Issue: February 1, 2018

Published on February 1, 2018

Articles in this issue:

NYS DOH Commissioner's Memo- Influenza Virus & Other New Initiatives

Author: Lisa Volk* Published in Clinical & Quality

Influenza has been geographically widespread in New York for the last six weeks. As of January 20, 2018, 25,137 laboratory-confirmed cases of influenza have been reported and 7,101 people have been hospitalized in New York State. One pediatric flu death has been reported. As we all know, adults over the age of 65, people with certain chronic medical conditions, young children, and pregnant women are particularly vulnerable to contracting the flu virus. As a reminder, when clinical assessment indicates the flu, initiating antiviral treatment within 48 hours of symptom onset is recommended for maximum efficacy.

See attached for more details. 

NYSHFA CONTACT:

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

January 25th Town Hall Recording

Author: Nancy Leveille* Published in Clinical & Quality

If you were unable to attend the Town Hall conference call on January 25, 2018, below is the link to the recording, which will remain active until February 23, 2018 (recordings are deleted after 30 days.) 

http://www.conferenceplayback.com/stream/94855285/07619801.mp3

As a reminder, the agenda for this call is below:

  1. Welcome
  1. Town Hall Meeting Schedule:
    1. February 22, 2018 at 11am-12n
    2. March 15, 2018 at 11am-12n
    3. April 19, 2018 at 11am-12n
  1. NAB Update on credits process: Erin Fitzgerald, NYSHFA
  1. CMS Compliance Update on New Survey Process/Outcomes: Linda Elizaitis
  1. Additional Notes from NYSHFA Staff
  1. Next Town hall agenda items: Survey and 2018  OMIG audit update
  1. Q and A’s
  1. Closure

NYSHFA CONTACT:

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

2017 Nursing Home Quality Initiative

Author: Nancy Leveille* Published in Clinical & Quality

The final 2017 Nursing Home Quality Initiative results have been posted to the Health Commerce System (HCS). Nursing homes have been notified via the Integrated Health Alerting Network System on the HCS. The attached Dear Administrator letter, 2017 NHQI methodology, and instructions for interpreting a facility’s report were sent to nursing homes on January 30, 2018. DOH will send another notification once the results are available on the Department’s website and Health Data NY. If you have any questions, please feel free to contact DOH at (518) 486-9012 or by email at nhqp@health.ny.gov.

NYSHFA CONTACT:

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

CMS: IRF/LTCH/SNF QRP February 15 Submission Deadline Reminder

Author: Lisa Volk* Published in Clinical & Quality

The submission deadline for the Inpatient Rehabilitation Facility (IRF) Quality Reporting Program (QRP) and Long-Term Care Hospital (LTCH) QRP is approaching. IRF-PAI and LTCH CARE Data Set assessment data and data submitted to CMS via the Center for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) for July-September (Q3) of calendar year (CY) 2017 are due with this submission deadline.

All data must be submitted no later than 11:59 p.m. Pacific Standard Time on February 15, 2018.

The Skilled Nursing Facility (SNF) QRP deadline has been extended to May 15, 2018 for CY 2018 data. However, SNFs are encouraged to review their data submission on at least a quarterly basis.

The list of measures required for this deadline can be found on the CMS QRP websites:

As a reminder, it is recommended that providers run applicable validation/analysis reports prior to each quarterly reporting deadline, in order to ensure that all required data has been submitted.

*For providers affected by hurricanes Harvey, Irma, or Maria or the California wildfires: CMS has issued reporting exceptions related to these events. Information on the exceptions can be found on the following webpages:

NYSHFA CONTACT:

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

CMS Payroll Based Journal (PBJ) Pilot Audits:

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

NYSHFA has recently been notified that CMS is conducting PBJ pilot audits in other states. NYSHFA has received some further details about one of the audits conducted, which focused on key questions upon entrance. The on-site audits are being announced beforehand so the facility know the auditors will be coming. The facility was provided a letter regarding the pilot. NYSHFA recommends that providers look at their policies related to meal breaks, hours reported, time keeping, interface between systems, as well as categorizing corporate and agency staff. Below is some of the feedback we received from the facility regarding the audit results, take a look at exit conference notes for further details and for auditor’s comments in each of these areas.

Entrance Conference Notes: 

Entrance meeting with the 2 auditors.

The auditor presented a letter that stated this is a pilot audit and there will be no resulting liabilities from the audit.

Introductions were made and they provided their overview of time necessary completing the audit with an exit meeting estimated to last approximately 30 minutes depending upon their findings. 

These questions were presented during the entrance meeting: 

An additional question was asked on the corporate employees why they were considered “Contracted” employees versus “Employees”. It was explained that the Time and Attendance software company provided the recording mechanism for the corporate employees as contracted employees.

Exit Conference Notes

Exit Conference held with auditors from Meyers & Stauffer to review their findings as follows:

NYSHFA CONTACTS:

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

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

 

DOH: Healthcare Personnel Influenza Vaccination Report

Author: Lisa Volk* Published in Clinical & Quality

This is an informational message from the New York State Department of Health regarding the annual mandated Healthcare Personnel Influenza Vaccination Report.

The Healthcare Personnel Influenza Vaccination Report will open on Monday, February 5, 2018 and must be electronically submitted to the New York State Department of Health (NYSDOH) by May 1, 2018. All facilities covered under New York Codes, Rules and Regulations, Title 10, Section 2.59 (10 NYCRR Section 2.59) are required to document the number and percentage of personnel vaccinated against influenza for the current season and to complete this report upon request of the NYSDOH.

Please ensure that the individual responsible for completing and submitting the report at your facility reads this message. See attached for full details.

NYSHFA CONTACT:

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

RPA Newsletter Fire and Emergency Information for Facilities

Author: Lisa Volk* Published in Clinical & Quality

Attached is the Russ Phillips Associates a Jensen Hughes company newsletter as it relates to latching requirements for corridor doors and emergency preparedness programs.

NYSHFA CONTACT:

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

2018 Nursing Scholarship Program Accepting Applications

Author:

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.

FQC CONTACTS:

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


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

New NAB CE Registry Requirement

Author:

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, efitzgerald@nyshfa.org, we will maintain this information in our database for easy filing of your credits.

Register today for your new NAB CE registration number!  https://www.nabweb.org/manage-my-account

 

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

efitzgerald@nyshfa.org

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

Author:

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:

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. 

Audio Conference - An Integrated Care Model: The Role of Behavioral Health Services in LTC

Author:

On Thursday March 22nd, NYSHFA/NYSCAL will host an audio confernece entitled "An Integrated Care Model: The Role of Behavioral Health Services in LTC". The role of long term care facilities in addressing resident’s health care needs continues to evolve at a rapid pace. One area where more is being expected involves identifying and responding to residents who are at risk of developing, or exhibiting behavioral or emotional needs. The broad term behavioral health covers a wide range of clinical issues including, but not limited to, trauma informed care, dementia care, depression, behavior management, pharmacological management, and optimizing the care of the chronically mentally ill. The evolution in the role of LTC facilities is being driven in part by research, which has established that mental health care is a key component in achieving quality care outcomes. Whether the care is focused on short term rehabilitation, medical compliance, palliative care, or decreasing re-hospitalization rates, the resident’s psychological state and wellbeing will affect every aspect of care. This presentation will focus on a variety of behavioral health issues faced by facilities, address key compliance issues, and describe strategies to optimize behavioral health care.

Click here for additional details. 

Audio Conference - Discharge to Community: Safe Transitions to Reduce Hospitalizations

Author: Scott Jackson

On Thursday, March 29th, NYSHFA/NYSCAL will host an audio conference entitled "Discharge to Community: Safe Transitions to Reduce Hospitalizations". Discharge to community claims-based quality measure creates a challenge to the status quo to change the current process to resident centered planning from the day of admission to the skilled nursing facility and more importantly the discharge planning process. Discharge planning is an interdisciplinary team approach to not only transitioning to the next level of care, but to the next level of care with a solid discharge plan to reduce hospitalizations and emergency department utilization. Understanding what led up to the person’s hospitalization and including this in the discharge planning is an important element in safe transitioning to the appropriate level of care. This program explores various evaluations, and ideas to understanding barriers for transitions as well as community resources and alternate resources for care levels such as Assisted Living available to transition safely. Click here for more details. 

 

NYCACHCA 2018 Annual Conference

Author:

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.

Audio Conference - Cyber Security & CMS Nursing Home Recommendations

Author: Scott Jackson

On Wednesday, April 25th NYSHFA/NYSCAL will host an audio conference entitled "Cyber Security & CMS Nursing Home Recommendations". On January 13, 2017 the Survey & Certification Group released recommendations to providers regarding cyber security. A review of cyber security policies and procedures is recommended by the agency as part of the “All Hazards Approach to Emergency Preparedness”. In this session we will detail best practices to help keep your facilities safe from cybercrime incidents. We will be taking a deep dive into topics such as: Disruptions to patient care, including missing information, potential compromise of Protected Health Information & Personally Identifiable Information  and loss of electronic health records. Click here for more details.