Issue: August 11, 2016

Published on August 11, 2016

Articles in this issue:

2016/17 SNF Medicare PPS Rates Posted

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

As announced in NYSHFA member mailing of August 1, 2016, CMS has issued the 2017 SNF PPS Final Rule.  The regional Medicare PPS rates have been calculated and are now posted on the NYSHFA website.  The rates, effective 10/1/16, are found in the “What’s New” section on the home page, as well as archived in the “Reimbursement/Medicare” section under the Facilities Resources” header (link attached).

Nationally, the average increase in the 2016/17 rates over the 2015/16 rates is approximately 2.4%, but will vary depending on each regions’ final wage index.

Members are reminded to carefully review the Value-Based Purchasing (VBP) criteria, as well as the Quality Reporting Program (QRP) measures both of which are outlined in the 8/1/16 member mailing link above.


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

New Five-Star Ratings on Nursing Home Compare (NHC)

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

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) published new Five-Star rankings on its Nursing Home Compare (NHC) website. The ratings reflect new metrics and methodological changes that expand the quality measure component of the system. AHCA has created a webinar and a new toolkit for members that can assist you with this overall program and working with the media. See attached for additional information.


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

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

REMINDER: AON 2016 LTC General Liability Data Call

Author: * Published in Finance & Reimbursement

A reminder that the deadline to submit 2016 Benchmark data for General and Professional Liability Costs is Tuesday, August 16, 2016.

Please see AHCA detail below:

Aon 2016 Long Term Care General Liability and Professional Liability Benchmark Data Call
June 30, 2016

With the support of the American Health Care Association (AHCA) and the National Center for Assisted Living (NCAL), Aon is again soliciting your help to assemble the facility-specific data necessary to conduct the annual Aon Study on General Liability (GL)/Professional Liability (PL) Costs in the Long Term Care (LTC) profession.

Last year we were able to split liability costs for Cook County, Illinois from the rest of Illinois. We hope to build on that model in Pennsylvania and Florida.

The purpose of the Aon study is to:

Over the years, many AHCA/NCAL members have participated in this effort. We are requesting your help again. There is no cost to participate and you will receive an advance free electronic copy of the report as soon as it is available in mid- November 2016. Your participation is essential to ensure that the Aon analysis is representative of the profession, and that the states where you operate are profiled. Note: Aon holds all data in confidence and no individual participant is identifiable in the study.

Included are the attached data files to assist in participation:

Thank you for your participation,

The LTC Benchmark Team


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

CMS: Alert – Abuse Guidelines Updated by CMS

Author: Nancy Leveille* Published in Clinical & Quality

Please review this new guidance ASAP to ensure you are in compliance by your next standard or complaint survey.

CMS is requesting policy change and updated staff education on abuse investigation and education related to social media.  See below for full information.

Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff (S&C: 16-33-NH)

On August 5, 2016, CMS issued a memorandum on the subject: Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff (S&C: 16-33-NH). It specifies that included in a resident's right to be free from all types of abuse, including mental abuse, is a right to be free from abuse facilitated or caused by nursing center staff taking or using photographs or recordings in any manner that would demean or humiliate them. In addition, the memorandum discusses facility and state responsibilities related to the protection of residents.

It also specifies that 30 days after the release of the memorandum and at the time of the next standard survey (both Traditional and QIS), the survey team will request and review facility policies and procedures that prohibit staff from taking, keeping, and/or distributing photographs and recordings that demean or humiliate a resident(s). The survey team may request to see written policies that include this information.

The memorandum reiterates residents' rights to privacy and confidentiality, as well as to freedom from all forms of abuse - including mental abuse - noting that unauthorized and/or the taking or use of demeaning or humiliating photographs or recordings violate these rights. It provides examples of conduct that can cause mental abuse, including nursing home staff taking photographs or recordings of residents that are demeaning or humiliating using any type of equipment (e.g., cameras, smart phones, and other electronic devices) and keeping or distributing them through multimedia messages or on social media networks.

The memorandum provides specific expectations related to the review and revision of nursing centers' abuse prevention policies and procedures, as well as staff training. Nursing centers must include abuse related to the taking and posting of unauthorized and/or demeaning photographs or videos in their investigative processes. Finally, it includes surveyor investigative protocol to ensure compliance with these requirements.

AHCA has developed Social Media Guidance for Nursing Care Centers and Assisted Living Communities to provide resources on how to effectively manage social media, review social media policies, conduct social media training, and investigate social media abuses. The guidance provides specific examples and suggested center responses to ensure residents' rights are protected. It is available on the AHCA/NCAL website under Legal Resources. Please note you must log in to view the document.

Please contact Sara Rudow with any questions. 

This message contains confidential information and is intended only for AHCA/NCAL membership. Dissemination, distribution or copying the contents of this email beyond this group is strictly prohibited.


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

Applicant Webinar Recording for Statewide Transformation Program Grant

Author: Gayle Farman

NYS DOH has posted the recording of the August 8th Statewide Health Care Facility Transformation Program (SHCFTP) Applicant Webinar. 

The slide deck from today’s presentation is attached, and the webinar recording can be accessed at the following link:

If you have additional questions or need assistance, please contact Gayle Farman, Senior Director of Resource Development at (518) 462-4800 ext. 34 or


Would you like to participate on a NYSHFA Committee?

Author: * Published in From the President

The Committee process is a vital part of the NYSFHA organizational structure allowing for a broad range of ideas and input from our membership. We welcome your participation on one or more of the following Committees during 2016 – 2017. 

          C.A.R.E*.                                    Ethics & Grievance

          Clinical & Quality Services             Legal Action

          Constitution & ByLaws                   Legislative*

          Convention                                  Membership Marketing & Public Relations

          Education                                    Payment for Services*

          (*selected by District Presidents)

Please review the attached Committee Descriptions and Committee/Task Force Policy for details of service.

When Committee Meetings Are Held:

To Participate on a Committee – respond by August 18, 2016:

As a membership organization, we depend on member input and guidance as we strive to advance the interests of the entire Association.


Richard Herrick
President & CEO
518-462-4800 x11

Michael McPartlon, Chairman
Board of Directors

35th Annual FQC - Health Care Open Golf Tournament


Please join us for the 35th Annual Foundation for Quality Care Health Care Open Golf Tournament on Monday, September 19th.  Located at the Van Patten Golf Club in Clifton Park.  Click here for registration and sponsor information.

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

MDS, Medicare & Quality Metrics for Today's Nurse Managers


Join us for our upcoming MDS, Medicare & Quality Metrics for Today's Nurse Managers program being held at the LaGuardia Marriott on September 13th.  Click here for registration and exhibition details.

NYSHFA Contact
Scott Jackson, CMP
Director, Education & Conference Planning
(518) 462-1800 ext. 27

1st Annual Emergency Preparedness Symposium for Assisted Living & Skilled Nursing Providers


NYSCAL and NYSHFA invite you to our 1stAnnual Emergency Preparedness Program for Assisted Living and Skilled Nursing Providers. “Embracing Adversity & Emerging Stronger”, Wednesday, September 21, 2016 at Albany Marriott on Wolf Road, Albany, NY.  Please click here to view the registration brochure.

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