recall of certain liquid docusate products. The extent of this issue remains under investigation; therefore, both FDA and CDC continue to recommend that clinicians and patients not use any liquid docusate sodium product as a stool softener or for any other medical purpose.

FDA Announcement:

[7/16/16] U.S. Food and Drug Administration is alerting health care professionals that PharmaTech LLC, Davie, Florida, is voluntarily recalling all non-expired lots of Diocto Liquid, a docusate sodium solution distributed by Rugby Laboratories, Livonia, Michigan. The agency confirmed the product has been contaminated with Burkholderia cepacia, a bacteria linked to an outbreak in five states.

PharmaTech manufactures the oral liquid docusate sodium, which is distributed nationwide by Rugby with a Rugby label in one pint (473 mL) bottles.

In addition, FDA has received several adverse event reports of B. cepacia infections in patients. Some of these reports identify liquid docusate sodium products manufactured by companies other than PharmaTech. FDA and the Centers for Disease Control and Prevention continue to investigate the extent of this issue in order to identify other potentially contaminated liquid docusate sodium products.

Patient safety is our top priority. FDA joins CDC in recommending that clinicians not use any liquid docusate sodium product as a stool softener or for any other medical purpose.

FDA and CDC will provide additional information when it is available.

FDA encourages health care professionals and patients to report adverse events or quality problems experienced with the use of oral liquid docusate sodium products to FDA's MedWatch Adverse Event Reporting program:

Complete and submit the report online at www.fda.gov/medwatch/report.htm ; or
Complete and submit the report online at www.fda.gov/medwatch/report.htm;  or
Download and complete the form, then submit it via fax at 1-800-FDA-0178.

NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 15

Revised CMS Five Star Technical Users’ Manual dated July 2016 Released

Author: Karen Morris and Lisa Volk* Published in Clinical & Quality

CMS has posted the updated Five Star Technical User's Guide: www.cms.gov/Medicare/...

Susan Battaglia, Chair of AHCA MDS/IMPACT Subcommittee shared the following quick highlights related to the changes:

The first page denotes the changes and “phase in” of the new measures.  The new measures will be awarded QM points between 10 and 50 (July 2016) versus 20 to 100(Jan 2017) with carrying only 50% of weight until January.  Note there have also been a few methodological changes.

These measures greatly expand the number of short-stay measures used on Nursing Home Compare and add important domains not covered by other measures. The five new QMs will be phased in between July 2016 and January 2017. In July 2016, they will have 50% the weight of the current measures. In January 2017, they will have the same weight as the current measures.

The methodological changes that will be introduced in July include:


NYSHFA CONTACT:

Karen Morris, RN, MS
Member Operational Support
518-462-4800 x20

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

Last Chance to Register: July 21st Audio Conference: Medication Reconciliation

Author:

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.

Click here for the registration brochure and details to register online.  

 

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

AHCA: 2016 Social Media Guidance

Author: Lisa Volk* Published in Clinical & Quality

AHCA releases Social Media Guidance for Nursing Care Centers and Assisted Living Communities. See attached for more information.

NYSHFA CONTACT:

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

IPRO offers new opportunity for collaboration with NHs to prevent Clostridium Difficile Infection (CDI)

Author: Lisa Volk* Published in Clinical & Quality

According to a study released by the Centers for Disease Control and Prevention (CDC) more than 100,000 Clostridium difficile infections (CDI) develop among residents of U.S. nursing homes each year; 1 out of every three infections occurs in residents 65 years or older; and more than 80% of deaths associated with CDI occur among Americans aged 65 or older. As such, the significance of addressing CDI prevention has come to the forefront of the nursing home industry. NYSHFA supports this IPRO collaborative and suggests members join this partnership to help reduce CDI’s. IPRO will provide a variety of free resources and tools to assist facilities to establish a culture of resident safety through effective and sustainable infection control and prevention systems. See the attached letter for further details and contact information to be a part of the collaborative.

NYSHFA CONTACT:

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

New York Chapter ACHCA Summer Leadership Conference

Author:

New York Chapter ACHCA Summer Leadership Conference
The Fairmont Southampton, Bermuda
July 25-29, 2016


If you are a long-term care leader who wants to enhance your management skills while creating a culture in which your team feels empowered to provide patients with a higher level of service, this conference is for you and top managers you depend on. Administrators, Owners, CEOs, ACHCA and NYSHFA members and non-members, and other health care company providers will all benefit from this 5-day workshop.

Leading a health care services organization has rarely been tougher than it is today. Ongoing regulatory and payment challenges, human resource issues including generational, cultural, and language differences, as well as consumer demands can all challenge leaders and managers. Best-in class models for leadership, sound principles of management and the behavioral science of motivation will be presented in a series of highly interactive sessions. You will return to work equipped with new insights, a replenished supply of leadership tools, and a personal program for success.

15 CEUs for LNHAs and ALAs

BROCHURE & REGISTRATION INFO


NYSHFA CONTACT:

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