2014 CONFERENCE LAS VEGAS ANNUAL. ury Leadership Care planning. Antipsychotic Interventions. d Care UPDATES QA. April 9 11

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1 Y MEASURES adership Care planning tes S AL Antipsychotic Interventions ANNUAL 2014 CONFERENCE RENCE Conference Schedule & Opportunities ANSITIONING TO ICD st Century LAS VEGAS April 9 11 LAS 20 on Strategies Restorative Care QUALITY MEASU ventions PPS & OBRA liance CO S Up d Care UPDATES QA ury Leadership Care planning We d like to thank our Presenting Sponsor:

2 we re betting on your SuCCeSS. in honor of our fifteen year anniversary, we ve upped the ante for the 2014 aanac annual Conference & exhibition in las Vegas with more of everything from specialized content to social opportunities, giving you the best odds in the house. it s no secret that great challenges surround us. From nacs to dons, and administrators to interdisciplinary teammates, the lines of responsibility have been blurred; we are all accountable for the safety, vitality, and dreams of residents depending on us to be guardians of their fate. For these three days, we come together united in our charge to raise the bar on the care we provide and lead the long-term care profession to greatness. in true aanac form, this conference provides the content that long-term care leaders like you must understand in order to effectively navigate an increasingly complex regulatory environment. no matter which sessions you choose, we ve increased the focus on root-cause analysis and critical thinking to help you analyze data and respond more effectively, saving you real time and money. a special clinical track allows you to take a deeper dive into one of four common ltc issues to improve your care planning capabilities and intervention options. double down on CritiCal topics like: QaPi: dissect current quality initiatives and utilize existing CMs resources to improve facility systems and receive accurate payment for high-quality care. Corporate Compliance: Make sense of intensified risks in order to protect your facility from unwarranted audits and defend against false claims and provider liability. icd-10: shore up your icd-10 transition planning to ensure compliance and avoid lost reimbursement in Coordination of nursing Services: Master documentation strategies that provide evidence of necessary and reasonable services while integrating with therapy and other service providers. Managing Managed Care: determine unique insurance coverage rules to help your residents and their families make educated decisions about their coverage and rights as consumers. While the unparalleled educational content is what pays for the trip, the connections and memories you make in las Vegas will be the reason you come back. Mingle with aanac s strategic leaders in our Conversations with the Board event, your chance to voice your concerns, questions, and hopes for the future of your professional association. Get a first-hand look at the products and services being developed to make your job easier in our product theaters and demonstrations. Build your community of support by taking advantage of the many different networking opportunities, including an opening reception in the exhibit hall, the First-timer Meet and Greet, and an extravagant evening award ceremony where we recognize the best and brightest in long-term care. because this time, when the chips are down, it s not the house that wins it s the homes. ruth Minnema rn, rac-ct, C-ne AANAC Board Chair diane Carter rn, Msn, rac-ct, C-ne AANAC President and CEO

3 general information education tracks Use our learning track system, identified by symbols next to each breakout session, to personalize your conference experience. Maximize your knowledge by working together with other attendees from your organization to tackle multiple tracks and share key takeaways with peers and coworkers when you return. who attends AANAC Annual Conferences bring together hundreds of experts and nurse leaders dedicated to providing top-quality care to their residents. Choose from the following tracks: reimbursement: The burden of accurate and reliable Medicare, Medicaid, and Managed Care reimbursement is increasingly placed on frontline staff. Improve your understanding of rules for contracted coverage; coordinate and code nursing and therapy services; and develop a defense against denied claims by attending sessions in the reimbursement track. Coding: MDS coding guidance from CMS is always changing, and these sessions help you increase your working knowledge of current regulations and requirements. Topics in this track cover the latest updates in both MDS and payment regulations as well as strategies to deal with the complexity of scheduling numerous assessments. See page 14 to learn about our intensive Clinical Breakout sessions that focus on common LTC maladies. leadership: A variety of initiatives and requirements have paved the way for a new group of facility leaders. Process experts, technology mavens, and individuals committed to quality have become invaluable to their facilities. Use sessions in this track to position yourself for success with a thorough understanding of QAPI, Quality Measures, and upcoming legislation affecting your facility. resident Care: Protect your residents interests and health with sessions that help you utilize rootcause analysis and assessment skills to prevent hospitalizations. You ll gain insight into crafting documentation that clearly shows the necessity and provision of care and develop individualized care plans and interventions that facilitate your resident s highest levels of physical, mental, and psycho-social well-being. Recognized as the go-to-source for decoding and interpreting complex regulations for the last 15 years, AANAC is uniquely positioned at the crossroads of leadership and resident care. From ARDs to ZPICs, our experts are prepared to coach, mentor, and meet the needs of all long-term care professionals at any position along the continuum of experience. the 2014 aanac annual ConferenCe is eligible for 12 Ces. AANAC is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s Commission on Accreditation. AANAC works in conjunction with NAB (National Association of Long Term Care Administrator Boards) to provide nursing home administrators continuing education. Official NAB approval is pending. Please check the AANAC website periodically for updates as to which courses have been approved for NAB credit. register online at: 3

4 aanac annual PreConferenCe and ConferenCe SChedule las VegaS, nv Monday, April 7 to Friday, April 11, 2014 Sunday, april 6, pm...registration Open Monday, april 7, :30 am 5:30 pm.... Preconference Registration Open 6:30 7:30 am Breakfast 7:30 am 5:30 pm...three-day Workshops * rac-ct workshop Lisa Hohlbein, RN, RAC-MT Medicare university workshop Jennifer LaBay, RN, RAC-MT C-ne workshop Sandy Biggi, RN, BSN, RAC-MT noon 1 pm...lunch tuesday, april 8, am 5:30 pm Registration/Information Desk Open 7 7:30 am Breakfast 7:30 am 5:30 pm...three-day Workshops * rac-ct workshop Medicare university workshop C-ne workshop noon 1 pm...lunch * A separate registration is required for any preconference workshop. wednesday, april 9, 2014 Final day of preconference. Conference kicks off at 4 pm with optional special events beginning at 1 pm. 6:30 am 7 pm Registration/Information Desk Open 6:30 8 am...breakfast 7 am 3:30 pm One-Day Workshop * rac-ct recertification workshop Carol Hill, MSN, RN, RAC-MT, C-NE 7:30 am 3 pm....three-day Workshops * rac-ct workshop Medicare university workshop C-ne workshop noon 1 pm...lunch 1 2:30 pm...optional Event Conversations that Matter: Meet the aanac board of directors (RSVP required) 3 3:45 pm...optional Event first-timer Meet and greet 4 5:30 pm... Welcome and Opening Keynote better Care Planning through improved idt Communication Diana Waugh, RN, BSN, CDP 5:30 7:30 pm Opening Reception in the Exhibit Hall aanac anniversary bash! thursday, april 10, am 6 pm.... Registration/Information Desk Open 7:15 8:15 am.... Product Theaters and Demonstrations 7:30 8:30 am Breakfast 8:30 10 am...breakouts Managed Care Managing the resident benefit Rosanna L. Hedrick, RN, CCM, C-NE, RAC-CT Caa Survivor Barbara A. Bates, MSN, RAC-CT, C-NE unlocking the Mystery of the CMS Quality Measures Kathleen Pellatt, RN, RAC-CT; Linda Spokane using ehr to its full Potential: 21st Century leadership Dan Billings, RN rehospitalizations: Solutions through root-cause analysis Lisa Hohlbein, RN, RAC-MT 10 10:15 am...break

5 key reimbursement Coding leadership resident Care 10:15 11:45 am....breakouts are you ready for icd-10? Jennifer LaBay, RN, RAC-MT the final Validation report: what is it really telling you? Kathy Langenberg, RN; Debra Weiland, RN, BSN health reform is here: Medicaid and Managed Care expansion Andrew E. Van Ostrand what does your documentation Say about the Care delivered? Amy Stewart, RN, RAC-CT do i know you? Profiles: alzheimer s dementia Generosa C. Austero, BS, RN, RAC-CT, DCH 11:45 am 1:30 pm Lunch in the Exhibit Hall 1:30 3 pm Breakouts documentation for external audits: don t roll the dice! Tracy Montag, RN, BSN, RAC-CT; Stephanie Kessler, RAC-CT MdS and Medicare updates Judi Kulus, NHA, RN, MAT, RAC-MT, C-NE QaPi: a Model for exceeding Compliance and achieving excellence Christine Twombly, RNC, RAC-MT, LHRM restorative Care, team approach Monica Pappas, RPT, RAC-CT; Christine Openshaw, MA, CCC, RAC-CT antipsychotic use: a real hot button Colleen Toebe, RN, MSN, RAC-MT 3 3:15 pm...break 3:15 4:45 pm Clinical Breakouts Pain assessment and treatment: documenting and tracking results Karen Feldt, PhD, ARNP, GNP-BC overcoming Challenges in diabetes Care for the nursing home resident Dana A. Saffel, PharmD, CPh, CGP, FASCP improving Quality of life for elders through assessment Jacqueline Close, PhD, RN, GCNS-BC, FNGNA; Diana Sturdevant, MSN, APRN Catching Some ZZZs: why Sleep Matters Linda M. Shell, RN, BSN, MA 5:30 6 pm...awards Reception 6 8 pm...awards Dinner friday, april 11, am 2:30 pm Registration/Information Desk Open 7 8 am....breakfast 7 8 am.... Product Theaters and Demonstrations 8 9:30 am...general Session CMS updates CMS Representatives (Invited) 9:30 9:45 am Break 9:45 11:15 am Breakouts the new world of Medicare Compliance: the Critical role of MdS Coordinators Claudia Reingruber, CPA Soup s on! deciphering 2014 Changes for therapy Elizabeth Barlow, RN, CRRN, RAC-CT, C-NE; Renee Kinder Managing PPS assessments Carol A. Maher, RN-BC, RAC-CT Staying on top of regulatory Changes Betty MacLaughlin Frandsen, RN, NHA, MHA, CDONA/LTC, C-NE MdS implementation in the organization: evidence-based Strategies Mary Ellen Dellefield, PhD, RN, MS 11:15 am 12:45 pm..... Lunch in the Exhibit Hall featuring the IN2L Ignite Theater 11:30 am 12:30 pm 12:45 2 pm...closing Keynote 15 years of Culture Change and beyond Lynne Seagle Register online at: 5

6 aanac CertifiCation & education PreConferenCe workshops All preconference workshops include handouts, breakfast, and lunch. Monday, april 7 Wednesday, april 9 rac-ct CertifiCation workshop Taught by Lisa Hohlbein, RN, RAC-MT AANAC s Resident Assessment Coordinator Certified (RAC-CT ) certification is the distinguishing characteristic of an expert in resident assessment. AANAC s RAC-CT program has long set the national standard for skilled nursing facility PPS and MDS education. More and more employers are requesting RAC-CT certified applicants in their job postings as it has become the mark of a professional who is committed to their career and residents. Constantly reviewed and updated by a team of experts, the RAC-CT program will help you to distinguish yourself as a valuable asset to any long-term care organization. In this program, you ll immerse yourself in clinical assessment and care planning, completion of the MDS, and the regulatory body surrounding the RAI/MDS process. Wednesday, april 9 rac-ct 3.0 recertification workshop Taught by Carol Hill, MSN, RN, RAC-MT, C-NE The long-term care regulatory environment is drastically different than the one you knew two years ago. In order to remain effective, it s critical to supplement the knowledge you gained when earning your Resident Assessment Coordinator Certified (RAC-CT ) designation. This program, designed by process experts for busy professionals, covers the most important RAI/MDS Updates as well as Common Coding Errors enabling you to perform more accurate assessments. AANAC RAC-CT Recertification is intended to ensure you are working with a clear understanding of the current RAI/MDS process, as well as to maintain high standards within the professional community of individuals holding the RAC-CT credential. Courses include: MDS Coding for OBRA and PPS RUG IV OBRA Timing and Scheduling Introduction to Medicare Part A Care Planning Accurately Assessing Functional Status learning objectives: Discuss the most recent updates to the RAI User s Manual and to SNF PPS. Identify the most common MDS coding errors and how to avoid them. Discuss the MDS 3.0 Quality Measures, including the topics involved, general calculation method, and MDS items used to compute each. Care Area Assessments PPS Timing and Scheduling Five-Star Quality Rating System Quality Measures the rac-ct Certification workshop provides 7.5 nursing Ces each of the three days, for a total of 22.5 Ces. the rac-ct 3.0 recertification workshop provides 7.5 nursing Ces. This recertification workshop is designed for those who have already earned their RAC-CT 3.0 designation and are approaching their two-year recertification deadline.

7 Monday, april 7 Wednesday, april 9 MediCare university Taught by Jennifer LaBay, RN, RAC-MT Medicare compliance is a vital part of your facility s ongoing success, and Medicare University is designed to help you reach that goal. By complementing your nursing expertise with a thorough understanding of Medicare processes and procedures, you ll consistently earn accurate reimbursement for the care you provide and be able to help your residents thrive. Monday, april 7 Wednesday, april 9 C-ne CertifiCation workshop Taught by Sandy Biggi, BSN, RAC-MT, C-NE Embrace your inner leader with AANAC s Certified Nurse Executive (C-NE ) certification. Earning this designation validates your leadership abilities and places you in a unique class of professionals, giving you an advantage both in the workplace and in your career. So, complement your nursing expertise with management excellence and discover your true potential. topics include: Medicare in a Skilled Nursing Facility Therapy Services under Medicare Part B Medical Review Process Medicare Documentation in a SNF Consolidated Billing in a SNF Beneficiary Notice Initiative Prospective Payment System Resource Utilization Groups (RUG IV) Skilled Nursing Facility Management Strategies Current CMS Initiatives This in-depth workshop, authored by the foremost experts in Medicare, will help you to reduce reimbursement cuts, navigate audits, avoid risky practices and stop drowning in confusing and ever-changing regulations and requirements. So get the education that traditional nursing schools didn t provide and position yourself as an expert on and off the facility floor with Medicare University. the Medicare university workshop provides 7.5 nursing Ces for each of the three days, for a total of 22.5 Ces. Please refer to the schedule on page 4 for exact times of all preconference workshops. Meet the daily challenges of long-term care head on: Lead staff and foster a caring environment Make informed decisions about staff and resident needs Comply with all human resource regulations, laws, and challenges Protect your facility with quality-improvement and risk-management plans Prepare for survey using best-practices Courses include: Human Resources Management for the Nurse Leader Leadership and Management Administrative Oversight of the RAI/MDS Process Quality Improvement and the Nurse Leader Risk Management Survey Management and Enforcement Survey Readiness Five-Star Quality Rating System Quality Indicator Survey Implications for Regulatory Change Quality Measures and the MDS 3.0 new!! Corporate Compliance for Skilled Nursing Facilities the C-ne Certification workshop provides 7.5 nursing Ces for each of the three days, for a total of 22.5 Ces. Register online at: 7

8 wednesday, april 9 Welcome to Las Vegas and the 2014 AANAC Annual Conference. Attend one of our special events to begin making connections from the moment you arrive. New members and first-time attendees will be welcomed at the First-Timer Meet and Greet, sponsored by LeaderStat, while returning members and attendees connect with AANAC s Board of Directors to share feedback, suggestions, and ideas about the future of AANAC in the Conversations that Matter event. Wednesday april 9 final day of PreConferenCe 7 am 3 pm Three-Day Workshops Conclusion of rac-ct, C-ne, and Mu 7 am 3:30 pm One-Day Workshop rac-ct recertification workshop Separate registration required for preconference workshops. ConferenCe begins 1 2:30 pm... Special Event Conversations that Matter: Meet the aanac board of directors RSVP during registration. 3 3:45 pm...special Event first-timer Meet and greet 4 5:30 pm Opening Keynote better Care Planning through improved idt Communication Diana Waugh, RN, BSN, CDP 5:30 7:30 pm Opening Reception in the Exhibit Hall aanac anniversary bash!

9 SPeCial events 1 2:30 pm Conversations that Matter: Meet the aanac board of directors Take advantage of this opportunity to network with AANAC Board members and LTC experts as they lead small group discussions about the issues affecting you, your facility, and your residents. Start off your time at the 2014 conference by getting to know your AANAC Board members and engaging in meaningful discussions on how AANAC could better support you in your role as a long-term care professional; what concerns you have regarding the future of healthcare; and what LTC issues you d like Congress to address. This event is free; however, space is limited. To reserve your spot, make sure to add this session to your conference registration. 3 3:45 pm first-timer Meet and greet Are you new to AANAC or is this your first conference? If so, please join us for this welcoming event where you will meet other first-timers, AANAC content experts, and our friendly staff while learning more about the benefits of AANAC and the conference. Supported by a sponsorship from opening keynote 4 5:30 pm better Care Planning through improved idt Communication Diana Waugh, RN, BSN, CDP There s a lot of talk about the quality of care that is both necessary and expected in longterm care these days. I told her, but she never listens. It doesn t matter who I talk to, that department thinks they re better than any other. I know what needs to be addressed in the resident s care plan, but I m nobody important. However, unless and until we can teach those who interact with the resident to truly communicate with each other, the care planning process will continue to be less than it can be. Join national memory care expert and long-time AANAC crowd favorite, Diana Waugh, as she examines all the aspects that need to be addressed in order for effective communication to take place. Find out how to deal with a negative coworker and how to successfully share information with individuals from other disciplines. Mastering these and other areas of communication will change the feel and effectiveness of care planning, and the humanness of long-term care for all involved. opening reception 5:30 7:30 pm aanac anniversary bash! Celebrate 15 years of AANAC at our anniversary party! Join fellow attendees, exhibitors, speakers, AANAC staff, and Board members for a dynamic opening reception in the exhibit hall featuring fantastic food, exciting attractions, and a cash bar. Take advantage of this opportunity to get a jump start on completing your 2014 Exhibitor Scavenger Hunt for a chance to win fabulous prizes including a complimentary flight voucher on Southwest Airlines. Come visit AANAC and spin to win a chance for the VIP experience while in Vegas! Please note: These special events occur before conference begins, so please make your flight reservations accordingly if you plan to attend. register online at: 9

10 thursday, april 10 7 am 6 pm.... Registration/Information Desk Open 7:15 8:15 am.... Product Theaters and Demonstrations 7:30 8:30 am Breakfast 8:30 10 am...breakouts Managed Care Managing the resident benefit Rosanna L. Hedrick, RN, CCM, C-NE, RAC-CT Caa Survivor Barbara A. Bates, MSN, RAC-CT, C-NE unlocking the Mystery of the CMS Quality Measures Kathleen Pellatt, RN, RAC-CT; Linda Spokane using ehr to its full Potential: 21st Century leadership Dan Billings, RN rehospitalizations: Solutions through root-cause analysis Lisa Hohlbein, RN, RAC-MT 10 10:15 am...break 10:15 11:45 am....breakouts are you ready for icd-10? Jennifer LaBay, RN, RAC-MT the final Validation report: what is it really telling you? Kathy Langenberg, RN; Debra Weiland, RN, BSN health reform is here: Medicaid and Managed Care expansion Andrew E. Van Ostrand what does your documentation Say about the Care delivered? Amy Stewart, RN, RAC-CT do i know you? Profiles: alzheimer s dementia Generosa C. Austero, BS, RN, RAC-CT, DCH 11:45 am 1:30 pm Lunch in the Exhibit Hall 1:30 3 pm Breakouts documentation for external audits: don t roll the dice! Tracy Montag, RN, BSN, RAC-CT; Stephanie Kessler, RAC-CT MdS and Medicare updates Judi Kulus, NHA, RN, MAT, RAC-MT, C-NE QaPi: a Model for exceeding Compliance and achieving excellence Christine Twombly, RNC, RAC-MT, LHRM restorative Care, team approach Monica Pappas, RPT, RAC-CT; Christine Openshaw, MA, CCC, RAC-CT antipsychotic use: a real hot button Colleen Toebe, RN, MSN, RAC-MT 3 3:15 pm...break 3:15 4:45 pm Clinical Breakouts Pain assessment and treatment: documenting and tracking results Karen Feldt, PhD, ARNP, GNP-BC overcoming Challenges in diabetes Care for the nursing home resident Dana A. Saffel, PharmD, CPh, CGP, FASCP improving Quality of life for elders through assessment Jacqueline Close, PhD, RN, GCNS-BC, FNGNA; Diana Sturdevant, MSN, APRN Catching Some ZZZs: why Sleep Matters Linda M. Shell, RN, BSN, MA 5:30 6 pm...awards Reception 6 8 pm...awards Dinner thursday april 10

11 breakouts 8:30 10 am Managed Care Managing the resident benefit Rosanna L. Hedrick, RN, CCM, C-NE, RAC-CT Many beneficiaries are unfamiliar with their current healthcare coverage and face financial and health challenges as a result. Managed Care is a growing part of the long-term care payment system, and managing it will require you to educate residents and families about their benefits and rights as healthcare consumers. During this session, you will discover how to identify the rules for residents contracted coverage and determine the unique insurance company policies that impact them. Join Rosanna to increase your understanding of resident and provider appeal rights for coverage determination and for handling Additional Development Requests for Managed Care. I am so pleased with AANAC and its reliability, accuracy, and willingness to assist the rest of us to become excellent NACs. My supervisors and therapists are all aware of how I obtain my answers to unclear issues. Caa Survivor Barbara A. Bates, MSN, RAC-CT, C-NE Care Area Assessments (CAAs) are critical to the Resident Assessment Instrument (RAI) process. By learning to navigate the CAA process effectively, you will awaken critical thinking skills that lead to more resident-focused care plans. Following this session, you will have a clear understanding of regulations, including why the CATs trigger, and how to develop and analyze an effective CAA that can be used to assist your residents in achieving their goals, while meeting regulatory care planning requirements. unlocking the Mystery of the CMS Quality Measures Kathleen Pellatt, RN, RAC-CT; Linda Spokane Why do some residents flag for a certain measure while others do not? What MDS items are used in the calculations? Which measures are risk adjusted and how do I improve them? During this session, you will acquire the keys to unlock and understand these and other QM mysteries in your facility. You will define and interpret the terms and conditions that make up QM logic in order to help your own team code more accurately and identify residents who will likely flag on a QM. You will leave able to identify the difference between long-stay and short-stay residents, recognize MDS items used in QM calculations, and explain why some residents are excluded if they have specific conditions coded on the MDS. using ehr to its full Potential: 21st Century leadership Dan Billings, RN The facility of tomorrow is almost here. Paper-filled filling cabinets and folders will soon give way to sleek systems staffed by tech-savvy nurses. Discover how an optimized and effectively used EHR (Electronic Health Record) system can transform your facility s operations and outcomes and discover where you fit in. Walk away with the tools and resources needed to promote better IDT communication, better use of staff time, and better facility reimbursement. Learn how to configure an EHR system to watch for residents change in condition, incorporate INTERACT into an EHR, and build in the benefits of EHR into your everyday practices. rehospitalizations: Solutions through root-cause analysis Lisa Hohlbein, RN, RAC-MT Not surprisingly, hospitalization is common for long and short-stay residents for varied reasons, such as de-conditioning, illnesses, or other complications. Hospitalizations are costly, and many are potentially avoidable. Healthcare reform promises continued scrutiny on this issue, which will challenge you to develop stronger clinical and operational systems. In this session, you will increase your understanding of how to analyze patterns of re-hospitalizations through a process of root cause analysis and management of risk factors. Learn additional strategies to prevent avoidable hospital readmissions, including utilizing the INTERACT process to keep your residents in the home and out of the hospital. Joan longino NAC Meridian Manor Middlebury, CT register online at: 11

12 The breakout sessions at your conference were phenomenal! They reignited a fire and passion that had begun to dim. deedee Smith foster, rn, Msn Assistant Director of Nursing Armed Forces Retirement Home Accokeek, MD 10:15 11:45 am are you ready for icd-10? Jennifer LaBay, RN, RAC-MT The ICD-10 implementation date of October 1, 2014, is just six months away, and will come faster than you think. Are you ready? Start with an overview of the ICD-10 system which covers the steps you need to avoid costly coding errors, lack of payment, audits, and survey scrutiny through enhanced planning to ensure a smooth transition. Finish with the importance of each IDT team member and their respective role in a facility-wide approach to successfully creating a strong ICD-10 system. the final Validation report: what is it really telling you? Kathy Langenberg, RN; Debra Weiland, RN, BSN Gain a different perspective on your final validation report edits. In this session, you will discover how to drill into potential root causes of various warnings and fatal edits. Discover a different way to categorize those edits, and learn the expectations and solutions surrounding each category. Improve your understanding of the connection between vendor technical data specifications and the edits that appear on your report. Ensure that you re consistently submitting accurate resident information and that you understand the impact of incorrect information. health reform is here: Medicaid and Managed Care expansion Andrew E. Van Ostrand The challenging convergence of new federal healthcare policies, emerging legislation, clinical and operational regulations, and state and federal budgetary pressures, creates risk and opportunity for facility leaders. Healthcare clinicians at all levels need to stay informed of current federal congressional and executive branch proposals as well as statebased trends that are changing the way Medicare and Medicaid are structured and financed. In this session, you will enhance your understanding of the critical issues, discover strategies for mitigating the risks association with these new realities, and explore options for succeeding in 2014 and beyond. Supported by a sponsorship from what does your documentation Say about the Care delivered? Amy Stewart, RN, RAC-CT Does your documentation say what it should? When issues arise, does it show that the care you delivered meets clinical standards? Drawing from years of experience reading nursing home documentation, Amy will share real-life documentation scenarios, including how the lack of documentation, and lack of knowledge around a resident s history, could result in inaccurate assumptions. You will gain valuable insights into how to avoid common documentation bloopers that could lead to litigation, not only for the nursing home, but for you too. do i know you? Profiles: alzheimer s dementia Generosa C. Austero, BS, RN, RAC-CT, DCH Did you know that one in eight Americans over age 65 has Alzheimer s Dementia? In this session, you will strengthen your understanding of the signs, symptoms, and stages of Alzheimer s disease, including various functional areas affected, management of symptoms, and possible pharmaceutical interventions. Non-pharmaceutical interventions will also be explored, providing actionable strategies to take back to your facility to improve visits between those afflicted and loved ones.

13 1:30 3 pm documentation for external audits: don t roll the dice! Tracy Montag, RN, BSN, RAC-CT; Stephanie Kessler, RAC-CT From ADRs to ZPICs, external audits can be a threat to any facility, but you can mitigate the risks to your facility through proper documentation. Don t be caught off guard; learn how to prepare documentation for external audits. In this session, you will improve your understanding of the various audits, the documentation needed for submission for each audit, and the appeals process and redetermination. Additionally, find out the steps to take to maintain compliance with Medicare claims. MdS and Medicare updates Judi Kulus, NHA, RN, MAT, RAC-MT, C-NE Staying current on MDS and Medicare changes would be a full-time job if you didn t have AANAC to monitor and synthesize the updates for you. This session will review critical changes to the RAI User s Manual, Medicare manuals, various transmittals, and any other clarifications that impact your day-to-day work. Judi will cover difficult coding dilemmas and commonly misunderstood MDS items while providing operational tips to manage the changes effectively. QaPi: a Model for exceeding Compliance and achieving excellence Christine Twombly, RNC, RAC-MT, LHRM The Affordable Care Act (ACA) has required CMS to broaden quality improvement activities in nursing homes, putting pressure on nurse leaders everywhere to strengthen their own quality enterprises. But they don t have to start from scratch. Hear key takeaways from the CMS-conducted demonstration project of the Quality Assurance and Performance Improvement (QAPI) Initiative, which are applicable to all settings of healthcare. The speaker will discuss the five elements of QAPI, the demonstration initiative, and how existing quality improvement programs in SNFs can benefit by using materials available from CMS. I sponsored two of my staff to come and experience the pre- and main conference. WOW! You should see them now. katherine Cass, rn, Ma, OCn, C-ne Los Angeles, CA restorative Care, team approach Monica Pappas, RPT, RAC-CT; Christine Openshaw, MA, CCC, RAC-CT An interdisciplinary approach to a Restorative Nursing program offers many benefits. With increased constraints on Part B Therapy, a good Restorative Nursing program is vital so that each resident can attain and maintain her/his highest practicable physical, mental, and psycho-social wellbeing. Gain insight into the value of an IDT approach when assessing a resident s functional status and quality of life, as well as the positive impact on Quality Measures and reimbursement. Learn more about execution of the program, ways to overcome common barriers and challenges, and ideas for selfmonitoring and evaluation of program effectiveness and outcomes. antipsychotic use: a real hot button Colleen Toebe, RN, MSN, RAC-MT The use of antipsychotic medications is definitely a hot topic! Providers are expected to align their systems with new updates to ensure that care is provided in accordance with both regulations and best practices. During this fast-paced, energetic presentation, you will receive concrete operational tips to take back to your team in order to look at the systems, policies and procedures, documentation of assessments, and use of antipsychotic medications. Gain valuable insight on how to provide quality of care and achieve regulatory compliance! register online at: 13

14 CliniCal breakouts 3:15 4:45 pm Focused clinical sessions have returned to the AANAC Annual Conference. Using member feedback, we ve selected four sessions that cover significant (and oftentimes underrepresented) issues faced by caregivers in SNFs today such as pain management, diabetes control, and the importance of sleep. You could also choose to take a deep dive into the assessment process to develop critical thinking skills that reduce hospital admissions, improve your ability to intervene sooner, and craft care plans that address comorbid conditions. With this much great content, the most painful part might be choosing which session to attend. The opportunity to hear speakers that are so knowledgeable, and trusting that what they present is the latest and most accurate information, is invaluable. Sharon Siemonsma, rn Madison, SD Pain assessment and treatment: documenting and tracking results Karen Feldt, PhD, ARNP, GNP-BC Among residents in SNF, 71% to 83% report pain that affects their activities of daily living. As caretakers, we want to minimize both the acute and chronic pain that our residents feel. During this session, you will review pain assessment and treatment for residents in long-term care facilities with special attention to the MDS 3.0 assessment criteria. Obtain suggestions for tracking assessment and demonstrating treatment strategies to reduce pain with care activities. overcoming Challenges in diabetes Care for the nursing home resident Dana A. Saffel, PharmD, CPh, CGP, FASCP Type 2 Diabetes has reached epidemic proportions in nursing home residents. The vast majority of these residents have co-morbidities that complicate treatment and put them at risk for decline and negative outcomes. Nursing staff are working in nursing homes with the challenges of assessing, treating, and managing co-morbidities of diabetic residents. These nurses are facing survey deficiencies and require skills in responding to resident choice and voice on treatment regimens. Learn how to support enhanced assessment and improve patient outcomes in residents, using evidence-based treatment of diabetes. Supported by an unrestricted educational grant from Novo Nordisk. improving Quality of life for elders through assessment Jacqueline Close, PhD, RN, GCNS-BC, FNGNA; Diana Sturdevant, MSN, APRN This session, collaboratively provided with NGNA, will help you learn to design processes using evidence-based resources that improve outcomes while meeting the needs of older adults with comorbid conditions requiring complex care. Using a comprehensive case study, you will explore problem-based learning that highlights assessment tools, problem-list and MDS plan development, as well as critical thinking skills for all members of the care team. Take your knowledge a step further with a special focus on post-acute re-hospitalization that provides new tactics to improve your 24-hour observations, early interventions, communication with teammates, and help transitioning from the initial assessment problem list to your care plans. Supported by a partnership with the National Gerontological Nursing Association (NGNA). Catching Some ZZZs: why Sleep Matters Linda M. Shell, RN, BSN, MA How well did your residents sleep last night? According to research, there is a direct correlation between sleep deprivation and the incidence of pain, falls, behaviors, anxiety, and depression in long term care. This session will provide an overview of the science of sleep, discussion of contributing factors to sleep deprivation, and evidence based interventions for improving sleep. At the end of this session, you will understand the importance of helping residents catch some ZZZs.

15 2014 aanac awards reception and dinner no one lights a Candle to hide it behind a door. The purpose of light is to create more light, to open others eyes, and to reveal the marvels all around us. For one special night, we draw together to celebrate those who have shined their lights and illuminated the path for us to follow. These are the 2014 AANAC Award and Scholarship winners, and we are so excited to introduce them to you during a special dinner celebration Thursday, April 10, at our Annual Conference. Join us for this inspirational event and remember that alone, we are but one light defying the darkness. Together, we shine brighter than the Vegas strip. Please note the additional $10 ticket fee to be included during the 2014 Annual Conference registration process. register online at: 15

16 friday, april 11 7 am 2:30 pm Registration/Information Desk Open 7 8 am....breakfast 7 8 am.... Product Theaters and Demonstrations 8 9:30 am...general Session CMS updates CMS Representatives (Invited) 9:30 9:45 am Break 9:45 11:15 am Breakouts the new world of Medicare Compliance: the Critical role of MdS Coordinators Claudia Reingruber, CPA Soup s on! deciphering 2014 Changes for therapy Elizabeth Barlow, RN, CRRN, RAC-CT, C-NE; Renee Kinder Managing PPS assessments Carol A. Maher, RN-BC, RAC-CT Staying on top of regulatory Changes Betty MacLaughlin Frandsen, RN, NHA, MHA, CDONA/LTC, C-NE MdS implementation in the organization: evidence-based Strategies Mary Ellen Dellefield, PhD, RN, MS 11:15 am 12:45 pm..... Lunch in the Exhibit Hall featuring the IN2L Ignite Theater 11:30 am 12:30 pm 12:45 2 pm...closing Keynote 15 years of Culture Change and beyond Lynne Seagle friday april 11

17 general SeSSion 8 9:30 am CMS updates CMS Representatives (Invited) Get the information you need to do your job directly from CMS! Join representatives from CMS as they provide the most up-to-date information on MDS 3.0 coding, the Prospective Payment System, Quality Measures, Quality Assurance and Performance Improvement (QAPI), and other federal initiatives. You will have the opportunity to have your questions answered via open microphones. Don t miss this eagerly anticipated AANAC conference highlight! Even though I thought I knew the information, having an actual teacher allowed me to see things in a different light and gave me the opportunity to ask questions. Mary McCarthy, rn, rac-ct Pocatello, ID breakouts 9:45 11:15 am the new world of Medicare Compliance: the Critical role of MdS Coordinators Claudia Reingruber, CPA Clinical services drive Medicare PPS revenue for SNFs. Recent OIG and GAO reports have identified areas of vulnerability in current SNF payment systems, which in combination with highly publicized fraud cases have increased the frequency of data mining, claim audits, and fraud investigations. Focusing on key areas of ZPICs, MACs, RACs and other third-party reviewers, you will learn about tools and monitoring techniques that enable clinicians and facility leaders to identify the highest risk areas and establish procedures to ensure early detection of non-compliance practices. Using real-world examples, the speaker will discuss investigative protocols, the importance of corrective action plans, and best-practices for defending denied services and overturning denials. Soup s on! deciphering 2014 Changes for therapy Elizabeth (Liz) Barlow, RN, CRRN, RAC-CT, C-NE; Renee Kinder Confused by the therapy lingo, such as MMR, MPPR, KX, and G-Codes? Let us help you navigate through the Alphabet Soup of therapy lingo and answer your questions about recent updates. We will describe the definitions of Group, Concurrent, and Co-Treatment so that you can return to your facility with a glossary of commonly used therapy definitions (max, mod, min) and definitions in Section G. Managing PPS assessments Carol A. Maher, RN-BC, RAC-CT This session is designed to assist the Medicare/ MDS team navigate the complex scheduling of PPS assessments. Since both the Office of Inspector General and CMS have recommended additional oversight of SNF PPS MDS accuracy and compliance, understanding the regulations and guidelines has become even more critical. Learn how to avoid default payment and/or provider liable days. Optimal scheduling of both scheduled and unscheduled PPS assessments will be explored with a focus on the Change of Therapy (COT) OMRAs. Tools will be provided to assist the facility Medicare team to keep on top of their PPS scheduling. Discussion will include how to hold effective daily PPS meetings, weekly Medicare meetings, and monthly Triple check meetings. Staying on top of regulatory Changes Betty MacLaughlin Frandsen, RN, NHA, MHA, CDONA/LTC, C-NE This session focuses on a range of regulatory updates and changes that are critical to the nurse leader. Compare your facility s survey to the national average and drill down into the details of the top-ten SNF deficiencies based on CMS data. Have you seen the changes to traditional survey and QIS processes and forms? Are you aware of recent CMS Survey and Certification memos? Do you know the hot topics for OIG corporate compliance? What should you be doing to comply with the Affordable Care Act? Do you know the current focus of the QIO scope of work? AANAC will provide the answers. register online at: 17

18 MdS implementation in the organization: evidence-based Strategies Mary Ellen Dellefield, PhD, RN, MS Evidence-based practice in nursing is being embraced by nurses in healthcare settings of all types including nursing homes. This session will provide an up-todate overview of research findings related to the work of MDS Coordinators and effective strategies to integrate the RAI/MDS into everyday practices of nursing staff. The keynote speaker was excellent. I could have listened to her for hours! Amidst all the educational and regulatory information, it s important to address who we are, what we do, and how we do it. It certainly brought the conference contents together. lunch in the exhibit hall 11:15 am 12:45 pm Featuring the IN2L Ignite Theater from 11:30 am 12:30 pm Join us in the exhibit hall during lunch for an exciting new learning opportunity. The motto of Ignite is Enlighten us, but make it quick, and these sessions are sure to do just that. Hosted by Jack York of It s Never 2 Late in the IN2L Ignite theater, you will be treated to an all-star cast of presenters sharing their engaging, informative, and most of all, fun fiveminute sessions for this year s conference. We invite you to see what you can learn in just a few minutes and ignite your own passion for long-term care, nursing, residents, and whatever else might come up along the way. Ignite sessions may contain promotional material and are not applicable for continuing education. CloSing keynote 12:45 2 pm 15 years of Culture Change and beyond Lynne Seagle Follow nationally-acclaimed culture change expert, Lynne Seagle, as she traces Hope House Foundation s ground-breaking journey in changing the way care is provided to people with disabilities. Hope House Foundation is widely recognized for its work in inclusion and building communities. Join Lynne as she takes us on an invigorating and thoughtprovoking excursion through entertaining stories told from her role as Executive Director that not only teach, but help her audience to imagine what IS truly possible. Explore the relationship between culture change and organizational culture, the differences between group and individualized support, and the role of leadership and participatory management in the development of staff (which is significantly different than training them.) linda Stratton, pt, dpt, rac-ct Vice President, Clinical Reimbursement, Diversicare Management Services, Brentwood, TN

19 host hotel hard rock hotel & Casino las Vegas This gem of a resort is located just off the iconic Las Vegas strip. During your stay you will be surrounded by eight on-site restaurants, three outdoor pools, two nightclubs, a spa and salon, gaming, and entertainment. You will stay in the luxurious Paradise Tower and attend sessions in the recently renovated conference center. Stay in the heart of the action with your fellow attendees and be steps from the meeting rooms and receptions. The discounted rate will end on March 10, 2014, so you must book before then to receive the special AANAC rate. Reservations in the block are reserved on a first-come, first-served basis. Please book as early as possible. In order to receive the discounted rate of $132 * for AANAC attendees, you must use this link to book your room: aanac2014annualconference * Please note: a resort fee of $22 and local taxes will apply to the rate. air and ground transportation The closest airport to our host hotel is Las Vegas McCarran International Airport (Airport Code: LAS). The Hard Rock Hotel & Casino is just a short cab ride from the airport and will cost approximately $20. To help mitigate the costs of attending the annual conference, this year we have partnered with Southwest Airlines as our preferred air carrier in order to bring you a 5 10% discount off the cost of your airfare. Visit and select Book Travel from the top navigation bar. Enter AANAC s Company ID of and hit return to search for, and book your flight at the preferred AANAC member rate before March 15, 2014, when this offer ends. Book with Southwest and be free from checked bag fees (up to two checked bags complimentary) and change fees. You also have the option to enroll in Southwest s Rapid Rewards program to start earning points toward your future travel. Visit com/corporaterapidrewards to get your Rapid Rewards membership number before booking. register online at: 19

20 registration information four easy ways to register! 1. online at 2. fax the completed registration form to: Mail completed form and payment to: AANAC, 400 S. Colorado Blvd., Suite 600, Denver, Colorado Call important deadlines March 6, 2014 at Midnight Mt Early-bird deadline. Higher fees will apply after this date (see table on page 22). Mailed registrations must be received by this date to qualify for the discount. March 10, 2014 AANAC s discounted hotel rate is available through this date; however, rooms at this rate are at a first-come, first-served basis. Please book early to ensure your spot. april 1, 2014 Pre-registration deadline. All registrations after this date must be handled on-site. Higher fees will apply (see table on page 22). your Conference registration includes: All education sessions (preconference workshops require additional registration fees; see table on page 22), Thursday s opening reception, breakfast and lunch on Thursday and Friday, entrance to the exhibit hall, access to the online AANAConnect Conference Community (opening February 2014), and an opportunity to purchase a $10 ticket to the Thursday night award dinner. your Preconference workshop registration includes: Three-day workshop registrations include workshop materials, breakfast, and lunch each day. The oneday recertification workshop registration includes workshop materials, breakfast, and lunch on April 9. Cancellations and Session transfers All cancellations and/or attendee substitutions must be submitted in writing to the AANAC office via to info@aanac.org or fax to All cancellations received before April 1, 2014, are subject to a $50 cancellation fee. After April 1, 2014, no refunds will be issued. Registration fees are nontransferable. Payment information AANAC accepts VISA, MasterCard, and American Express. Please provide appropriate contact and billing information with your payment and registration form. We are unable to process registration forms received without payment. disclosure Commercial support provided to AANAC by exhibitors and/or sponsors has in no way influenced or biased the content of education sessions or preconference workshops. AANAC does not endorse commercial products or services within its educational program and requires all presenters for sessions eligible for continuing education to ensure that the content is free from commercial influence and to disclose any potential conflict of interest. educational Session Changes The agenda disclosed is preliminary. The final agenda and educational offerings may change. Please consult your Attendee Learning Journal (distributed on-site at the conference) for actual sessions and schedules, or visit for updates to the schedule. aanac Membership You must be an AANAC member at the time of registration to take advantage of the member discount rate. Membership is non-transferable; it is based on the person and not the organization. Any attendee substitutions must also be AANAC members at the time of the conference or the higher non-member rate will be assessed. You may join AANAC at the time of registration by submitting membership dues along with your registration fee and form. Full payment for conference registration and membership must accompany your registration form.

21 registration form ContaCt information Full name First name to appear On BadGe Credentials JOB title OrGanizatiOn address home Business (PLeASe SeLeCT one) City state zip telephone address (PLeASe InCLude. ConfIrmATIonS And other ImPorTAnT InformATIon will Be distributed via .) I am a current AANAC member. My member number is. Check if this your first time attending an AANAC conference. Check if you would be interested in volunteering at the conference. tell us about yourself Please check the item that most closely defines your job function or professional discipline: Administrator ADON Clinical consultant Corporate clinical director Dietitian DON Health information specialist LTC service provider/vendor Nurse assessment (MDS) coordinator Nurse consultant Occupational therapist Physical therapist Rehabilitation nurse Reimbursement specialist/ Corporate consultant Social worker Speech therapist Staff nurse Other MDS/RAI professional Other nurse executive Other ada Or special requirements special dietary requirements (kosher, VeGetarian, etc.) See reverse to complete registration. I m not sure those of us out here in the field can express the enormity of AANAC s impact on our day-to-day desire to make a difference in residents lives. becky labarge, rn, rac-mt Corporate Clinical Director Olathe, KS register online at: 21

22 registration ConferenCe APRIL 9 11, 2014 registration MeMberS not-yet MeMberS early-bird: By march 6, 2014 $450 $800 Standard: march 7 April 1, 2014 $495 $800 onsite: After April 1, 2014 $545 $850 PayMent Method Registration forms received without payment cannot be processed. Check enclosed (Payable to AANAC. Postmarked by April 1, 2014) Credit card VISA MasterCard AMEX special awards dinner & Celebration April 10, 6 8 pm $10 $10 Guest to Awards dinner & Celebration $80 $80 Card number Conference total name On Card PreConferenCe workshops 3-day workshops April 7 9 MeMberS not-yet MeMberS RAC-CT Certification $550 $750 Medicare University $550 $750 C-NE Certification $550 $750 1-day workshop April 9 RAC-CT Recertification $200 $400 One-Year AANAC Membership $110 Two-Year AANAC Membership $220 Renewing AANAC Member No.: preconference Workshop total Membership Total Conference Total Preconference Total expiration date signature security COde CoMPlete your registration in one of four ways: 1. online at 2. fax the completed registration form to: Mail completed form and payment to: AANAC, 400 S. Colorado Blvd., Suite 600, Denver, Colorado Call Mailed registrations must be postmarked by April 1, Membership total total payment

23 exhibiting hours wednesday, april 9 5:30 7:30 pm thursday, april 10 11:45 am 1:30 pm friday, april 11 11:15 am 12:45 pm exhibit hall Join our exhibitors and esteemed partners in the AANAC Exhibit Hall where you ll find a variety of people and resources to help you improve resident care, simplify your job, and better manage quality. From consulting firms to recruiting agencies, and EHR/EMR software providers to other non-profit associations in the field, you re guaranteed to find the help you re looking for. With even more hours to interact and mingle, plus a grand opening reception held in the exhibit hall to kick off the conference, we re certain you ll find the solutions to your toughest questions or problems. exhibit hall These companies have already secured their exhibit booths: ProduCt theaters and demonstrations We invite you to attend any of the product theaters or demonstrations presented during conference breakfasts to learn about current and upcoming products geared specifically to you. Continuing education is not available with these events as they feature promotional content and presenters represent the information provided by the supporting company. The products and views expressed in these programs are not endorsed by the American Association of Nurse Assessment Coordination. Register online at: 23