MDS 3.0 RAC-CT. Certification Program. July 17, 18 & 19, Maine Health Care Association 317 State Street, Augusta, Maine

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1 MDS 3.0 RAC-CT Certification Program July 17, 18 & 19, 2012 Maine Health Care Association 317 State Street, Augusta, Maine Presented by Official Training Partner

2 BECOME MDS 3.0 RAC-CT CERTIFIED IN 3 DAYS The Maine Health Care Association, in partnership with AANAC, is pleased to offer the highly esteemed MDS 3.0 RAC-CT Certification Program to longterm care professionals in Maine. This intensive, three-day program provides opportunity to take all of the courses you need to sit for the certification exam. We invite all professionals involved in the RAI process to consider this important and valuable certification. This program is intended for Registered Nurses, Licensed Practical Nurses, Nurse Assessment Coordinators, Physical Therapists, Occupational Therapists, Speech Therapists, Social Workers, Health Information Professionals, Dieticians, Administrators, and all members of the Interdisciplinary Teams involved in assessment and care planning. PROGRAM INFORMATION Location: Maine Health Care Assocation, 317 State Street, Augusta, Maine Training is from 8:00 a.m. to 5:00 p.m. Registration on Day 1 begins at 7:30 a.m. Lunch: 12:00 p.m. to 1:00 p.m. ABOUT THE AANAC RAC-CT CERTIFICATION PROGRAM How the Certification Program Works: To be eligible to become RAC-CT Certified (Resident Assessment Coordinator Certified), an individual must: 1. Be a clinician/professional involved in the RAI process. 2. Complete 10 AANAC courses, of which 7 are required as the core curriculum: MDS Coding for OBRA and PPS RUG-IV OBRA Timing and Scheduling CAAs PPS Timing and Scheduling Introduction to Medicare Part A Care Planning The 3 electives for this workshop are: Accurately Assessing Functional Status Five-Star Quality Rating System Quality Measures and the MDS 3.0 *Certifications are good for two years once all required courses are completed and passed. Breaks: 10:00 a.m. to 10:15 a.m. and 3:00 p.m. to 3:15 p.m. You have 90 days to pass the final exams; upon successful completion, students will receive their RAC-CT certificate in the mail. If you have any questions, please contact: Karen Michaud, Director of Education Maine Health Care Association 317 State Street, Augusta, ME Tel: Fax: kmichaud@mehca.org 1

3 DAY 1 - JULY 17, 2012 DAY 3 - JULY 19, 2012 MDS 3.0 Coding for OBRA and PPS/Accurately Assessing Activities Functional Status and the MDS 3.0 Describe the relationship between the purpose of the MDS and the types of questions that appear on the MDS. State the intent of each MDS item. Accurately code each item of the MDS. Discuss the effects of inaccurate MDS coding. DAY 2 - JULY 18, 2012 OBRA Timing and Scheduling for MDS 3.0 Discuss requirements for scheduling and timing of OBRA-required MDS assessments. Identify appropriate use of the discharge assessments and entry records. State the criteria for completing the Significant Change in Status Assessment. Discuss correct use of the Significant Correction assessments. Identify criteria and timing issues related to Section X, the Correction Request. PPS Timing and Scheduling and the MDS 3.0 Describe the process for setting the ARD for a SNF PPS assessment. Identify the impact of unscheduled PPS assessments on payment. State the regulatory time frames for completing PPS MDS assessments. Describe the process for combining OBRA-required and PPS-assessments. Resource Utilization Groups (RUGs) IV and the MDS 3.0 Understand the development of the RUG-IV 66 Group classification system used in the Medicare Prospective Payment System Calculate the RUG-IV 66 Group classification from the MDS 3.0 item set. Incorporate the RUG-IV 66 Group classification component in to the case mix reimbursement calculation. Value the importance of accurate completion of the MDS in a RUG-based case mix reimbursement system. Introduction to Medicare Part A Identify the criteria necessary for the beneficiary to quality for skilled nursing facility (SNF) benefits. Discuss the facility s responsibilities when a resident is denied Part A coverage and the resident s right to a demand bill. Explain how to make the decision about whether or not to cover a resident on Part A. Describe the role of the Health Insurance Prospective Payment System (HIPPS) codes. Describe the documentation that the SNF must complete to be in compliance as a Medicare provider. Describe the medical review process. Care Planning and the MDS 3.0 Describe the relationship between the RAI process, the care plan, and quality resident care. List 3 broad areas to be considered for care planning in addition to the RAI assessment information. List the components of an effective care plan. Discuss the role of critical thinking in the care planning process. Identify the members of the Interdisciplinary Team and discuss their role in the care planning process. List 4 occasions that trigger the need to reevaluate the care plan. Define interim care plan. Quality Measures and the MDS 3.0 Identify the objectives of the Nursing Home Quality Initiative Describe the components of the calculation of each Quality Measure List vulnerabilities of five specific Quality Measures related to MDS accuracy Describe facility processes necessary for achieving competitive Quality Measure scores Five-Star Rating System Explain the role of health inspections in the Five-Star Quality Rating System. Identify the effect that Quality Measures have on the number of stars a facility earns. Discuss the details of the staffing calculation and its effect on the facility s rating. Understand key strategies for positively affecting the facility s Five-Star Quality Rating. Care Area Assessments (CAAs) and the MDS 3.0 Describe the role and concept of the CAA. List 3 sources of evidence-based tools for conducting the CAA assessments. State the components of CAA documentation. 2

4 ABOUT THE SPEAKER Andrea Otis-Higgins currently serves as the CEO/Administrator for a not-for-profit, CARF Person-Centered Care accredited, Practice Green Health Award winning, skilled nursing care organization. Among her previous positions, Andrea has served as a Corporate Director of Clinical Services for a Maine-based multi-facility organization, Corporate Privacy Officer, and as a Manager of Clinical Operations for a large multi-state healthcare provider. As well as expertise in the areas of long-term care clinical operations, accreditation, consultation, and HIPAA, Andrea has extensive experience as a Multi-level Nursing Home Administrator. She is certified as a Director of Nursing Administration by NADONA and serves on the Advisory Board to Southern Maine Community College of Nursing. Andrea has been a Master Teacher for the American Association of Nurse Assessment Coordination since 2005 and currently sits on AANAC s Expert Advisory Panel. She holds a Certificate of Graduate Study in Nursing Education and is currently a Leadership MBA candidate. In addition to instructing for AANAC, Andrea has been a guest lecturer for the Maine Health Care Association, New Hampshire Health Care Association, University of Southern Maine, and Central Maine Community College on subject matter associated with health care operations and leadership. CONTACT HOURS The American Association of Nurse Assessment Coordination is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. This educational activity is worth 22.5 nursing CEUs. AANAC will charge a $20 administrative fee for all duplicate CE certificate requests beginning January 1, Make sure you sign-in each day, get your CE certificate at the end of the workshop and keep it for your records. REGISTRATION INFORMATION Since space is limited, we encourage you to register early. Registrations are accepted on a first come, first serve basis, with priority given to paid registrations. To register, you must submit your completed registration form, along with payment, to Maine Health Care Assocation. Registration forms are on pages 5 and 6. AANAC Member RAC-CT Certification $550 $750 VERY IMPORTANT INFORMATION Non-Member You do not have to be an AANAC member to complete the program. However, you do need to be an AANAC member to take advantage of the reduced rate. To become an AANAC member ($110/year), sign up at You must provide an AANAC member number on your registration form to receive the discounted rate so please sign up prior to submitting your information to Maine Health Care Association (MHCA). Registrations that do not include the registrant s AANAC membership number will be charged the nonmember rate for this course. MHCA cannot hold a seat for any participant until we receive all of the following information without exception: (1) completed registration form, (2) full payment, and (3) AANAC membership number (if you plan to take advantage of the reduced rate). 3

5 EDUCATION POLICIES AND PROCEDURES Registration You are strongly encouraged to register early as space is limited for this course. Your registration cannot be accepted over the telephone, it must be in writing. There are two options to register. (1) complete the Registration/Invoice form included in this brochure and mail it, along with your payment, to MHCA at 317 State Street, Augusta, ME 04330, or (2) visit our website at to register online and pay with a credit card. Tuition The fees for this course are set by AANAC. Payment is required at the time of registration. Acceptable forms of payment include cash, checks and credit cards. Please note, we cannot hold a seat for the MDS RAC-CT Certification course until we receive all of the following information without exception: (1) completed registration form, (2) full payment, and (3) AANAC membership number (if you intend to take advantage of the reduced rate). Confirmation Letters A confirmation notice (including driving directions) will be sent to all registrants, typically one week ahead of time by . Anyone registering less than a week in advance may not receive a confirmation notice; in this case, feel free to contact MHCA to verify registration. Substitutions If a registrant is unable to attend a program, you may send a substitute from the same facility to take his/her place at no additional charge. Advance notice of the substitution is required at least 48 hours prior to the program. Canceled Programs AANAC and/or the Maine Health Care Association are not responsible for any fees incurred due to cancellations or postponements. We will make every effort to abide by our schedule. Enrollment Caps MHCA reserves the right to limit the number of participants allowed for certain workshops. When enrollment is limited, registrations will be accepted based on a first come/first served basis with paid registrations having priority placement in the program. Refunds All cancellations must be submitted in writing at least 14 days prior to the start date of the program. Notice of cancellation may be submitted to MHCA via fax ( ) or by ing Penny Ellis at pellis@mehca.org. MHCA will issue a refund, less a $50 processing fee, for all cancellations received within the allotted time. Otherwise, no credit or refund will be issued. 4

6 MDS 3.0 RAC-CT - REGISTRATION FORM/INVOICE W12083 We suggest that you photocopy this form. Please PRINT or TYPE the information below to ensure accuracy on registration material. Facility/Organization: Contact: Address: City/State/Zip: Telephone: Fax: 1. Registrant: q Mr. qms. Registrant s Position/Title Registrant s Address: q $550 AANAC Member NOTE: You MUST provide AANAC Member No. for reduced rate AANAC No.: q $750 Non-Member 2. Registrant: q Mr. qms. Registrant s Position/Title Registrant s Address: q $550 AANAC Member NOTE: You MUST provide AANAC Member No. for reduced rate AANAC No.: q $750 Non-Member TOTAL: $ PAYMENT METHOD: Please send completed registration form and payment to: Maine Health Care Association, 317 State Street, Augusta, Maine Tel: Fax: If paying with a credit card, faxed registrations are accepted as long as credit card information is provided at the time of registration: q Check Attached q Credit Card. Please complete information below or contact MHCA with details. q American Express q MasterCard q Visa Credit Card No.: Exp. CVV: Name (as it appears on card): Authorized Signature: q Other - Please describe: 5

7 MDS 3.0 RAC-CT - REGISTRATION FORM/INVOICE W12083 We suggest that you photocopy this form. Please PRINT or TYPE the information below to ensure accuracy on registration material. Facility/Organization: Contact: Address: City/State/Zip: Telephone: Fax: 1. Registrant: q Mr. qms. Registrant s Position/Title Registrant s Address: q $550 AANAC Member NOTE: You MUST provide AANAC Member No. for reduced rate AANAC No.: q $750 Non-Member 2. Registrant: q Mr. qms. Registrant s Position/Title Registrant s Address: q $550 AANAC Member NOTE: You MUST provide AANAC Member No. for reduced rate AANAC No.: q $750 Non-Member TOTAL: $ PAYMENT METHOD: Please send completed registration form and payment to: Maine Health Care Association, 317 State Street, Augusta, Maine Tel: Fax: If paying with a credit card, faxed registrations are accepted as long as credit card information is provided at the time of registration: q Check Attached q Credit Card. Please complete information below or contact MHCA with details. q American Express q MasterCard q Visa Credit Card No.: Exp. CVV: Name (as it appears on card): Authorized Signature: q Other - Please describe: 6

8 MAINE HEALTH CARE ASSOCIATION 317 STATE STREET AUGUSTA, MAINE TEL: FAX: