Issue: January 11, 2018

Published on January 11, 2018

Articles in this issue:

Stephen B. Hanse, Esq., President of NYSHFA Announces the Appointment of Amy Kennedy as Executive Director of NYSCAL

Author: Esq. Stephen B. Hanse

Stephen B. Hanse, Esq., President of NYSHFA/NYSCAL, is pleased to announce that Amy Kennedy, R.N., B.S.N., M.P.A will join the Association as the Executive Director of the New York State Center for Assisted Living (NYSCAL).

Amy is a healthcare professional with more than 25 years of progressive leadership, administrative and clinical experience. She has served as an Executive Director of an adult home, Executive Director of an ALP, and as an administrator of an enriched housing assisted living program.

Amy is a fierce advocate for all areas of assisted living including recently advocating to allow nurses to perform some nursing tasks in the assisted living setting. She has provided several training sessions for the New York State Department of Health (NYSDOH), Division of Long Term Care on the ALP and to providers on the regulations involving this program. She has also participated in a workgroup convened by the NYSDOH to streamline required paperwork for the ALR.

Amy has a strong command of the regulatory construct of both the ALP and the ALR, as well as the adult home and enriched housing program. She also has specialized training and expertise in dementia care in assisted living.

“I look forward to meeting all the members and helping them advocate for changes to improve the lives of the seniors we serve,” she said.

“We at NYSHFA/NYSCAL are pleased and excited to have Amy joining our association. Her in-depth assisted living experience will be an asset to our Association and the members we serve”, stated Stephen B. Hanse, Esq., President and CEO of NYSHFA/NYSCAL. 

Prior to joining NYSCAL, Amy served as Executive Director at the Eddy Hawthorne Ridge in East Greenbush, New York for eight years.  Amy lives in Loudonville, New York and is a member of the Rensselaer County Chamber of Commerce.

Amy will assume her duties as Executive Director of NYSCAL on January 16, 2018.  She may be reached at or 518-462-4800 ext. 17.


Stephen B. Hanse, Esq.
518-462-4800 x11

NYSHFA Town Hall Meetings to Restart January 25

Author: * Published in Clinical & Quality

Thank you for providing your feedback on the Town Hall Meetings in December. NYSHFA will be restarting our Town Hall Meetings on Thursday, January 25, 2018 from 11:00 am. – 12:00 noon based on input from all of you. We will hold an additional three calls on:

Thursday, February 22, 2018 (Note: date change due to a scheduling conflict with a webinar)
Thursday, March 15, 2018
Thursday, April 19, 2018

We plan to record each session in 2018 to meet your additional needs. These calls will be for NYSHFA members only, as most topics will reflect activity related to surveys and the requirements of participation. We will send out the call-in number a couple days before each date with the agenda. Linda Elizaitis, President of CMS Compliance Group Inc., will assist again with surveys updates and NYSHFA staff will provide additional updates as you have requested. We would welcome members to send in questions to Nancy Leveille, or Lisa Volk, ahead of time.


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Stephen B. Hanse, Esq.
President and CEO
518-462-4800 x11

NYSDOH Antimicrobial Resistance Prevention and Control Task Force

Author: Nancy Leveille* Published in Clinical & Quality

On November 30, 2017, NYSDOH held their 2nd  annual statewide task force meeting. C- Auris and its spread was a major topic discussed this year. Attached are three presentations from the program (C auris NY AMR 11-30-2017 revised; C auris Update for Nov 2017 ARTF Emily Lutterloh and Candida auris talk 11-30-17). NYSHFA encourages the SNF medical and clinical teams review this information and share pertinent information with their staff. Nancy Leveille attended this session and was one of the very few Long-Term Care representatives participating. In the breakout session for health care facilities, she discussed the need for the different levels of health care organizations to work together to share expertise, educational materials and methods for infection prevention and control. The Long- Term Care sector does not have the number of specialists and resources to do this on their own, but could benefit from shared services. She noted that many, if not all, hospitals have full departments and specialists working just on these issues. NYSHFA will continue to provide continuing education on these topics.


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

CMS Unveils BPCI–A

Author: Deanna Stephenson* Published in Managed Care

CMS has introduced the much anticipated BPCI-A (phase 2 of Bundled Payments for Care Improvement) to go live on 10/1/2018. For more information and expected timeline on this initiative, please see below.

Background on Bundling

Episode payment models provide a single bundled payment to health care providers for items and services furnished during an episode of care, while holding these health care providers accountable for the cost, quality, and patient outcomes during that episode. The Centers for Medicare and Medicaid Services (CMS) believes holding providers jointly accountable for resource management and total costs of care by bundling payment for multiple health care providers in multiple care-delivery settings with one lump sum for items and services furnished during a "clinical episode," improves coordination and creates incentives to deliver more efficient care. These bundled payment approaches are intended to encourage hospitals, physicians, post-acute care (PAC) providers, and other health care providers to better coordinate care, improve quality of care, and consider the financial implications of their treatment decisions. It can also help align health care provider incentives in pursuit of improved quality and reduced spending. An overview of the current BPCI effort is available here.

BPCI-A Key Provisions

The BPCI-A Applications (RFA) are due March 12, and applicants should be prepared to go live by October 1, 2018. A complete timeline for BPCI-A is available here.

As expected, the new model builds off the basic existing episodic structure of BPCI, but it also contains some important changes as well. First, there are no provider specific models (e.g., Model 2 - hospitals, Model 3 - PAC providers, and Model 4-physician groups). All participants will operate within the same model. Also, terminology for organizing entities has changed. The terms "Awardee Conveners," which are risk-bearing, and "Facilitator Conveners," which are non-risk-bearing, have been eliminated. Under BPCI-A, "conveners" are defined as participants that pull together downstream providers (e.g., episode initiators which must be acute care hospitals [ACH] or physician group practices [PGP]), facilitate coordination among downstream entities and bears and apportions risk. Non-convener participants are participants that have similar responsibilities to convener participants but bears risk only for themselves, not on behalf of downstream episode initiators.

While ACHs and PGPs only may be episode initiators, there appear to be no barriers to PAC providers applying to be convener or non-convener participants. Rather, the RFA makes clear that applicants will be selected for participation in BPCI-A (click here to view the application) based upon CMMI criteria. And while CMS spells out its applicant approval guidelines, there is no set application scoring method identified. A review of the guidelines makes clear that CMS is seeking experienced and motivated risk takers with an ability to redesign and coordinate care rather than designating specific entities. While the criteria for serving as Participants may be difficult for some SNF professionals, application could be an important opportunity. AHCA is in the process of verifying this potential opportunity.

Both convener and non-convener participants may enter into agreements with individual downstream physicians and non-physician practitioners, referred to as Participating Practitioners. They also may enter into financial arrangements with entities that qualify as "Net Payment Reconciliation Amount (NPRA) Sharing Partners," which includes PAC providers. SNFs might also have the opportunity to form PAC Care Management arrangements with conveners and non-conveners. Again, AHCA is verifying the feasibility of this potential opportunity.

Additionally, SNF outreach and partnerships with physicians will be critical. Participating in BPCI-A makes physicians eligible for 5 percent bonus payments on their professional fees if certain performance metrics are hit under the new physician payment structure. At this point, AHCA expects physician interest to be high.

The new voluntary program has up to 32 different clinical episodes, including three episodes that would be triggered by outpatient care in addition to 29 episodes triggered by inpatient hospitalization (as in the current program). BPCI-A will now directly incorporate up to seven quality metrics into the target price reconciliation process, similar to how quality is incorporated in the Comprehensive Joint Replacement Model. Two of the seven quality measures, all-cause re-hospitalization and advance care planning, will be applied across the board, while the others are applied to specific clinical episodes. CMS may add or refine quality measures over time and they are expecting applicants to have a solid game plan on monitoring quality.

Finally for SNFs contracting with conveners, under the Three-Day Stay Waiver, a Qualified SNF is a SNF that: (1) has an overall rating of three or more stars in the Nursing Home Five-Star Quality Rating System for SNFs on the CMS Nursing Home Compare Website for at least seven of the 12 preceding months; and (2) is identified on the list of SNFs eligible to be Qualified SNFs posted on the CMS website, as determined by CMS based on the most recent rolling 12 months of SNF star rating data available that includes the date of the beneficiary's admission to the SNF. CMS will post the list of SNFs that CMS determines are eligible to be Qualified SNFs on a quarterly basis here.

On January 31, from 3-4PM Eastern, AHCA will host a webinar for AHCA members on SNF opportunities and options. Information on how to access the webinar will be shared shortly. Please feel free to contact me with any questions, suggestions, or concerns.


Michael W. Cheek
Senior Vice President
Reimbursement Policy


Deanna Stephenson
Director, Managed Programs
518-462-4800 x16

NYS DOH Conducting EP Drill for Coalition Surge Test (CST) and Interoperable Communications (IOC)


The NYS Department of Health, Office of Health Emergency Preparation (OHEP) is planning a low-notice- drill in the coming weeks for Nursing Homes, Adult Care Facilities, Homecare and CHCs.  The drill is to test your ability to react to an emergency when notified through the Health Commerce System.  The drill will be activated on HERDS and you will need to respond to a short survey and submit through the HCS. 

These drills are NOT for the 5 boroughs of NYC.  NYC has their own CST requirements.

If your HCS roles for Administrator, Operator, 24/7 Emergency Contact, Emergency Response Coordinator, eFinds Reporting Administrator, Financial Data Submitter, HPN Coordinator are not up to date or assigned – you need to update the contact information immediately. Click on the link to view DAL 15-02 of the Required Roles in the Health Commerce System (HCS)  If you have any technical questions or need assistance, you may contact the HCS Helpdesk at 518-473-1809, ext. 1 or you can contact Commerce Accounts Management Unit (CAMU) at 866-529-1890, ext. 1.

Pre-drill webinars are being offered before the drill to explain your required response. The drills will be repeated on 4 different dates….

NYS DOH Webinar Schedule and Registration information on Coalition Surge Test (CST) and Interoperable Communications (IOC) Drills

The Coalition Surge Test range dates are listed below which means the drill could happen anytime between the dates listed in your area. Make sure you participate in the webinar before the date scheduled in your region.

This is the exercise schedule:

Capital District                        January 22 – February 2

Central New York                    January 17 – January 31

MARO – Long Island               February 5 – February 16

MARO – LHV                          February 19 – March 2

Western Region                     February 12 – February 23


#3 Topic: Coalition Surge Test Webinar

Date: Thursday, February 1, 2018

Time: 1:00 pm, Eastern Standard Time (New York, GMT-05:00)

Meeting Number: 312 501 743

Meeting Password: welcome2  join the online meeting

(Now from mobile devices!) -----

1. Go to

2. If requested, enter your name and email address.

3. If a password is required, enter the meeting password: welcome2

4. Click "Join". To view in other time zones or languages, please click the link:

To join the audio conference only :

To receive a call back, provide your phone number when you join the meeting, or call the number below and enter the access code. US Toll Free: 1-844-633-8697 Local: 1-518-549-0500

Access code:312 501 743 Toll-free dialing restrictions:

#4 Topic: Coalition Surge Test Webinar

Date: Friday, February 2, 2018

Time: 10:00 am, Eastern Standard Time (New York, GMT-05:00)

Meeting Number: 317 000 470

Meeting Password: welcome2 –

To join the online meeting (Now from mobile devices!)

Local: 1-518-549-0500

Access code:311 681 960 Toll-free dialing restrictions:



National Nursing Home QI Campaign Update

Author: Nancy Leveille* Published in Clinical & Quality

Attached in the NNHQI newsletter are some valuable links to education or resources from their recent Consistent Assignment Implementation webinar and their Hospitalization Tracking tools. Their website has a bountiful amount of educational resources to help SNF improve on many quality issues.


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

2018 Nursing Scholarship Program Accepting Applications

Author: Nancy Leveille

Once again we are pleased to announce the Foundation for Quality Care Nursing Scholarship Program. The Foundation for Quality Care, the research and education affiliate of the New York State Health Facilities Association (NYSHFA), will administer the Ruth E. Stafford and James D. Durante Nursing Scholarship Program for 2018. This Scholarship Fund Program has been established to provide financial support to incumbent employees of NYSHFA/NYSCAL member facilities who are also nursing students pursuing careers in long term care. The Durante/Stafford Scholarships will now be awarded to students/nurses in three categories:

Skilled Nursing

Category I:  Students pursuing licenses as a practical nurse or registered nurse.  Two scholarships for $2,000 each are available for the Category I Scholarship.

Category II:  Registered nurses pursuing advanced degrees in nursing (Bachelors, Masters, Doctorate, Nurse Practitioner, Clinical Specialist).  Two scholarships for $2,000 each are available for the Category II Scholarship.

Assisted Living

Students pursuing licenses as a practical nurse or registered nurse.  One scholarship for $2,000 is available.

The winners will be selected by NYSHFA’s Nurse Leadership Advisory Committee and awarded their Scholarship at the Annual Nurse Leadership Conference on May 3, 2018 in Verona, New York.

Scholarship Criteria and Submission Information:

Attached are the Scholarship Brochure, Application and Recommendation forms. At the time of application, and when the scholarships are awarded, applicants must be employed by a long term care facility that is a member in good standing of the New York State Health Facilities Association/New York State Center for AssistedLiving. Applicants must be applying to or enrolled in / accepted to an accredited school of nursing program for the 2018-2019 academic year.

Applications are due by February 28, 2018.

If you have questions regarding this program, please contact Nancy Leveille or Joanne O'Connor at the Foundation for Quality Care.


Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Joanne O'Connor
Communications & Business Development Coordinator
518-462-4800 ext. 23

Audio Conference -Set Yourself Up for Success: How Medicare VBP is Changing the Game


NYSHFA/NYSCAL will host an Audio Conference on Friday, January 26th entitled "Set Yourself Up for Success: How Medicare VBP is Changing the Game". 

Maureen McCarthy will guide providers though new health care reform efforts and alternate payment methods as CMS moves away from a resource utilization reimbursement system, to a Value-Based program. Rehospitalizations are a state and federal focus as they are costly as well as disruptive to patient care. Value Based Purchasing focuses on rehospitalizations as a measure of value and quality. Attendees will learn what this transition means for the Post-Acute environment and what tools and methodology SNFs need to include in their clinical and administrative programs. Information presented here will prepare your facility for what the Medicare landscape will look like by the year 2020.

Click here for more details. 

Webinar -The Next Phase of the ROP: Antibiotic Stewardship in LTC Facilities 101


NYSHFA/NYSCAL will host a Webinar on Thursday, February 15th entitled "The Next Phase of the ROP: Antibiotic Stewardship in LTC Facilities 101".

Effective Nov. 28, 2017, all Medicare and Medicaid-certified nursing homes must have an antibiotic stewardship program that includes antibiotic-use protocols and a system to monitor antibiotic use as part of their infection prevention and control program. The antibiotic stewardship program is a section of the Phase 2 Requirements of Participation. Surveyors will assess compliance under F-tag 881 during the Infection Control Facility Task as a part of the new survey process. In 2015 The CDC’s Core Elements of Antibiotic Stewardship for Nursing Homes was born, utilizing the recommendations of the CDC Core Elements of the Hospital Antibiotic Stewardship Program. These recommendations are the standard for what an Antibiotic Stewardship Program should look like. This presentation will examine the 7 elements that are contained in the standard and review what needs to be done to satisfy the requirements.

Click here for more details. 

15th Annual Social Service & Activities Conference

Author: Scott Jackson

Join NYSHFA/NYSCAL for the 15th Annual Social Service & Activities Conference. The conference is being held March 22-23rd at the Saratoga Holiday Inn. The program is approved for 10 contact hours for Social Workers and Activity Directors. This year's Hot topics include: Behavioral Health; eMOLST; Communication; Holistic Wellness and many more.  Click here for additional details and registration options. 

New NAB CE Registry Requirement


As of April 1st, 2018, all licensed NHAs and ALAs will need to be registered with NAB for their CEU tracking and certificates. This registry is the first of its kind and will be free of charge to all long-term care licensees. Registration is a quick 3-minute process via the NAB website.

Helpful Documents:
Announcement Flyer
User Guide (includes Step by Step Instructions)

Tips for Registering:
When registering you will be requested to identify a company, please leave this information blank.
It is your discretion to use either your facility or home information for such things as address, phone and email but please note that if you have changes to your contact information you will need to remember to update your information on the NAB registry.

Once you complete your registry information, please email your new NAB number to Erin Fitzgerald,, we will maintain this information in our database for easy filing of your credits.

Register today for your new NAB CE registration number!


NYSHFA Staff Contact
Erin Fitzgerald
(518) 462-4800 ext. 22

NYCACHCA 2018 Annual Conference

Author: Scott Jackson

The 2018 NYCACHCA Annual Conference is being held March 11-14th at Villa Roma Resort in Callicoon, NY. With programs for Administrators, CFOs and Clinicians, this 4-day conference has something for everyone! Click here for additional details and registration information.