MDS 3.0/RUG IV Distance Learning Series January - May 2016

Transcription

1 MDS 3.0/RUG IV Distance Learning Series January - May 2016 ROUTE TO: _Administrator; _MDS Coordinator; _Director of Nursing; _Director of Accounting; _Director of Social Services; _Director of Activities; _Director of Rehabilitation Services; _Admissions Staff OVERVIEW In keeping with the success of their previous highly-rated distance learning education offerings, LeadingAge state affiliates and Plante Moran have teamed to offer a series of affordable, up-to-date distance learning educational sessions about the process of completing the Minimum Data Set (MDS) 3.0, and the impact of its accuracy. The MDS is the focal point of everything in long-term care (survey, quality measures, Five-Star, Nursing Home Compare data and reimbursement). Successful surveys (Traditional or QIS) demand accuracy. The information to consumers must accurately reflect the level of care and services the facility provides. Rightful reimbursement for Medicare and Medicaid requires an accurate MDS. Seventeen basic and intermediate sessions designed to meet each member of your team involved in the assessment process at their point of need. Each session has time for questions and answers. The team can access the same information at the same time via audio format, and sessions are specialized for particular disciplines to help you maximize your time; no travel expenses for the facility and continuing education certificates are conveniently accessed via our website. SPEAKER Jane Belt, MS, RN, RAC-MT, Consulting Manager, Plante Moran, PLLC, Columbus, Ohio Jane is the manager of the Plante Moran Clinical Group and has been involved with the long-term care profession for over 40 years serving as a Director of Nursing and a nurse consultant. She has a Master s in Nursing and is a Resident Assessment Coordinator Certified and a Master Teacher through the American Association of Nurse Assessment Coordination. SCHEDULE Please note that each event is scheduled for 10:00-11:30 a.m. Pacific: January 7, INTERMEDIATE: NEW- What the Admin, DON and Accounting Must Know Regarding the MDS January 14, BASIC: Breaking Down the MDS: Section A-Which Assessment and When (Nursing) January 21, BASIC: Breaking Down the MDS: Sections B, C, D, E and F (Social Services, Activities, Nursing) January 28, BASIC and INTERMEDIATE: The Nitty Gritty of Section G-ADLs and Reimbursement (Nursing, Therapy) February 4, BASIC: Breaking Down the MDS: Sections H, I and J (Nursing) February 11, BASIC: Breaking Down the MDS: Sections K and L (Dietary, Nursing) February 18, BASIC: Breaking Down the MDS: Sections O and Q; Nursing Restorative Programming (Nursing, Therapy, Social Services) February 25, BASIC: Breaking Down the MDS: Sections M, N and P (Nursing) March 3: This is a courtesy acknowledgement; no session today. March 10, BASIC: Breaking Down the MDS: Sections V, Z and Working the CAAs (IDT) March 17, INTERMEDIATE: NEW- What You Need to Know Regarding the Focused Surveys for Dementia Care, MDS 3.0/Staffing and Medication Safety (IDT) March 24, INTERMEDIATE: NEW- Sleep Hygiene and Reducing Falls (IDT) March 31, INTERMEDIATE: Can I Skill this Resident? (ED, Admin., Nursing) April 7, INTERMEDIATE: How do We Get Paid for Medicare Part A Beneficiaries? (Nursing, Therapy) April 14, INTERMEDIATE: Quality Measures and Survey (Nursing, Social Services, Activities, Dining Services) April 21, INTERMEDIATE: QAPI (ED, Admin., DON, Corporate Staff, Nursing, Social Services, Activities, Dining Services) April 28, INTERMEDIATE: Reaching for the Stars - Five-Star (ED, Admin., DON, Corporate Staff, Nursing) May 5, INTERMEDIATE: NEW- Where Do We Go from Here? Best Practices for MDS Coordinators (MDS Coords.)

2 Education Credits One (1.5) DSHS Education Credits is available for each listener. FEES LeadingAge WA /LeadingAge affiliate Member*/ Current PM Client* Nonmember Live Live + link Live Live + link Per phone line for each single session $75 $95 $95 $125 Per phone line, nine (9) sessions ** $650 $795 $850 $995 Per phone line for all 17 sessions *** $1,195 $1,495 $1,495 $1,795 * For this pricing registrants must be a LeadingAge WA / LeadingAge state affiliate member or a current Plante Moran client. *** BEST VALUE!! $70/session; 1.5 Education Credits/per session - up to 25.5/per person! Audio Link Option- live session PLUS audio link; as low as $17.65/link/session for future training needs! Check each date that you plan to participate in the distance learning sessions: January 7 January 14 January 21 January 28 February 4 February 11 February 18 February 25 March 10 March 17 March 24 March 31 April 7 April 14 April 21 April 28 May 5 other details and is responsible for disseminating this information to all participants within your organization. Key Contact: Community: Phone: City: State: Zip: Please Invoice: Credit Card Payment: Check Enclosed: Total: Card Number: Exp. Date: processing fee for each cancellation transaction. Replacements are encouraged. Three options to register: 3) Mail completed registration to LeadingAge WA, 1495 Wilmington Drive, Suite 340, DuPont WA Your registration will be made upon receipt of this form. Confirmations will be ed. If you do not receive

3 First session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: What the Administrator, Director of Nursing and Accountant Must Know Regarding the MDS January 7, 2016, 10:00 11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; Director of Accounting Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. MDS 3.0 is critical in defining your facility s resident care, survey outcomes, payment, and public perception on Nursing Home Compare. Failure to adequately manage and monitor the MDS process often results in negative outcomes. This event will not detail MDS completion, but instead provide the tools you need to effectively manage the MDS/PPS process. Understanding critical timing and provider liability issues; accessing key reports; working with team members to improve MDS systems and outcomes. This is a must attend for experienced and new administrators, Directors of Nursing and accountants. Administrators, Nurses. 1.5 DSHS Credits are available. care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). other details and is responsible for disseminating this information to all participants within your organization. processing fee for each cancellation transaction. Replacements are encouraged. Three options to register: a confirmation 3 days prior to each session, please feel free to contact our office.

4 Second session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Section A - Which Assessment and When January 14, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _CEO; _Director of Nursing; _Administrator; _Corporate Staff Prior to this event the key contact as provided below will receive an e-confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. As we start our breakdown of the MDS with Section A and the items related to the type of assessment to be completed is critical for survey and appropriate reimbursement. Whether a rookie to the process or an experienced MDS nurse, the MDS 3.0 items in A0310 with the multiple revisions and updates have created confusion and frustration about what assessment to do and when. In this session we will complete a brief view of the key resident identification items and then shift to identifying the types of assessments required for both OBRA and PPS and the timing for completion and submission. Administrators and nurses. 1.5 DSHS Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). Fees LeadingAge WA Member/Current PM Client Nonmember

5 Third session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections B, C, D, E and F January 21, 2016, 10:00 11:30 a.m. Pacific ROUTE TO: _Social Workers; _Activities; _MDS Coordinator; _Director of Nursing; _Nurses; _Administrator Prior to this event the key contact as provided below will receive an e-confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. Gain insights during a review of the information gathering processes and interviews used to determine the resident s hearing, speech and vision (Section B), cognitive patterns (C), mood (D), behaviors (E), and their preferences for daily routines and activities (F). We will also discuss interview tips and timing of the interviews. These sections are vital to accurate care planning, culture change, Quality Measures and reimbursement. Social workers, Nurses, Activities staff and Administrators. 1.5 DSHS Credits are available Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

6 Fourth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: The Nitty Gritty of Section G ADLs and Reimbursement January 28, 2016, 10:00 11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Therapists; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. Unfortunately it still seems that the Activities of Daily Living (ADLs-Section G) offers several coding challenges for members of the team responsible for its accuracy. Any lack of accuracy even if minimal can amount to hundreds of dollars of lost reimbursement for the facility. The care was provided, but the facility did not take credit for the services provided. Review the assessment process and definitions for determining the resident s level of performance in ADLs and the key difference in coding the amount of support provided to accomplish the task. Review how to complete the balance and range of motion portions of the MDS. We will look at how Section G accuracy affects reimbursement, survey, Quality Measures, Five-Star ratings, and care planning. Administrators, Nurses and Therapists. 1.5 DSHS Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

7 Fifth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections H, I and J February 4, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Nurses; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. Get a working knowledge of Section H of the MDS 3.0 with a 7-day look back which describes appliance use, the use and response to urinary toileting programs, urinary and bowel continence status and bowel training programs. We will also review the determination of an active diagnosis for Section I and detail the pain assessment, falls and other health conditions in Section J. Administrators, Nurses. 1.5 Education Credits are available. Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

8 Sixth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections K and L February 11, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Dietitian; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. As we continue our guidance for accurate coding of the MDS, we will focus on the conditions that could affect the resident s ability to maintain adequate nutrition and hydration with a look at Section K (Swallowing/Nutritional Status), and we will review the items in K involving accurate calculations about Percent Intake by Artificial Route. The session will end with a discussion regarding the assessment process for the oral cavity and coding of the dental items in Section L. Target Audience, CEUs Administrators, Nurses, Dietary professionals. 1.5 Education Credits are available. Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

9 Seventh session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections O and Q; Nursing Restorative Programming February 18, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _CEO; _Director of Nursing; _Administrator; _Corporate Staff This session will look at the following sections of the MDS 3.0: Section O (Special Treatments, Procedures, and Programs) the timing for the coding of particular procedures and treatments; coding of delivered rehabilitative therapy minutes, distinct calendar days; respiratory therapy; what are the documentation requirements for coding restorative programs and recording of the resident s participation and expectations for goal setting (Section Q) and what steps must be taken with the information. Administrators and Nurses. 1.5 Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

10 Eighth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections M, N, and P February 25, 2016, 10:00 11:30 a.m. Pacific ROUTE TO: _Administrator; _Nurses; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. In talking with nurses, there are always many questions about the coding of the items in Section M, especially staging of pressure ulcers, accurate coding of present on admission and worsening pressure ulcers. In addition, in Section N we will review coding of injections and medications received. Finally for Section P (Restraints) we will breakdown the definition of a physical restraint and the appropriate coding of those items in P0100. As always, we will leave time at the end of the program for your questions and answers. Administrators, Nurses. 1.5 Education Credits are available. Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

11 Ninth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Breaking Down the MDS: Sections V, Z and Working the CAAs March 10, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Administrator; _Nurses; _other Department Directors and staff; _Corporate Staff Section V summarizes care areas triggers or the CATs and then leads to completion of the Care Area Assessments (CAAs). We will look at this additional assessment process and completion timelines and what must be documented after the review of each triggered CAA. We will review the documentation components required for the completion of the items in Section V on the actual MDS and how that information provides the foundation for the resident s plan of care. We will close with a review of the documentation of billing information and documentation of the participants in the Assessment Administration (Section Z). Administrators, Nurses, Social Workers, Activity and Dining Services Professionals and Staff. 1.5 Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

12 Tenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: What You Need to Know Regarding the Focused Surveys for Dementia Care, MDS 3.0/Staffing and Medication Safety March 17, 2016, 10:00 11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; Director of Accounting CMS has continued its newer process of developing and implementing specific focused surveys for areas identified as needing closer inspection. The Focused Dementia Care Survey is a part of the industry effort to improve care by expanding the use of nonpharmacological approaches and reducing the off-label use of antipsychotics. Accuracy of the coding of the MDS and the corresponding supportive medical record documentation was targeted in the nationwide expansion of these MDS Focused Surveys as well as validation of staffing levels in the facility. The latest addition to the bunch is the Focused Survey on Medication Safety and the development of an Adverse Event Trigger Tool. This session will give an overview of each type of focused survey and provide recommendations for how to be prepared for closer inspections of specific areas of risks. Target Audience, CEUs Administrators, Nurses, Social Workers, Activity and Dining Services Professionals and staff. 1.5 Education Credits are available and is a Certified Resident Assessment Coordinator and a Master Teacher through AANAC.

13 Eleventh session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Sleep Hygiene and Reducing Falls March 24, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; Director of Accounting More and more research and investigations have revealed the great need for quality sleep in longterm care facilities. This session will focus on the sleep disorders in our facilities that are secondary to medical conditions or environmental issues. We will look at the major risk factors for sleep problems in the nursing home and discuss what the facility can do to implement a facilitywide sleep program. Outcomes of better quality sleep will be discussed and what can be initiated to achieve better healing, reducing falls, reducing use of psychoactive medications improving behaviors and improving psychosocial well-being of the residents. Administrators, Nurses, Social Workers, Activity and Dining Services Professionals and staff. 1.5 DSHS Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through AANAC. processing fee for each cancellation transaction. Replacements are encouraged.

14 Twelfth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Can I Skill this Resident? March 31, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Nurses As consultants, we get this question so frequently can this resident be skilled? This session will focus on the components of the traditional Medicare program technical and administrative criteria as well as the clinical criteria especially the other reasons to skill a resident if he/she cannot be skilled for rehabilitation (therapy) services. In other words, the Medicare world beyond therapy! We will make certain that the participants understand the starting and ending of a benefit period. In addition, we will look at the basics of what it takes to skill the resident and the covered services and appropriate documentation. Executive Directors, Administrators, Nurses. 1.5 DSHS Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). processing fee for each cancellation transaction. Replacements are encouraged.

15 Thirteenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: How Do We Get Paid for Medicare Part A Beneficiaries? April 7, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Therapists; _Corporate Staff Prior to this event the key contact as provided below will receive an e- confirmation with access directions, handouts and other details and is responsible for disseminating this information for all participants within their organization. Now that we know what comprises the skilled level of care services, we will continue our focus on the Medicare resident, but this time on the payment system, RUG IV (Resource Utilization Groups, Version IV). What are all those acronyms like RUC, RMA, and CB2? We will review the components of the Resource Utilization Group IV methodology for PPS (skilled Medicare) reimbursement, what specific items from the MDS 3.0 drive reimbursement and how they impact the payment categories. Also, we will review the scheduling dilemmas caused by the multiple Other Medicare Required Assessments (OMRAs), such as the End of therapy, Start of therapy and Change of Therapy. Administrators, Nurses and Therapists. 1.5 DSHS Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

16 Intermediate Fourteenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Quality Measures and Survey April 14, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Administrator; _Nurses; _Social Workers; _Activities; _Dietitian; _Corporate Staff Just like with the Five-Star rating, the revised Quality Measures have generated confusion and frustration as facilities try to figure out what impacts which measure and what set of measures are being reported to the public versus the CASPER reports. Where do the numbers come from? How do we know if the resident is a long-stay or short stay? How do you respond to a nursing home prospect or their family about the reasons for your numbers? The answer is in understanding the QMs and where they are derived what are the exclusions, which indicators have covariates? This session will focus on the measures what they are, the definitions and risk factors and how the facility can use the information to identify root causes of care problems, measure goals, reduce risk of further adverse events and fulfill a portion of the quality pledges and initiatives that continue to play a huge part in the success of each facility. Administrators, Nurses, Social Workers, Activity and Dining Services Professionals and staff. 1.5 DSHS Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC).

17 Intermediate Fifteenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: QAPI April 21, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _ED; _Administrator; _DON; _Nurses; _Social Workers; _Activities; _Dietitian; _Corporate Staff According to a provision of the Affordable Care Act, the Centers for Medicare and Medicaid Services (CMS) must establish QA/PI standards and provide technical assistance to nursing homes on best practices to meet these practices. Also, the Act requires that all nursing homes develop QA/PI programs. CMS is also charged to coordinate the implementation of QA/PI with the existing quality assessment and assurance activities already in the annual certification survey process (F-tag 520). The aim of the initiative is to expand the scope of current activities to correct quality deficiencies and to put practices in place to monitor all NH care and services to continuously improve performance. The reporting process will be critical to the process. All nursing homes will be required to submit to the Secretary of HHS a plan to meet the standards and implement QA/PI best practices. Determine the readiness and the sustainability of your program. Review the five elements of the program, and discuss steps to building the QA/PI program. Strategize a facility plan by focusing on a CMS Quality Measure as a sample to view the ongoing positive results of the QA/PI program. Administrators, Nurses, Social Workers, Activity and Dining Services Professionals and staff. 1.5 DSHS Education Credits are available and is a Certified Resident Assessment Coordinator and a Master Teacher through AANAC. processing fee for each cancellation transaction. Replacements are encouraged.

18 Intermediate Sixteenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Reaching for the Stars - Five-Star April 28, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Nurses; _Corporate Staff With so many benchmarks, performance measures and outcomes to analyze, have you figured out the changes on Medicare s Nursing Home Compare website? With the latest changes, consumers have an easier time identifying facility performance issues and comparing performance to surrounding facilities. Whether we like it or not, the facility is still Star Ranked related to: Health inspections: considering the number, scope and severity of deficiencies identified during annual surveys and complaint surveys; Staffing: nursing home staffing levels for RN hours and total nursing staff hours; and the Quality Measures (QMs): using nine (9) of the 18 QMs posted and based solely on MDS 3.0 assessments. Review these components, how they are scored and tabulated and what the facility needs to do with the data and how to improve the rankings. Also, differentiate which measures are used for the Five Star rating. Administrators, Nurses. 1.5 Education Credits are available. and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). Fees LeadingAge /Current PM Client Nonmember

19 Intermediate Seventeenth session in our 2016 MDS 3.0/RUG IV Distance Learning Series*: Where Do We Go from Here? Best Practices for MDS Coordinators May 5, 2016, 10:00-11:30 a.m. Pacific ROUTE TO: _Executive Director; _Administrator; _Director of Nursing; _Nurses; _Corporate Staff Delve into best practices for MDS Coordinators. How can the MDS Coordinator lead the interdisciplinary team to appropriate reimbursement, quality outcomes and resident-centered care? Discuss key timing and scheduling processes and how to stay on track. Review the reports that must be used to get a snapshot of the MDS process, accuracy and impact. Be the best you can be- an MDS Coordinator Extraordinaire. Administrators, Nurses. 1.5 Education Credits are available. Jane Belt, Consulting Manager, Plante Moran, PLLC, Columbus; Jane Belt has been involved with long-term care for over 40 years serving as a director of nursing and a nurse consultant. She has a Master s in Nursing and is a Certified Resident Assessment Coordinator and a Master Teacher through the American Association of Nurse Assessment Coordinators (AANAC). processing fee for each cancellation transaction. Replacements are encouraged.