We recommend this format if you do not have access to a high-speed internet connection for downloading large media files.

Experience the best of the 2019 AANAC and AADNS Conference. The 2019 Conference Session Recording features 17 education sessions from leaders and experts in the LTPAC field and with many sessions focused on the changes ahead under PDPM. Session recordings are a compilation of digital audio recordings and synchronized slides - all accessible on your computer, tablet, or phone.

This bundle includes 17 presentations, including content from the conference’s general sessions and breakout sessions.

Note: CE is not available for these recorded sessions. Sessions from CMS and Teepa Snow are not included.

We recommend a high-speed internet connection for the best downloading experience.

Experience the best of the 2019 AANAC and AADNS Conference. The 2019 Conference Session Recording features 17 education sessions from leaders and experts in the LTPAC field and with many sessions focused on the changes ahead under PDPM. Session recordings are a compilation of digital audio recordings and synchronized slides - all accessible on your computer, tablet, or phone.

This bundle includes 17 presentations, including content from the conference’s general sessions and breakout sessions.

Note: CE is not available for these recorded sessions. Sessions from CMS and Teepa Snow are not included

You may either purchase immediate access to the downloadable files, available in your My Downloads area, or purchase the pre-loaded flash drive that will be shipped to you. If you do not have access to a high-speed internet connection for downloading large media files, we recommend purchasing the flash drive.

Experience the best of the 2019 AANAC and AADNS Conference. The 2019 Conference Session Recording features 17 education sessions from leaders and experts in the LTPAC field and with many sessions focused on the changes ahead under PDPM. Session recordings are a compilation of digital audio recordings and synchronized slides - all accessible on your computer, tablet, or phone.

13 breakout sessions

• Section GG Mistakes Can Cost You a Fortune Under PDPM
• The Stars – They Are A Changing (Again)
• Expanding the Role of the MDS Nurse Through Clinical Case Management
• Phase 3 Readiness – the Final Frontier
• PDPM Case Study: Applying Theory to Practice
• ICD-10 Coding to Support PDPM
• Partnering with Therapy for Optimal Patient Outcomes
• Section M of the MDS and the Cross-Setting Pressure Ulcer Measure
• Designing Performance Improvement Projects (PIPs) with a Focus on Person-Centered Care Plans
• PDPM, Quality and Value: How to Succeed in 2019 and Beyond
• Clearly Seeing the Role of the Nurse Assessment Coordinator
• PDPM: Preparing Staff Nurses for Higher Acuity Care
• Top Five Most Cited Nursing Deficiencies and Staff Competencies Needed to Survive

General sessions

• Quality Leadership Through Collaboration: Legal and Regulatory Challenges
• 20/20 Focus on the Future: A Panel Discussion with Post-Acute Care Leaders
• PDPM Perspectives: Nursing, Therapy, and Financial (includes video)
• Collaborating to Achieve Shared Goals

Note: CE is not available for these recorded sessions. Sessions from CMS and Teepa Snow are not included.

The new survey results from CMS are in and every DON needs to know the top 10 trends in survey citations. Join this 60-minute webinar to learn about the most common citations that nurse leaders are facing today and how to prevent them.

Learners will:

• Identify the top ten citations being cited today
• Learn effective prevention measures for these common citations
• Become familiar with available resources to prepare staff for survey

Introduction to RAI Process, OBRA ’87, and RAI User’s Manual

Start building a strong foundation of knowledge by understanding how the RAI process drives individualized resident care, reimbursement, and survey outcomes.

This session will help you:

• Realize the basics and history of the RAI process
• Understand the content and how to use the RAI Manual
• Identify the importance of MDS accuracy and impact the RAI process has on care plans, quality measures, reimbursement, and survey results

MDS Coding Essentials: Sections A, B, C, H, and I

Begin your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover five MDS Sections (A, B, C, H, and I) and will start to introduce MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Sections D, E, F, and Q

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover four MDS Sections (D, E, F and Q) and will continue to help develop your MDS interview techniques.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Realize the basic tips and techniques for completing MDS scripted interviews

MDS Coding Essentials: Section G and J

The journey through the MDS section-by-section continues as we explore the intent and rationale of each item. This session will cover two MDS Sections (G and J) and will introduce you to the Rule of 3 for ADL coding.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Apply the Rule of 3 to real-life situations

MDS Coding Essentials: Section GG and K

Continue your journey through the MDS section-by-section as we explore the intent and rationale of each item. This session will cover two MDS Sections (GG and K) and walk you through the nuances of the Section GG requirements.

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize the differences between Section GG and Section G
• Apply the calculation of weight loss and weight gain

MDS Coding Essentials: Sections L, M, N, and P

Delving into the essentials of the MDS continues as we explore the intent and rationale of each item in four Sections (L, M, N, and P).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements

MDS Coding Essentials: Sections O, V, X, and Z

The journey through the MDS continues as we explore the intent and rationale of each item. This session will cover four MDS Sections (O, V, X, and Z).

This session will help you:

• Understand the intent, rationale, steps for assessment, and basic coding instructions for each item
• Review key definitions that are critical to understanding coding requirements
• Recognize when the MDS correction policy is needed for inactivations and modifications
• Apply guidelines concerning signatures for MDS coding, completion, CAA notes, and care plans

MDS Essentials: Introduction to CAA Documentation/Care Plan

Continue your journey through the next step in the RAI process as we explore the RAI requirements for Care Area Assessment notes and care plans.

This session will help you:

• Understand the RAI process for Care Area Triggers and Care Area Assessment Summary
• Apply RAI requirements for care plans
• Review case studies and examples for Care Area Assessments and care plans

MDS Scheduling Essentials: Introduction to OBRA Scheduling and Transmission Requirements

A critical piece of the RAI process is the OBRA assessment schedule.

This session will introduce you to the OBRA scheduling and transmission process by:

• Establishing key acronyms and definitions that are essential to understand the scheduling requirements
• Explaining scheduling, completion, and transmission deadlines
• Demonstrate how different assessments will impact the OBRA assessment schedule

MDS Scheduling Essentials: Introduction to PPS Scheduling and PDPM

Our journey comes to a close as we explore the SNF Medicare Prospective Payment System (PPS) schedule that is a requirement for Original Medicare Part A residents in order for the facility to receive reimbursement with the Patient-Driven Payment Model (PDPM).

This session will help you:

• Understand the assessment scheduling requirements for PDPM PPS
• Describe the ramifications of non-compliance with the assessment schedule
• Review the six components of PDPM
• Recognize the concepts of the interruption stay window
• Determine the HIPPS Codes used for billing

MDS Essentials: An Introduction to the MDS 3.0 is ten sessions of a recorded webinar that moves through the Resident Assessment Instrument (RAI) User’s Manual, helping you to understand the intent, rationale, and coding requirements of each MDS item set, Care Area Assessments, care plans, and scheduling. The program is perfect for a new NAC with less than six months of experience. Each of the ten sessions runs 75 minutes, and covers information based on the RAI User's Manual version 1.17.1, effective October 1, 2019.

1. 1. MDS Essentials: An Introduction to RAI Process, OBRA ’87, and RAI User’s Manual – 1.25 CEs
2. 2. MDS Essentials: Coding Sections A, B, C, H, and I – 1.25 CEs
3. 3. MDS Essentials: Coding Sections D, E, F, and Q – 1.25 CEs
4. 4. MDS Essentials: Coding Sections G and J – 1.25 CEs
5. 5. MDS Essentials: Coding Sections GG and K – 1.25 CEs
6. 6. MDS Essentials: Coding Sections L, M, N, and P – 1.25 CEs
7. 7. MDS Essentials: Coding Sections O, V, X, and Z – 1.25 CEs
8. 8. MDS Essentials: Introduction to CAA Documentation and Care Plans – 1.25 CEs
9. 9. MDS Essentials: Introduction to OBRA Scheduling – 1.25 CEs
10. 10. MDS Essentials: Introduction to PPS Scheduling and PDPM – 1.25 CEs

Back in May, CMS posted a draft version of the RAI User’s Manual and notified providers to check back for updates before Oct. 1, 2019. CMS released the final version 1.17.1 on Sept. 18, 2019, which contained a few additional changes when compared to the earlier draft version. And because of the monumental change to SNF PPS with the implementation of PDPM, chapters 2 and 6 of the manual received major revisions. Luckily, CMS has offered several trainings and Skilled Nursing Facility/Long-Term Care Open Door Forums, which have allowed providers to keep up-to-date with all of these changes.

After the NAC and IDT members have had some time to delve into the new processes and get beyond the transition, AANAC offered a 60-minute webinar on Oct. 17, 2019, to ensure you did not miss any of the RAI changes during the hustle and bustle of the transition. We reviewed the major differences between the early and final versions of the RAI User’s Manual, discussed some lessons learned during the first two weeks of PDPM, and provided a 30-minute live question and answer period to address your pressing issues.

At the end of this session, the participants will be able to:

• Review the major changes to the RAI User’s Manual v1.17 compared to the final v1.17.1.
• Identify the SNF PPS assessments and when to use them.
• Discuss lessons learned during the first two weeks of PDPM.
• Get your most pressing issues resolved in a question and answer session with MDS experts.

The Patient-Driven Payment Model (PDPM), certification surveys, and the QAPI process create great opportunities for the director of nursing services (DNS) and the nurse assessment coordinator (NAC) to join forces. The clinical nurse leader and reimbursement expert must come together for a meeting of the minds—where expertise, experience, and collaboration can translate into facility performance and positive resident outcomes. At times, the DNS and NAC work on islands, independently from each other, but the time to collaborate is now! Join Jane Belt and Alexis Roam in this 60-minute webinar to walk those lines of convergence as the value of collaboration reaches both islands as the lifeline of success.

At the end of this session, the participants will be able to:

• Identify opportunities for collaboration between the DNS and the NAC
• Describe the parameters of the SNF PPS assessments and why collaboration is two-way
• Recognize the realities of reimbursement for the facility’s cash flow and the impact on the nursing budget
• Understand how survey, PDPM, and QAPI are dependent upon the relationship and collaboration between the DNS and the NAC

Do you know how the April 2019 changes to the Five-Star Rating System will impact your facility rating? We anticipated the unfreezing of the health inspection star, but the recently released updates brought about unexpected impacts to all three Five-Star domains, including a threshold adjustment to the staffing domain and separate weighting and thresholds for the short- and long-stay quality measures and the new and retired measures. During this 60-minute webinar, we will dive into some of the significant Five-Star changes and how they may impact your Five-Star Quality Rating.

Following this webinar, you will be able to:

• Describe the changes in each of the three domains impacting the Five-Star rating
• Understand how inaccurate Payroll-Based Journal staffing hours can heavily influence the staffing star
• Detail strategies to improve your Five-Star Quality rating

Have you been discussing the April 2019 Five-Star Rating System changes with your director of nursing and administrator? We all need to be prepared for the very real possibility of losing stars. With the April 2019 revision of the Five-Star Technical User’s Manual, we learned there will be changes to all three Five-Star domains. In this 60-minute webinar, we cover some of the significant changes that facilities need to be aware of, including the “unfreezing” of the survey ratings, the threshold adjustments to the staffing domain, the separate weighting and thresholds for the short- and long-stay quality measures, and the new and retired measures. Watch to gain a better understanding of what you need to know and how to prepare as these Five-Star changes take effect.

At the end of this session, the participants will be able to:

• Describe the changes in each of the domains impacting the Five-Star rating
• Delineate the calculation of the overall Five-Star rating
• Discuss strategies for managing your facility's Five-Star rating

With just a few months away from the deadline to implement the Phase 3 requirements of participation, you may be asking yourself if your facility teams are ready? During this session, the presenter will focus on the key elements of the required compliance and ethics programs, staff training, QAPI governing body role and responsibilities, and trauma-informed care. The presenter will provide knowledge and instruction related to these requirements and tips/tools to ease implementation. Don't miss this opportunity to evaluate your readiness and shore up any gaps before your first standard survey after the Nov. 28, 2019 deadline.

Following this webinar, you will be able to:

• Gain an understanding of compliance and ethics programs
• Comprehend staff training requirements
• Increase your knowledge of trauma-informed care
• Create an immediate plan of action to begin the development and implementation of Phase 3 requirements

Workforce pressures are THE conversation at this and other learning sessions. We all want to succeed against these challenges, and we have tried so many things. Let’s take a step back and look at what evidence says are the fewest practices to address the broadest numbers of pressures like staffing, turnover, vacancy, workplace injuries, engagement and the like.

Following this webinar, you will be able to:

• Learn the significance of engagement related to desired outcomes like improved resident/patient/family experience, improved staffing patterns, improved margin and improved quality metrics like reduced falls with injury and increased hand hygiene compliance
• Learn that Rounding for Outcomes on direct reports, an Evidence-Based Leadership℠ practice, drives engagement and thus, desired outcomes. A demonstration will be provided.
• Learn that real-time recognition, aligned to organizational values, creates consistency practices, predictable results and high engagement. Examples will be provided.

The Patient-Driven Payment Model (PDPM) is coming this October and with it the Interrupted Stay Policy, which determines when Medicare will treat multiple SNF stays as one single “interrupted” stay, rather than separate stays. During this 90-minute webinar, we will divulge the details of this new policy and explore several case studies—learning how an interrupted stay will be applied, the billing implications, the impact on the variable per diem, and the effect on the PPS schedule. Nurse assessment coordinators (NACs) will develop the skills needed to track interrupted stays, adjust the schedules of both the OBRA and PPS assessments, and ensure appropriate billing during the interruption window.

At the end of this session, the participants will be able to:

• Learn the criteria of the Interrupted Stay Policy and the definition of the interruption window.
• Review the impact an interrupted stay will have on the PPS and OBRA assessment schedules and the variable per diem rates.
• Understand the application of an interrupted stay through a series of case studies.
• Gain strategies for success and appropriate billing when an interrupted stay occurs.

Documentation is critical to support the delivery of safe, effective care. Additionally, solid documentation supports MDS coding. With the implementation of PDPM right around the corner, relying on checklist documentation may not fully capture all the information your team needs. During this 60-minute webinar, we will discuss a three-D approach to documentation to help guide your nursing staff’s documentation of residents. Documentation that is detailed, distinct, and deliberate will help to ensure you are capturing key elements to support care delivery.

Following this webinar, you will be able to:

• Find out why documentation is critical to support care delivery
• Learn the three-D approach to documentation
• Understand the impact of documentation under PDPM

Compliance with recent SOM regulations related to staff competency require nurse leaders to tailor a training and education plan for staff specific to their facility’s resident population. The recent updates require not only sufficient nursing staff, but also that staff have the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care. In addition, as of November 28, 2017, facilities must link staffing with the required facility assessment, which considers the number, acuity and diagnoses of the facility’s resident population. While the task of ensuring competency-based staffing might seem burdensome there is a bright side. Training and education are often associated with increased staff retention, decreased staff turnover, improved patient/resident outcomes, and a more effective and engaged workforce.

This 60-minute webinar will discuss with key considerations when applying competency-based staffing using the facility assessment. In addition, participants will be given an example of a training/education evaluation plan that will assist in identifying site specific training needs.

Participants will be able to:

• Compare and contrast competency-based educational offerings with knowledge-based in-service offerings.
• List three benefits of providing competency-based staff education.
• Develop a facility-specific training/education evaluation plan that will help identify educational needs and the resources needed to offer the education.

Congratulations! Your course extension has been approved. Once you complete your purchase, your course will be extended for an additional 90 days from the date you open/launch it.

Upon completion of The Five-Star Quality Rating System, the participant will be able to:

• Describe how the annual licensing and certification survey impacts the Five-Star Quality Rating System;
• Explain how the rating for staffing is computed;
• Review the role of Quality Measures in the Five-Star system;
• Detail how to proactively institute quality assurance activities to assist in enhancing the Five-Star rating.

Note: There are 3 exam attempts per course.

The course was written by Rena R. Shephard, MHA, RN, DNS-CT, QCP, RAC-MT.

This course is eligible for 2.0 continuing education hours.

Upon completion of The Five-Star Quality Rating System, the participant will be able to:

• Describe how the annual licensing and certification survey impacts the Five-Star Quality Rating System;
• Explain how the rating for staffing is computed;
• Review the role of Quality Measures in the Five-Star system;
• Detail how to proactively institute quality assurance activities to assist in enhancing the Five-Star rating.

RAC-CT, online + PDF format. Non-refundable.

Save 5% immediately and get all 10 RAC-CT courses by purchasing the easy-click online + PDF set!

The course was written by Rena R. Shephard, MHA, RN, DNS-CT, QCP, RAC-MT.

This course is eligible for 2.0 continuing education hours.

Upon completion of The Five-Star Quality Rating System, the participant will be able to:

• Describe how the annual licensing and certification survey impacts the Five-Star Quality Rating System;
• Explain how the rating for staffing is computed;
• Review the role of Quality Measures in the Five-Star system;
• Detail how to proactively institute quality assurance activities to assist in enhancing the Five-Star rating.

RAC-CT, printed manual format. Returns & Refunds.

Save 5% immediately and get all 10 RAC-CT courses by purchasing the easy-click printed manual set!

The course was written by Rena R. Shephard, MHA, RN, DNS-CT, QCP, RAC-MT.

This course is eligible for 2.0 continuing education hours.

Congratulations! Your course extension has been approved. Once you complete your purchase, your course will be extended for an additional 90 days from the date you open/launch it.

Congratulations! Your course extension has been approved. Once you complete your purchase, your course will be extended for an additional 90 days from the date you open/launch it.