Issue: June 13, 2019

Published on June 13, 2019

Articles in this issue:

DOH Posts 2015/16 OMIG MDS Audited Rates

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

DOH has just posted the July 2015 and January 2016 rates which have been updated to reflect finalization of the January and July 2015 MDS audits. (They were inadvertently delayed due to technical issues.) As per the attached DAL’s, the rates reflect applicable audit adjustments as well as removal of the 5% CMI cap. Related rate payments were made in Medicaid Cycle #2178 (check release date 6/5/19). 

NYSHFA/NYSCAL CONTACT:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

Update from NYSDOH on Access to the Informal Dispute Resolution (IDR) Form

Author: Jackie Pappalardi and Nancy Leveille* Published in Clinical & Quality

New York State has an Informal Dispute Resolution (IDR) process as required by state and federal regulations, 42 CFR 488.331.

The Informal Dispute Resolution process affords the nursing home facility one (1) opportunity to provide additional information that may result in a revision to the Statement of Deficiencies (SOD). To dispute deficiencies, the nursing home must submit an electronic version of the IDR form (in Word format) to idr@health.ny.gov. The IDR form and instructions for its completion can be found on the Health Commerce System (HCS). However, if you have difficulty locating the form, please e-mail DOH at this noted address: idr@health.ny.gov. DOH will forward you a copy of the IDR Form. 

All IDR information (including the electronic IDR form and the required number of hard copies of all supporting documentation) must be submitted within ten (10) days of receipt of the SOD and presented in a manner that is consistent with the guidelines provided in DAL: NH 12-04, issued June 29, 2012.

NYSHFA/NYSCAL CONTACTS:

Jackie Pappalardi
Director, Educational Development & Grant Mgmt.
518-462-4800 x16

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

AHCA Announces its Virtual PDPM Training

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

If you still want to register for AHCA’s PDPM education, members will need to login to ahcancalED with their AHCA/NCAL usernames and passwords. For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.org with your name and facility contact information.

PDPM will be implemented on October 1, 2019 so you only have three months left to prepare.

We encourage you to take advantage of the virtual online education for you and your staff. See attached program brochure for full information.

NYSHFA/NYSCAL CONTACTS:

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

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

Are You Ready for Phase III of the RoP?

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

As we move closer to the RoP Phase III November 28th, 2019 implementation date, it’s a good time to review the CMS checklist to ensure the Phase 1-2 of the RoP have been met.  Click here for CMS RoP checklist http://www.nyshfa-nyscal.org/files/2018/10/CMS-LTCF-RoP-Overview-Checklist-1.pdf. NYSHFA has many resources available on the website under the RoP. Here are the next areas of focus under the RoP Phase III: 

NYSHFA/NYSCAL CONTACT:

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

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

Notice of Channel Change for Digital Television Channels

Author: * Published in Clinical & Quality

WEDH, channel sharing with WEDY, will cease operations on its current channel 45 (656 – 662 MHz) and will commence operations on channel 30 (566 – 572 MHz). This may affect reception and retransmission equipment in your facility. Please be sure that everyone responsible for the supervision or maintenance of the biomedical equipment receives a copy of this notification and the attachment regarding the channel change. This channel change may occur as early as August 2, 2019.

In addition to the above, more channels have been affected.  See attached for details.

NYSHFA/NYSCAL 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

Last Chance to Register! The Winning IDR Audio Conference - June 21, 2019

Author: * Published in Education

Join NYSHFA/NYSCAL on June 21st at 10am for the Winning IDR: Using Informal Dispute Resolution Effectively to Improve Nursing Home Quality Ratings Audio Conference.  Informal dispute resolution is a process that nursing homes can use to reverse a faulty survey deficiency or reduce its scope and severity. In the right case, IDR can be an effective tool for improving a facility’s quality ratings under the CMS Five-Star Quality Rating System. Drawing from empirical research and first-hand experience, this audio conference will show you what you need to know to prepare the winning IDR. This session will explore traditional and independent IDR and explain when and how to use each available process. It will provide practical tips on developing, documenting and submitting an effective IDR request. It will also highlight factors that increase the likelihood of success. At the end of this session, participants will understand: when and how to use IDR to challenge survey deficiencies; strategies for preparing and submitting an effective IDR request; and factors to increase the likelihood that IDR will be successful in reversing a deficiency or lowering its scope or severity.

Click here for details.

Post-Acute Care Medication Management Audio Conference - June 28, 2019

Author: * Published in Education

Join NYSHFA/NYSCAL on June 28th at 10am for Post-Acute Care Medication Management (A Requirement of Participation) Audio Conference. As caring for skilled nursing residents with shortened lengths of stay and greater acuity increases in complexity and federal regulations intensify, providers will require pharmacy skills and services that improve medication safety and achieve quality, operational and financial goals. This session explores the value of pharmacist-provided medication reconciliation during transitions of care. The speaker will share the impact pharmacists have on resolving MRPs, discontinuing unnecessary or potentially inappropriate medications, improving medication safety, streamlining individualized care, reducing re-hospitalization rates and decreasing total cost of care. Attendees will be exposed to effective strategies for utilizing pharmacists in medication management services that increase workflow efficiencies, reduce nursing workload, contribute to financial sustainability and allow PAC executives to optimize medication safety, meet regulatory standards and achieve quality goals.

Click here for details.

Summer Leadership Conference: Destination Bermuda

Author:

SUMMER LEADERSHIP CONFERENCE:  DESTINATION BERMUDA

By Anthony J. Restaino, CNHA, FACHCA

Heralded as one of the most beautiful places in the world, Bermuda does not disappoint!  A week spent in Bermuda will certainly be the highlight of your entire year! The excitement starts on the plane when you see the island in the distance.  As you get closer to Bermuda, the ocean gradually turns from a deep blue to turquoise.  From the moment you hit the ground, the experience begins. 

It’s about a forty-five-minute cab ride to the Fairmont Southampton, the host hotel.  Every year the American College of Health Care Administrators holds its Annual Summer Leadership Conference the Fairmont Southampton.  The program, which is conveniently held from 8:00am – 11:00am each morning, focuses on self-development and is not limited to any particular discipline.  The attendees are Administrators, Facility Owners, Executive Directors, Nursing Executives and even a couple of industry suppliers.  The program always encourages interaction between all participants and the presenter.  This format lends itself to free, open and honest discussions.  You really do feel a sense of fulfillment when it is over.  The atmosphere is one of comfort with no dress code during the day.  Shorts, tee shirts and sandals are perfectly appropriate.   

Simply put, the Fairmont Southampton is magnificent hotel.   The rooms are very spacious and comfortable.  Whether you have an ocean view or harbor view, the scenery is beautiful!  There are several dining choices available right on the property. Whether you like seafood or are a carnivore, you will leave satisfied, especially if you have one of their signature desserts. Back to the cab ride…………the first thing you notice is that in Bermuda, like any other British territory, you are driving on the left side of the road (which are very narrow).  Cars passing each other in opposite directions seem as though they are inches apart.  Therefore, mopeds, motorcycles, bicycles……………and sometimes horses are the vehicles of choice. 

OK, did I mention that the seminar ends at 11:00am?  Well, it’s worth saying again.  It’s like the last day of school every day!  Some run to change into their beach wear to get the shuttle down to hotel’s private beach, where you have your choice of kayaking, snorkeling, diving or just lying in the sun. Some jump on the shuttle going the opposite direction to go to the dock to take the ferry across to Hamilton. You can then go through town and tour the many historical buildings and little shops.   If shopping and sightseeing isn’t your thing, you can stay at the Fairmont dock and rent jet skis, power boats, kayaks or charter a fishing boat.  Virtually any water sport is available.

For me, playing golf was the afternoon activity for the majority of the days.  The Fairmont Southampton has its own 18 Hole Par 3 course.  Winner of Golf Digest’s “Best Places to Play Golf”, this course is as challenging as any regulation course.  Plus, the ocean views are absolutely breathtaking!  On this course, a camera is just as important as a putter!  The best part is that you can play the entire course in around three hours. After golf, you can go to the pool, relax in your room, or do anything else your heart desires.  Dinner is quite an experience in Bermuda.  Some of the finest restaurants on the island area are located either on the hotel’s property or a short cab ride away.  The dress code is mostly casual with slacks and a collared shirt being acceptable.  A couple of restaurants require men to wear jackets.  After dinner, it’s back to the hotel for a night cap in the Jasmine Lounge.

The next day you get to do it all over again. 

This year’s program will be held from July 22nd through July 26th 2019.  As always, our program will take place at the Fairmont Southampton.  The room rates for this week are amazingly low.  Rooms typically cost approximately $600 - $700 per night during the summer months.  However, our group rates are $322 per night!  You will not find these rates at any other tropical vacation spot!

This year’s program, The Strong Leader Workshop, 5 Days to Strengthen Your Ability to Lead! will be presented by Dr. Bryan K. Williams.  

This program is one that you do not want to miss!  Any questions can be directed to Larry Slatky at lislatky@cs.com.

Hope to see you there! Click here for the registration brochure!