2017 AANAC Conference Schedule

To download a PDF of the conference brochure, click here.

Wednesday, May 3

7 am - 7 pm Registration and Information Desk Open

1 - 7:30 pm Optional Events and Welcome Events

1 - 2:30 pm

Get to know members of the AANAC Board of Directors during this intimate and informal session. Leading small-group discussions at individual tables, AANAC Board of Directors members will briefly introduce various topics, and then you and the other participants in your group will share your views and experiences. Past topics have included best practices in the RAI process, rehospitalization reduction, and accountable care organizations.

Seating is limited, so make sure to add this session to your conference registration.

3 - 3:45 pm

Are you a new AANAC member or first-time conference attendee? Make a pit-stop at this kick-off event to begin networking and make some new friends. This fun and relaxed get-together happens just before the opening keynote and is a wonderful place for new conference attendees to meet other first-timers, rub elbows with the AANAC experts and board members, and put faces to names of the AANAC staff. We look forward to meeting you there as we travel the roadmap to the future together!

4 - 5:30 pm

Meagan Johnson, Generational Expert

The workplace is not what it used to be. People are living and staying in the workforce longer, making this the first time in history that four generations are working with each other. Productivity, culture, and growth are being negatively affected by generational assumptions. There’s also the problem of obtaining and retaining multi-generational talent. The potential for collision, conflict, and confusion between the generations has never been greater. Your challenge is not just figuring out how to put up with each other, but how to uncover and incorporate what motivates each generation to do what’s best for the organization as a whole, and most importantly, for your residents.

5:30 - 7:30 pm

Join us after the opening keynote for the best party in town! Our exhibit hall will transform into a road trip across America, so grab your new friends, get a drink and some delicious snacks, turn up your favorite car-singing tunes, and explore the best that long-term care in America has to offer by visiting with our exhibitors! While you are exploring, be sure to participate in our fun contest to see how many road trip destinations you can mark off your list as you compete for great prizes. Don’t forget to stop by the photo booth, sponsored by BKD CPAs & Advisors, to bring home a souvenir from your “AANAC Road Trip!”

Thursday, May 4

7 am - 6 pm Registration and Information Desk Open

7:30 - 8:30 am Breakfast

8:30 - 10 am Breakouts

8:30 - 10 am

Lisa Thomson, LNHA and Colleen Toebe, RN, RAC-MT

QAPI implementation deadlines are fast approaching and the MDS compliance system and the role of the NAC are in the target zone. Is your facility staff ready? In this session, you’ll get timely insight into how nursing home regulations, QAPI, and MDS systems merge to improve outcomes. If you are a NAC or an MDS specialist, then you need to know how you can participate meaningfully in QAPI compliance and improved clinical systems. Using QAPI systems thinking is essential to avoiding MDS system failures, minimizing coding errors, and ensuring quality care and outcomes.

  • Describe how MDS systems, accuracy, and ethical practice are connected to new federal regulations for QAPI
  • Detail the RAI/MDS system components most at risk for non-compliance and poor outcomes
  • Explain how QAPI can help identify and shore-up MDS process weakness

8:30 - 10 am

Tracy Burger Montag, BSN, RAC, CT and Stephanie Kessler, RAC-CT

The Quality Measures methodology is a complex system, and understanding the methodology is crucial to the provider when looking at their Five-Star Quality Rating System. CMS greatly expanded the number of short-stay measures used on Nursing Home Compare and added domains not covered by the other measures. Participants will expand their knowledge of both the “old” measures and the “new” measures phased in by January 2017. The presentation will include a comprehensive description of the design for the Nursing Home Compare Five-Star Quality Rating System. The participant will have an understanding of how the Rating System works and will receive information on health inspections and staffing in addition to the Quality Measures.

  • Define the Quality Measures that impact the Five-Star Quality Rating System
  • Repeat the measures utilized for the staffing component of the Five-Star Quality Rating System
  • Identify the measures for the outcomes of the State Health Inspections and the effect of the facility rating
  • Analyze your Quality rating and apply the knowledge learned during this session to improve your facility’s overall Five-Star rating

8:30 - 10 am

Amy Franklin, RN, RAC-MT, DNS-MT, QCP-MT

Discover where the ICD 10-CM codes go and who is looking at them. From your MAC/FI (billing part A/B), to the quality reporting programs, you want to make sure that you are in the know of where that code goes. We’ll review the updated coding rules for SNFs (no hospital rules), when to clarify with the physician, applying practical clinical documentation improvement (CDI) strategies, specificity coding, and all that is included in the IMPACT Act.

  • Describe three practical application techniques to Clinical Documentation Improvement (CDI) efforts
  • Identify three key time-saving tips to coding injuries and after care codes
  • Understand principal and secondary codes to increase UB-04 validity
  • Utilize coding tips for Part A/B billing

8:30 - 10 am

Mark McDavid, OTR/L, RAC-CT

With the addition of the new section GG, the LTC staff is left to figure out exactly who and how to complete it. In this presentation, you will get practical ideas and tools to use when capturing section GG data, as well as suggestions on when input should come from the IDT and which members should be involved.

  • Leave with practical tools and suggestions for how to capture section GG information and who should be involved in those discussions
  • Understand the sections of GG required by CMS to be completed and who should complete those sections

10 - 10:15 am Break

10:15 - 11:45 am Breakouts

10:15 - 11:45 am

Rena Shephard, MHA, RN, RAC-MT, DNS-CT, QCP-MT

The Office of the Inspector General (OIG), the policing arm of Medicare, has made it clear that nursing homes are high on its list when it comes to false claims targets. The $155 million in nursing home settlements last year, plus the multiple ongoing cases against nursing homes, serve as a jolting wake-up call for providers about problems with coverage decisions and documentation. The speaker will spotlight nursing home practices that can result in major problems for providers, suggest effective methods for avoiding these pitfalls through daily activities, and highlight the role of the newly mandated QAPI and compliance and ethics programs.

  • Discuss major vulnerabilities within facility practices that can expose providers to false claims accusations
  • Find out how much not knowing what you don’t know about appropriateness of Part A coverage applies in your facility
  • Describe documentation pitfalls when it comes to supporting skilled nursing and skilled rehabilitation services
  • Describe three activities within a facility that can help to ensure that Part A coverage can stand up to OIG scrutiny

10:15 - 11:45 am

Jeri Lundgren, RN, BSN, PHN, CWS, CWCN, CPT

The speaker will discuss how decreased mobility is the primary cause of falls and an overall deterioration in the health of residents. You will learn about exercise and restorative nursing programs that prevent falls and a decline in function by enhancing mobility, balance, strength, and endurance of residents. The speaker will describe how to set up an environment to help promote safe mobility and discuss Medicare/MDS requirements for capturing a Restorative Nursing program.

  • Describe the impact of immobility on overall health of the elderly and how it is the primary cause of falls
  • Identify exercise programs and restorative nursing interventions that help your residents maintain or improve their mobility, strength, and balance
  • Demonstrate how to set benchmarking data and document a mobility enhancement and restorative nursing program to meet MDS requirements

10:15 - 11:45 am

Pamela White RN, RAC-CT

ADL coding accuracy is more crucial than ever due to the impact on Quality Measures, reimbursement, and MDS Focused Survey. Many times, the responsibility for ensuring that the ADL charting is not only accurate, but complete, falls on the MDS coordinator. The MDS coordinator is charged with scrutinizing the charting, training the CNAs who document the ADLs, and ensuring that documentation is not missed. Even with CNAs electronically charting, in “kiosks” there is often a disconnect between what the resident actually does and what is charted. In this session, you’ll learn an alternative to standardized, PowerPoint focused, lecture type trainings that may appeal to the adult learners of Generation X and Millennials.

  • Learn why an effective ADL documentation learning program is crucial to the success of your facility
  • Comprehend how Generation X and Millennials learn most effectively
  • Incorporate gaming and e-learning into your training
  • Learn how to gauge if your training is effective

10:15 - 11:45 am

David Siegelman, PT, MSPT, RAC-CT and Mojdeh Rutigliano, MSN, RN, DNS-CT, RAC-CT

As healthcare reform makes a further imprint on long-term care, understanding the relationships with hospital partners will have an instrumental role in an organization’s ability to manage its outcome measures. Effectively managing these partnerships will have a profound effect on your Quality Measures implemented in 2016, as well as future measures. Similarly, relationships aimed at a systematic approach to communication results in a smoother transition in care throughout the continuum.

  • Understand why hospital partnerships are important in the current healthcare reform environment
  • Recognize the effect hospital partnerships can have on your organization’s outcome measures
  • Understand best practices for meeting the needs of your partners as well as maximizing your outcome measures

11:45 am - 1:30 pm Lunch in the Exhibit Hall 
Sponsored by

1:45 - 3:15 pm General Session

1:45 - 3:15 pm

Speakers from CMS: Evan Shulman, Christine Teague, and Sara Brice-Payne

CMS representatives from the survey and certification division, the quality measurement group, and the payment division will share valuable information about the current national initiatives that affect the everyday care of nursing home residents and their staff. CMS representatives will cover topics such as the quality reporting program, value-based purchasing, the new survey process, the final rule for SNF/NF Conditions of Participation, compliance initiatives such as focused surveys, and other CMS activities.

3:15 - 3:30 pm Break

3:30 - 5 pm Breakouts

3:30 - 5 pm

Sherri Robbins, RN, CLNC, RAC-CT, LNHA and Julie Bilyeu

In this session, clinical and billing consultants will dive into puzzling MDS scenarios and their impact on billing. We will discuss processes that should be in place between clinicians and the business office to ensure that MDS errors are being identified and properly resolved prior to billing. We will also discuss what needs to happen on the claim when MDS errors have been discovered but are not acceptable for modification.

  • Identify tools that can be used by MDS and billing to identify if MDS information is being properly captured on claim forms
  • Describe common MDS errors and their impact on billing
  • Identify which sections of the RAI User's Manual provide instructions on how to bill when an MDS error is identified
  • Recognize processes that should be put in place to identify MDS errors and communicate proper billing to the business office

3:30 - 5 pm

Jessie McGill, RN, RAC-MT

Time is a common frustration among NACs, especially not having enough time to get the MDS job done! Both NACs and managers struggle to determine how much time the NAC job takes to do it well. The NAC must coordinate the RAI process by managing a revolving door of deadlines and completion dates, all within the narrow windows allowed. It’s not just about completing the MDS; there is much more to the role of the NAC. In this session, you will learn how to provide the NAC with ample time for strategic scheduling, data analytics, and educating nurses and nurse assistants. Having enough MDS assessment hours is essential to strengthening the RAI process, accurate documentation, proactively improving Quality Measures, and developing a strong person-centered plan of care.

  • Review the 2017 AANAC work study results describing national MDS assessment completion time-frames, including section GG and the Part A Discharge PPS Assessment
  • Detail how to use an MDS hours calculation process to determine how many MDS nursing hours a facility needs and how to manage workload
  • Describe barriers to the NAC’s success and ways to overcome them
  • Understand the time demands of a NAC to coordinate and successfully complete the RAI process

3:30 - 5 pm

Carol Maher, RN-BC, RAC-MT, CPC

Change of Therapy OMRAs are the most confusing of the PPS assessments. The RAI User’s Manual instructions have changed frequently since the onset of the COT assessments. The COTs are one of the targeted areas reported on the PEPPER report and also noted as a high risk area by the OIG. AANAC members need the most up-to-date information regarding the Change of Therapy OMRAs. The speaker will review the basics of COTs and move through the complex issues that can be encountered during the COT observation windows.

  • Describe how a rolling seven-day COT observation window begins and ends
  • Explain the importance of "used for payment"
  • Verbalize when a scheduled assessment can be used in place of a COT
  • State the payment implication of early and late COTs

3:30 - 5 pm

Karen Beres, BSN, RN, CEA, RAC-CT

Elder-centered care planning may seem difficult or intimidating compared to traditional care planning methods. Culture change has come to stay in the long-term care world. In order to move from traditional to elder-centered care plans, a facility must jump into the culture change world fully from top to bottom and include every employee to make changes that are both effective and meaningful. Elder-centered care plans then become a natural extension of the rest of your culture. Join Karen, an MDS coordinator from Rolling Hills, in the story of how her team has developed an elder-centered care planning process that includes a lack of nursing care plan books, meeting at the elder's bedside, and personal stories all being part of the process.

  • Possess a new and practical way of looking at care planning
  • Explain how to have hands-on care partners involved in every step of the care planning process
  • Understand how the changes discussed in the session will involve his/her elders more deeply in their own care

5 - 6:30 pm Optional Event

Sponsored by  

5 - 6:30 pm

Enlighten us, but make it quick! In this fast-paced speaker series, each presenter has five minutes and 20 auto-advancing slides to share their stories, lessons, and experiences. From care plans to family vacations, the topics can be inspiring, educational, and funny. Come by and enjoy light appetizers, a cash bar, and enlightening presentations.

Friday, May 5

7 am - 2:30 pm Registration and Information Desk Open

7 - 8 am Breakfast

8 - 9:30 am General Session

8 - 9:30 am

Expert Panelists:

  • Judi Kulus, NHA, RN, MAT, RAC-MT, DNS-CT
  • Carol Maher, RN-BC, CPC, RAC-MT
  • Deborah Myhre, RN, RAC-MT, WCC, DNS-CT
  • Andrea Otis-Higgins, MBA, RN, CDONA, RAC-MT
  • Rena Shephard, MHA, RN, RAC-MT, DNS-CT, QCP-MT
  • October 1, 2017, is just around the corner. Once again, the MDS will see some significant changes. During this session, AANAC subject matter experts and Master Teachers will share key highlights of what every NAC needs to know to be ready for the upcoming payment, coding, and regulatory requirements. During this session, expert panelists will respond to audience questions. Come to this session prepared to learn what’s expected to change, what you need to do to prepare, and get your questions answered.

    9:30 - 9:45 am - Break

    9:45 - 11:15 am Breakouts

    9:45 - 11:15 am

    Jane Belt, MS, RN, RAC-MT, QCP

    The IMPACT Act of 2014 is well-named as it certainly has had quite an impact on operations in skilled nursing facilities and as the saying goes, ”We’ve only just begun...” As we continue to learn more about the requirements, we learn how the MDS is changing to accommodate the data collection. In the FY2017 SNF PPS Final Rule, CMS adopted the drug regimen review (DRR) as a Quality Measure in the SNF Quality Reporting Program (QRP). The measure assesses whether post-acute care (PAC) providers were responsive to potential or actual clinically significant medication issue(s) when such issues were identified.

    But before we even get there, the November 28, 2016, Phase 1 Revised Requirements of Participation (ROP) required that much greater attention be given to the drug regimen review process to protect the residents from unnecessary medications and medication errors. Phase 2 regulations slated for November 28, 2017, will put great focus on the drug review process, including psychotropic drugs, medication errors, and the actions implemented when issues were identified and reported.

    In this session, we will explore the specifications for accurate completion of these new items in Section N and how drug regimen review (DRR) requirements will impact the survey process in Phase 2 of the CMS Revised Requirements for Participation. Join us and be ready for these huge implications of medication reconciliation (MR) as we IMPACT quality of care for your residents.

    • Describe the specifications for the new items in section N of the MDS
    • Review the technical specifications for the MDS items related to DRR Quality Measure
    • Delineate the performance gaps identified in the pilot project
    • Identify action items to put into place in the facility now to help prepare for the new requirements and in the meantime reduce as much as possible any adverse medication events

    9:45 - 11:15 am

    Kelton Swartz, RAC-CT

    Following this session, you will understand the multiple uses and intentions of the growing list of Quality Measures nursing home providers and stakeholders are consuming today and in the near future based on fast-changing legislation. Members of AANAC are involved with every aspect of the facility’s quality measures, and it will be increasingly important for everyone to understand that what they do in their daily roles can and will impact the outcomes of the measures. Participants will also learn how to use the measures in facility-driven initiatives.

    • Understand what regulations and initiatives are driving the growing number of Quality Measures in Nursing Home and related LTPAC providers
    • Delineate the difference between the domains of Quality Measures in terms of which impact payment, those that drive quality scores, and everything in between
    • Establish best practices for integrating current and future Quality Measures into strategic workflows, in an effort to provide optimal quality and operational outcomes, and to address quality or value-based reporting requirements

    9:45 - 11:15 am

    Maureen McCarthy, RN, BS, RAC-MT, QCP-MT

    With data reported from Oct. 1, 2016 – Dec. 31, 2016, being used to determine Medicare rates for the next fiscal year and subsequent years, MDS coding accuracy will be imperative. Can you afford to fall behind? Attendees will learn concepts of SNF reporting programs, take part in MDS coding and scheduling scenarios that may affect program statistics, and review best strategies for implementation and monitoring.

    • Attendees will learn the concepts of the SNF QRP & SNF VBP programs
    • Participants will learn which measures impact which reporting programs
    • Audience will participate in MDS coding & scheduling scenarios that may affect program statistics, such as diagnosis assignment and Medicare Advantage products
    • Attendees will be provided with strategies for best practices in preparing for the shift and monitoring beyond the program inception into future years

    11:15 am Lunch Event
    Sponsored by 

    11:15 am

    Join us at the always-memorable AANAC Awards Celebration where we gather to recognize leaders in long-term care, our esteemed 2017 AANAC awards and scholarships winners. As we navigate uncertain futures in the world of long-term care, who will we look to for guidance along the way? We will gather to hear the stories of these ten outstanding examples of excellence in long-term care. Nominated by their co-workers and selected by a committee of their peers, these individuals represent the leading minds, pioneering spirits, and tireless advocates of resident voice and quality care.

    After the Awards Celebration - 2 pm Closing Keynote

    After the Awards Celebration - 2 pm

    Janet Feldkamp, RN, BSN, LNHA, JD, CHC

    The MDS is expanding in importance and is in the cross-hairs of the OIG, ZPICs, MACs, and the SNF/NF Conditions of Participation’s Mega Rules. Janet Feldkamp, JD, is the legal counsel and expert on compliance that every facility wishes was on their dream team of advisors. With major organizations being charged with false claims and poor care, MDS assessment and charting accuracy is more important than ever. In this important session, the speaker will describe important compliance trends, legal risks, and facility practices that must be in place to minimize audit risk.

    • Describe the regulatory and compliance issues impacting MDS assessment nurses
    • Explain false claims and how inaccurate MDS assessments negatively impact audit oversight outcomes
    • Provide expert insight regarding current trends in OIG compliance activity and other regulatory oversight issues to assist facility professionals in how to ensure compliance
    • Provide update on changes with Requirements of Participation, Interpretive Guidelines, and other legal and regulatory items impacting nursing facilities

    Special thanks to our presenting sponsor: