Issue: March 14, 2019

Published on March 14, 2019

Articles in this issue:

2019 AHCA/NCAL Congressional Briefing Registration

Author: Stephen B Hanse* Published in Legislative

Registration, agenda and hotel information for the June 3-4, 2019 AHCA/NCAL Congressional Briefing are now available. See attached for details.

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

AHCA/AHIMA ICD-10 Training Programs Launched

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

AHCA’s on-line ICD-10 training programs launched this week and members can now register and begin taking the ICD-10 trainings. Members who pre-registered for either training program have been notified that the trainings are available for use.

AHCA has partnered with the American Health Information Management Association (AHIMA) to offer two different on-line ICD-10 trainings – one training for coders and a shorter less intense course for non-coders. 

The Two On-Line ICD- 10 Training Programs 

Members can register for the ICD-10 trainings here. 

See attached info about the Syllabus for each program and frequently asked questions. 

Members will need to login with their AHCA/NCAL usernames and passwords to register. For assistance obtaining AHCA/NCAL usernames and passwords, please have your members e-mail educate@ahca.org with their name and facility contact information. AHCA staff will assist t 

NYSHFA/NYSCAL CONTACTS:

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

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

CMS Enhanced Oversight Related to Long-Stay Antipsychotic Medication Rates

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

CMS will be assessing the late adopters to reduce long stay residents’ antipsychotic medication usage. They plan to apply new financial remedies to those SNF with higher levels of antipsychotic medication usage who have been cited with survey deficiencies over time. NYSHFA recommends members assess each SNF’s QM percentage against the outlier level to determine if you meet the late adopter level. We encourage any SNF that needs assistance in improving this measure to meet with your Medical Director, Pharmacist, Social Worker, Psychologist and Nursing team to plan the best approach to potential medication reduction and elimination. There are many educational resources available to assist the team through this process. See AHCA’s announcement below for full information and resources. NYSHFA will provide more information as it becomes available about NYS SNF late adopter’s list.

Earlier this week, the Centers for Medicare & Medicaid Services (CMS) issued a memorandum, "Enhanced Oversight and Enforcement of Non-Improving Late Adopters ." This memo details additional enforcement measures for approximately 235 nursing centers that have been cited for noncompliance with federal regulations related to the use of unnecessary or psychotropic medications two or more times and have not shown improvement in their long-stay antipsychotic medication rates. Collectively, CMS refers to these providers as "late adopters." 

Highlights from the memo are:

    1. Enhanced oversight and enforcement action, and
    2. Outreach with corporations that own or operate a significant number of late adopter facilities.
    1. Group One consists of 41 late adopters with three or more prior deficiency citations for unnecessary modifications or inappropriate use of psychotropic medications since January 1, 2016.
    2. Group Two consists of 194 late adopters with two prior deficiency citations for unnecessary medications or inappropriate use of psychotropic medications since January 1, 2016.

To see more details on each group, please refer to page 3 of the memorandum.

AHCA has resources to support members. For example, the Antipsychotic Management Toolkit is a two-part webinar series that provides an overview of the AHCA Clinical Considerations of Antipsychotic Management Toolkit and practical application and strategies for reducing antipsychotic medication use. The Antipsychotics Consumer Fact Sheet provides family members and others involved in a resident's care background on the off-label use of antipsychotics, as well as frequently asked questions regarding loved ones living with dementia. Visit educate.ahcancal.org for additional resources. 

AHCA will continue to provide updates on these changes. If you have any questions, please contact Sara Rudow at SRudow@ahca.org

NYSHFA/NYSCAL CONTACTS:

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

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

DOH’s Free Webinar: Public Health Live on Section Q

Author: Nancy Leveille* Published in Clinical & Quality

In order to help facilitate referrals to the Local Contact Agency (Open Doors) for transition assistance based on responses from the MDS Section Q, DOH’s Money Follows the Person Program is sponsoring a Public Health Live broadcast on best practices for administering MDS Section Q on March 21. The link to registration is included below. 

Registration is now open for the March 21 Public Health Live! focused on Best Practices for the MDS Section Q. CEUs will be available following successful completion of post-test.

If you have any questions, they can be directed to: 

Stacey Agnello
Program Advisor
Money Follows the Person
Bureau of Community Integration and Alzheimer’s Disease
New York State Department of Health
Office of Health Insurance Programs
Division of Long Term Care
One Commerce Plaza
Albany, NY  12210
(518) 474-4669
Stacey.Agnello@health.ny.gov

We are Just Two Weeks Away...Register Today! 16th Annual Social Services & Activities Conference

Author: * Published in Education

Join NYSHFA / NYSCAL at the 16th Annual Social Service & Activities Conference being held March 28-29, 2019 at the Holiday Inn in Saratoga Springs. Hot topics this year include: Mindful Workplace; Dementia Population; Mental Fitness; Care Planning; and Department of Health updates.

Click here for more details!

Don't Miss Out! Opening Keynote Jim Boeheim! 70th Annual Conference & Expo

Author: * Published in Education

Dont miss out on hearing our opening Keynote Speaker, Jim Boeheim! Join NYSHFA/ NYSCAL for the 70th Annual Conference & Expo, May 6-9th at Turning Stone Resort & Casino. Jim Boeheim is the Head Basketball Coach at Syracuse University and will he will kick off our education with exciting insight on building winning teams! Other hot topics include: Workforce Challenges; The Opioid Crisis; Staff Retention; DOH Updates; Lab Service; Dining Challenges and many more. 

Click here for more details and registration options. 

 

 

Registration Now Open! PDPM-Successful Implementation and Understanding the Changes to SNF Post-Acute Care Medicare Reimbursement

Author: * Published in Education

Join NYSHFA in association with Zimmet Healthcare Services Group for our One-Day Seminar entitled PDPM-A Program Designed for Successful Implementation and Understanding the Changes to SNF Post-Acute Care Medicare Reimbursement.
A generational change to SNF work flow including facility admission decisions, assessments, documentation utilization review and care delivery. The new payment system consists of four distinct reimbursement pillars that are focused on the individual needs and characteristics of residents admitted to facility. This program will teach participants the underlying criteria of PDPM and payment requirements including operational changes for success. Critical thinking by the clinical team coupled with “work smart” gathering of information and documentation will result in facilities being on the winning side of CMS changes.

Click one of the three locations for additional details and registration options:

April 9, 2019 – Turning Stone Resort
April 10, 2019 – del Lago Resort & Casino
April 18, 2019 – LaGuardia Marriott

Audio Conference - How Does It Feel to Have Schizophrenia or Bipolar Disease

Author: * Published in Education

Join NYSHFA/NYSCAL on April 11th at 10am for the How Does It Feel to Have Schizophrenia or Bipolar Disease Audio Conference. Mental illness, dementia and other behavioral health conditions in the nursing home are well recognized challenges. Schizophrenia effects the residents ability to think clearly, manage emotions, make decisions, and relate to others while Bipolar Disease is marked by alternating periods of elation and depression. As the number of residents with these conditions entering nursing homes grow the importance of management of these disorders is critical. Dr. Riddle will walk you through each of these diseases and how we can better understand, treat and plan person centered care interventions to improve the quality of these residents’ lives.

Click here for details. 

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

Author: * Published in Education

Join NYSHFA/NYSCAL on April 16th at 10am for An Integrated Care Model: The Role of Behavioral Health Services in LTC Audio Conference. 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 details