3 - 3:45 pm

This fun and relaxed get-together is the perfect way to kick-off the conference for first-time conference attendees and those new to either association. Enjoy this great opportunity to meet other members and begin networking and making new friends. The First-Timer Meet and Greet also gives you the chance to talk with AANAC and AADNS experts, board members, and staff, and have some fun at the same time. We look forward to meeting you there!

4:30 - 5:30 pm

The emerging payment models and changes in the systems of healthcare delivery require close collaboration between assessment and reimbursement experts and clinical care leaders. Join the AAPACN Board of Directors for a panel discussion as we identify future opportunities for long-term and post-acute care and share our vision for how the American Association of Post-Acute Care Nursing (AAPACN) will lead, support, and empower professionals through programs focused on quality outcomes, education, and advocacy.

5:30 - 7 pm

Dementia Expert Teepa Snow, MS, OTR/L,FAOTA, Positive Approach to Brain Change 

Learn to recognize and appreciate the role that your behaviors, words, actions, and reactions play in the behaviors that are typically seen in people living with dementia. During this session, you’ll discover more about alternative approaches and responses that are effective in promoting more positive interactions and outcomes. The goal of these approaches is to help caregivers manage their own behaviors to change patterns rather than trying to get the person with dementia to “behave themselves.”

7 - 9 pm

Join us after the opening keynote and jump-start your networking with great food and drinks. Don’t forget to explore the best that long-term care has to offer by visiting with our many exhibitors.

8:15 - 9:45 am

Moderator:

Panel:

With PDPM on the very near horizon, understanding the impact that it will have on resident care delivery, payment, IDT collaboration, length of stay, and a host of other changes, is critical to readiness, planning, and a smooth transition away from RUG-IV. We strategically selected a nurse, a therapist, and a nursing home administrator/accountant to bring their unique perspectives on how PDPM will impact skilled nursing facilities. Don’t miss this engaging session designed to help directors of nursing and nurse assessment coordinators gain critical insights needed to succeed in the new payment system.

12:30 - 1:30 pm

Melanie Tribe Scott, BSN, RN, RAC-MT, RAC-MTA, QCP, Health Concepts 

You've heard about it. You’ve learned about it. Now it's time to do it. Person-centered care planning has been part of the requirements of participation since 2016. Many facility staff, including nurse assessment coordinators, still struggle with the process. This presentation will outline how the presenter took 12 facilities from using generic templates to developing their own truly person-centered care plans.

·         Identify Comprehensive Care Plan regulations

·         Be able to implement the change from care plan templates to person-centered care plans

·         Describe the process of bed-side care planning

·         Give examples of various formats for care planning including the, About Me, Narrative, and video formats

12:30 - 1:30 pm

Mark McDavid, OTR/L, RAC-CT, Seagrove Rehab Partners 

As we transition to a new payment model, section GG will now directly impact the facility’s reimbursement as well as their Quality Reporting Program score. Ensuring that your section GG data is correct will now be more important than ever. This session will discuss what goes into each section GG item and best practices around capturing that data correctly, as well as discuss the therapy/nursing collaboration that should be occurring.

·       Understand all section GG items, specifically the items that will impact PDPM payment

·        Identify best practices for capturing and documenting section GG items

·       Recognize how section GG will impact the Nursing, Physical, and Occupational Therapy case-mix groups in the Patient-Driven Payment Model

12:30 - 1:30 pm

Jennifer LaBay, RN, RAC-MT, RAC-MTA, JLB MDS Consulting

The Five-Star Quality Rating System continues to undergo changes as CMS seeks to monitor and broadcast nursing facility performance. With more changes anticipated in April 2019, being knowledgeable and ready to respond to these changes is essential for nursing leaders. During this session, you will gain valuable operational strategies to manage the changes. Join expert trainer Jennifer LaBay for a review of the updated Five-Star system. We will discuss the three domains used to calculate the Five-Star ratings including changes to the QM calculations, PBJ staffing calculations, and the Health Inspection star ratings.

·         Identify proposed changes to QM affecting Five-Star ratings

·         Discuss changes in weighting and standardization of QM in Five-Star calculations

·         Identify changes in QM calculations across Short Stay, Long Stay, and overall Quality Measures

·         Detail updates to PBJ Staffing Measure Specifications

·         Describe changes to the Health Inspection stars

·         Identify strategies your facility staff can use to manage Five-Star changes

12:30 - 1:30 pm

Carol Hill, MSN, RN, RAC-MT, RAC-MTA, QCP-MT, DNS-MT, CPC, Hill Educational Services 

With managed care, PDPM, bundled payment and alternative payment models, the MDS nurse may be questioning, “What’s my role, where do I go from here”? One perception is less MDS assessments will equal a need for fewer MDS nurses. Despite numerous changes on the horizon for SNFs, the MDS nurse will continue to play a vital role in reimbursement and resident outcomes. Set your sights on the future of the role of the MDS nurse by exploring a clinical case management perspective to resident care.

·         Define case management

·         Compare and contrast case management and MDS coordination

·         Give one example of a skill the MDS nurse can expand to enhance a case management approach to resident care

12:30 - 1:30 pm

Stacey Johnson, MSN, RN, HFA, Trinity Health Senior Communities 

Deb Speck, RN, GRN, Trinity Health Senior Communities 

From this session, you’ll gain a better understanding of the needs of staff in LTC. The speakers will provide information on what motivates staff how to apply Maslow’s pyramid to the LTC workforce, and how to create a culture to better meet the needs of staff in the community.

•         Understand the reasons for the LTC workforce crisis

•         Comprehend Maslow’s Hierarchy of Needs and how to apply Maslow’s concept to the LTC workforce

•         Learn methods for creating a culture to better meet the needs of staff in your community

12:30 - 1:30 pm

Jillene Nero Snow, MBA, BSN, RN-BC, CHC, Community Health Services of Georgia, AAPACN Board Vice Chair 

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. 

•        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

3:15 - 4:15 pm

Janet K. Feldkamp, JD, BSN, RN, LNHA, CHC, Benesch Attorneys at Law

The post-acute regulatory and legal changes and obstacles have been and continue to be significant; however, a dynamic leadership team can rise above those challenges. The speaker will provide information and data about current regulatory, legal, and operational stressors in post-acute care. Recommendations and suggestions for successful leaders will be discussed to help achieve positive attitudes, skills, and results.

4:30 - 5:30 pm

Margaret Koenig, RN BSN, MAS, RAC-CT, Genesis Healthcare and Amy Miller, RN, BSN, RAC-CT, Genesis Healthcare

It’s one thing to learn the rules; it’s another experience entirely to transfer that knowledge into practice. If you have already learned the rules of PDPM, this session will help you to apply your knowledge to formally determine the actual classification for a patient and the ultimate impact to the per diem rate over a patient stay. You’ll also hear why accurate documentation is paramount to reimbursement under PDPM. Utilize the steps in Chapter 6 of the RAI User’s Manual to determine the five PDPM classifications for a patient

•       Determine the per diem rate for day 1-30 of the patient stay

•       Understand the impact of accurate documentation of the MDS for reimbursement under PDPM

4:30 - 5:30 pm

Carol Maher, RN-BC, RAC-MT, CPC, Hansen Hunter & Co

ICD-10 coding will have a major impact on PDPM by establishing the principal diagnosis for the therapy components and identifying qualifying comorbidities that will impact the Non-Therapy Ancillary component. MDS coordinators will need an understanding of ICD-10 coding guidelines and the basic steps for choosing the correct ICD-10 codes for each resident’s stay.

•       Report the proper process for identifying an accurate ICD-10 code using the ICD-10-CM coding manual

•       List the PDPM components affected by accurate ICD-10-CM coding

•       State where the Principal diagnosis ICD-10-CM code should be entered onto the MDS

•       Describe how to determine the main term for ICD-10-CM coding

4:30 - 5:30 pm

Elizabeth Barlow, BSN, RN, CRRN, RAC-CT, DNS-CT, RehabCare and Judy Freyermuth, PT, RehabCare

From this session, you’ll gain an understanding of how to facilitate patient-centered care through engagement of the interdisciplinary team. In addition, you will utilize tools and processes discussed during this session to achieve patient goals and optimal functional outcomes.

•       Understand the importance of identifying functional deficits and underlying impairments

•       Utilize section GG as a tool to discuss outcomes

•       Describe the role of the team in transitions of care (discharge planning)

4:30 - 5:30 pm

Jennifer Pettis, MS, RN, WCC, Nurses Improving Care for Healthsystem Elders, NYU Rory Meyers College of Nursing

The Centers for Medicare & Medicaid Services (CMS) made many changes to section M of the Minimum Data Set, Version 3.0 (MDS 3.0) effective October 2018. At the same time, the agency began collecting data for a new cross-setting pressure ulcer measure. During this interactive session, the speaker will review the changes made to section M of the MDS 3.0, review the cross-setting pressure ulcer measure - Changes in Skin Integrity Post-Acute Care: Pressure Ulcer/Injury - and provide coding scenarios for the audience to practice. The session will conclude with a review of evidence-based clinical resources to use in their assessment of potential or actual resident skin issues to determine the most effective plan of care.

• Discuss updated coding guidance for section M items
• Apply knowledge of the section M coding changes to a case scenario
• Explain how the cross-setting pressure ulcer measure - Changes to Skin Integrity Post-Acute Care: Pressure Ulcer/Injury - is calculated
• Name evidence-based clinical resources to use in your assessment of potential or actual resident skin issues

1:30 - 3 pm

Elizabeth Florczak, RN, BSN, MS, WCC, RAC-CT, Executive Nurse, AAPACN Board of Directors

Nearly 20% of Medicare beneficiaries discharged from a hospital are re-hospitalized within 30 days. Hospital readmissions remain a key area of concern to post-acute providers not only due to the disruption they cause a resident, but because of the impact on facility quality, finances, and reputation. When residents and care providers aren't equipped with the knowledge and tools needed to transition the patient to the next stage of their care, residents are vulnerable to adverse outcomes while they are in the healthcare setting or being readmitted after they are discharged. To prevent readmissions, post-acute leaders need to focus on one of the most dangerous times for residents - handovers or care transitions to and within the post-acute setting and upon discharge. The speaker will discuss strategies post-acute providers can implement to improve transitions of care that result in reduced avoidable hospital readmissions, improved resident outcomes, and enhanced resident satisfaction.

·       Understand key care transitions in the post-acute setting

·       Describe specific techniques to improve care transitions upon admission, discharge, and during the post-acute stay

·       Develop an action plan to monitor key care transition improvements

4:30 - 5:30 pm

Barbara A. Bates, MSN, RN, QCP-MT, DNS-MT, MDS Solutions and MedNet Concepts and Linda J. Winston, MSN, RN, BS, RAC-CT, DNS-MT, QCP-MT, MDS Solutions and MedNet Concepts 

During this session, the speakers will guide you through the development process of a Performance Improvement Project (PIP) related to care plan deficiency citations. You’ll review care plan citations related to person-centeredness. By utilizing QAPI tools, you will gain first-hand knowledge of how to implement a PIP that focuses on the development of person-centered care plans including goals and interventions.

•       Describe 2-3 requirements for QAPI/PIP development

•       Outline 2-3 requirements of person-centered care plans

•       Discuss steps in designing a PIP

•       Create a PIP that focuses on the development of person-centered care plans including goals and interventions

8 - 9:30 pm

Join us for a night of desserts and networking 

8:15 - 9:15 am

Susan LaGrange, BSN, RN, NHA, Pathway Health

Today more than ever, it is crucial to ensure a person-centered nursing restorative/rehabilitation program for quality, compliance, reimbursement, and outcome measures.  Providing a good assessment process, identification of person-centered goals, and consistent implementation is essential in providing a program to avoid resident decline and promote quality of care.  Join us for this fast-paced, information-packed session that will provide user-friendly strategies for implementation, documentation, MDS 3.0 coding, and resource management tips for success.

•          Identify key regulatory and best practice aspects for implementation of a Restorative Nursing Program for quality outcomes
•         Explain the importance of accurate documentation to support the MDS 3.0 coding
•         Describe three successful leadership strategies for management and oversight of the Restorative Nursing Program

8:15 - 9:15 am

Carol Maher, RN-BC, RAC-MT, CPC, Hansen Hunter & Co

ICD-10 coding will have a major impact on PDPM by establishing the principal diagnosis for the therapy components and to identify qualifying comorbidities that will impact the Non-Therapy Ancillary component. MDS coordinators will need an understanding of ICD-10 coding guidelines and the basic steps for choosing the correct ICD-10 codes for each resident’s stay.

8:15 - 9:15 am

Maureen McCarthy, RN, BS, RAC-MT, RAC-MTA, QCP-MT, DNS-CT, Celtic Consulting 

With the effective date of the new Patient-Driven Payment Model (PDPM) finalized, as well as Quality and Value performance continually impacting your ratings, 2019 is shaping up to be a blockbuster year for long-term care providers. With so much riding on comprehension of these major fundamentals, it is imperative that you and your facility staff understand how you are being evaluated based on the above-mentioned metrics, and what efforts can be implemented now to safeguard your success in the future. This program will help guide attendees though new healthcare reform efforts and alternate payment methods as CMS moves away from a resource utilization reimbursement system. Specifically, this session will cover the SNF VBP and SNF QRP programs and how these new programs will influence nursing documentation and quality reporting.

• Gain best practices for monitoring compliance and reporting
• Understand how spending, or the cost of care, will be monitored and ow the new PDPM system will encourage cost savings
• Review the various CMS reporting structures
• Describe the intricacies of the SNF VBP and SNF QRP, including the determination of the final per diem rate, VBP penalties, the difference between performance and outcome, and how each measure effects reimbursements

8:15 - 9:15 am

Jane Belt, MS, RN, RAC-MTA, QCP, AAPACN and Jessie McGill, RN, RAC-MT, RAC-MTA, AAPACN

In the ever-changing world of the MDS, we know that the function of the MDS has progressed from a survey and an assessment tool, Medicare and Medicaid reimbursement generator, quality measurement instrument, to a driving force of all that occurs on the clinical, resident-centered, payment side in the nursing home. Along with the twists and turns of the MDS, the role of the nurse assessment coordinator (NAC) has become the chameleon of nurses to survive the onslaught of changes. And more changes are on the horizon! What will the role of the NAC look like as we enter the new world of the Patient-Driven Payment Model (PDPM) for Original Medicare residents? This session will walk you through the transformation of the NAC—into a role that encompasses case-management, clinical assessment, Medicare reimbursement, and multiple Quality Measure expertise.

•         Delineate the various nurse assessment coordinator functions that are expected under the Patient-Driven Payment Model

•         Compare MDS hours needed under PDPM using a case study

•         Consider key changes in the NAC role with case-management and clinical assessment

•         Identify new Medicare reimbursement strategies and application of Quality Measure data

8:15 - 9:15 am

Michelle Stuercke, RN, BSN, MSN, DNP, LNHA, Transitional Care Management 

During this session, the speaker will assist nurse leaders in helping staff nurses prepare for managing higher acuity patients. Nurse leaders will gain insights on the systems needed to communicate patient needs, changes, and opportunities across multiple disciplines. Nurse leaders will also learn ways to support their staff during the transition.

•       Understand how the ability to care for higher-acuity patients will impact reimbursement

•       Develop one system to communicate acuity changes to the interdisciplinary team

•       Comprehend how delirium affects the resident

•       Report and communicate this data to payor sources and referral sources

8:15 - 9:15 am

Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, AAPACN 

Skilled nursing facility leaders continue to face a grueling survey process. The end result often leads to numerous survey deficiencies which can be costly to correct. What if investing in frontline staff competency education could mitigate the number or the scope and severity of citations? During this session, attendees will be introduced to the nation’s top five survey deficiencies and learn tips and strategies to help them survive and thrive during the survey process through offering competency-based education. We will also review how to develop an ongoing survey readiness education plan to help prepare and prevent citations of these top survey deficiencies.

•         Identify the top five most commonly cited nursing deficiencies and the impact staff competency had on these deficient practices

•         Learn competency-based educational tips and strategies to help prevent the occurrence of the top five cited nursing deficiencies

•         Describe key components of an educational survey readiness plan to help reduce the stressors of regulatory compliance related to the top five nursing deficiencies

Moderator:

• Judi Kulus, MSN, MAT, RN, NHA, RAC-MT, RAC-MTA, DNS-MT, QCP-MT, AAPACN

CMS Representatives:

• Evan Shulman, Deputy Director, Division of Nursing Homes, Survey and Certification Group
• Mary Pratt, Director of Chronic and Post-Acute Care

Join CMS representatives as they share valuable information about the current national initiatives that impact the everyday care of nursing home residents and the staff that care for them. CMS will cover topics such as MDS assessment, Payroll-Based Journal, Five-Star Quality Rating System, the Quality Reporting Program, and the federal survey processes. Don’t miss this eagerly anticipated conference highlight.