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Sitting with your feet in the sand, sunscreen on, ready to lean back and finally start reading that book that’s been at the top of your list for weeks—it’s official, you’re on vacation! One paragraph in and you set down the book with a sigh, distracted by thoughts of work. Did Mr. Jones really discharge today as planned? Did Mrs. Elderberry refuse therapy today? Who will adjust the assessment reference date of the Discharge assessments? Will anyone remember to open an End of Therapy assessment? You grab your cell phone, knowing that if you don’t check you’ll be stressed out the rest of the day.
Is this your idea of a vacation? For many nurse assessment coordinators (NACs) it is, but it doesn’t have to be.
Here are some strategies to achieving a vacation free from work-related guilt and stress.
Financial liability notification requirements are front and center right now thanks to the implementation of the revised Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) for traditional fee-for-service Medicare Part A skilled care. However, providers still have to fulfill the completely separate notification requirements of the two-stage expedited-determination process for residents who haven’t exhausted their benefits, but whose skilled care is about to end under Medicare Part A, Medicare Part B, or Medicare Advantage, says Stacy Baker, OTR/L, RAC-CT, director of audit services for Proactive Medical Review & Consulting in Evansville, IN. That point recently has been driven home in two ways:
The Centers for Medicare & Medicaid Services (CMS) will be hosting a 2-day Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) in-person ‘Train the Trainer’ event for providers on July 31 and August 1, 2018, at the Four Seasons Hotel Baltimore, 200 International Drive, Baltimore, MD 21202. This event will be open to all SNF providers, associations, and organizations.
The primary focus of this 'Train-the-Trainer’ event will be to provide those responsible for training staff at SNFs with information about SNF QRP changes and updates to the Minimum Data Set (MDS) 3.0 Version 1.16.0, effective October 1, 2018. Topics will include information on new and changed items, including changes associated with Section M (Pressure Ulcer/Injury), the introduction of Section N (the Drug Regimen Review Measure), Section O (including updates to guidance on Chemotherapy and Ventilator Guidance), and Section GG (Functional Mobility). Presenters will also discuss resources available on cms.gov, and support available through the SNF Help Desks.
During this call, learn more about the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). CMS answers your frequently asked questions on quality measures, standardized data elements, the CMS data element library, and future directions of the IMPACT Act. A question and answer session follows the presentation.
Target Audience: Post-acute care providers, including skilled nursing facilities, home health agencies, inpatient rehabilitation facilities, and long-term care hospitals; researchers; administrators; and other industry stakeholders and interested parties.
In the Reform of Requirements for Long-term Care Facilities Final Rule, the Centers for Medicare & Medicaid Services (CMS) established that a nurse aide (i.e. CNA) with responsibility for the resident must be part of the interdisciplinary team (IDT) that develops the resident’s person-centered comprehensive care plan and that reviews and revises (based on the resident’s changing goals, preferences, and needs, and in response to current interventions) the comprehensive care plan after each MDS assessment.
Note: CMS recently confirmed the requirement to review and revise the comprehensive care plan after both OBRA and PPS MDS assessments, except discharge assessments, in the revised Frequently Asked Questions Related to Long Term Care Regulations, Survey Process, and Training(See excerpt at the end of this article.) The review-and-revise component is important for two reasons:
CMS created the Five-Star (5 Star) Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Five-Star Quality Rating System Technical Users' Guide provides in-depth descriptions of the ratings and the methods used to calculate them. Updated May 2018.
The SNF QRP Table for Reporting Assessment-Based Measures for the FY 2020 SNF QRP APU is now available for download on the SNF Quality Reporting Program Measures and Technical Information webpage. This table indicates the MDS data elements that are used in determining the APU minimum submission threshold for the FY 2020 SNF QRP determination.
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