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Cabinet for Health & Family Services
Office of Inspector General
Division of Health Care
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Long Term Care Provider Newsletter
September 2019
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Falls Prevention
Falls prevention is a challenge in nursing homes. According to the Centers for Disease Control and Prevention (CDC), more than 27,000 older Americans died from injuries related to unintentional falls, and approximately 2.8 million nonfatal fall injuries occurred in people 65 and older and were treated in U.S. emergency departments and over 741,000 of these patients were subsequently hospitalized in 2014. The Kentucky Injury Prevention and Research Center reported falls are NOT an inevitable result of aging; nevertheless, in 2014 there were 8,164 fall related inpatient hospitalizations for Kentucky residents ages 65 and over. Falls are the leading cause of traumatic brain injury (TBI) among Kentucky residents age 65 and over. From 2005 - 2014, total hospital charges for fall-related inpatient hospitalizations involving Kentucky residents ages 65 and over tripled.
The Kentucky No Falls website
www.nofalls.org
provides nursing homes resources to prevent falls. Here are two resources that are designed to help assess fall risk and prevent falls at your facility:
The Centers for Disease Control and Prevention (CDC) created this comprehensive toolkit to assess and address resident fall risks. It provides:
- tools to make falls prevention part of your processes,
- methods to obtain background information about patients’ falls,
- case studies,
- validated tests to assess fall risk, and patient resources.
This article, featured in the Annals of Long Term Care, advocates for performing a root-cause analysis (RCA) immediately after a fall to dig deeper than obvious reasons for the fall. It also provides case studies with step-by-step RCAs to help you determine the right tools and techniques for preventing future falls.
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MDS 3.0 User's Manual v12.1 Now Available
The MDS 3.0 QM User’s Manual Version 12.1 has been posted. The MDS 3.0 QM User’s Manual V12.1 contains detailed specifications for the MDS 3.0 quality measures. The MDS 3.0 QM User’s Manual V12.1 can be found in the Downloads section of the
CMS Quality Measures
page and the MDS 3.0 QM User’s Manual V12.0 has been moved to the
Quality Measures Archive
page.
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MDS 3.0 Technical Information
The RUG-IV DLL Package (V1.04.0 FINAL) was posted. It contains the source code and the DLL, as well as documentation that describes the logic differences from V1.03.0. The DLL allows RUG-IV classification for assessments with target date on or after 10/1/2019 (including the new OSA assessments), and is backwardly compatible to use with assessments having target date prior to 10/01/2019. Note that full documentation for RUG IV can still be found in the "RUG III Files & RUG IV Files" zip available in the Downloads section.
An errata (V3.00.2) was posted for the FINAL version (v3.00.1) of the MDS 3.0 Data Specifications, which will go into effect on October 1, 2019. Three issues were identified. Three existing edits were revised: -3963, -3884 and -3890.
The FINAL version of the PDPM Grouper DLL has been posted, along with its source code. Note that the DLL interface has not changed since the beta version. Documentation and test files will be provided in a separate posting – coming soon. Please report any issues found to
PDPM@cms.hhs.gov
.
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Data Collection Software: jRAVEN
It is strongly recommended that you use Chrome to download the jRAVEN application. If using Internet Explorer, you may receive a pop-up message warning that the application you are about to install is “…an unrecognized app” and Windows has prevented the app from starting or that the signature is invalid. If you do receive a warning message like this, you can still complete the installation by either right-clicking on the jRAVENSetup…exe, or selecting “More info”, where you will have the option to “Run anyway”. Once you select to run, the install process will complete as usual.
jRAVEN v1.7.0 is now available for download under the related links section at the bottom of the
MDS 3.0 Technical Information
webpage. Users do not need a previous version of jRAVEN to download, install or use jRAVEN v1.7.0.
jRAVEN v1.7.0 includes the following enhancements:
- MDS Item Set Version V1.17
- MDS Data Specification Version V3.00
- VUT Version V3.1.0
- The new PDPM Grouper
- Supports the Correction Policy update to not allow corrections if it causes the target date to cross over the 10/1/2019 date
- Supports the updated submission timeframe change from 3 years to 2 years
For additional questions related to jRAVEN or technical support please contact the QTSO Help Desk by calling 800-339-9313 or by email to
help@qtso.com
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A Message from Kentucky's QIN-QIO
OIG is pleased to provide information from the CMS funded QSource and atom Alliance, the Quality Innovation Network (QIN) - Quality Improvement Organizations (QIOs) for Kentucky.
Click the link below to read a message from Kentucky's QIN-QIO:
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Informal Appeal of Survey Findings
Interested in Serving on an IDR Panel?
Kentucky requires one member of the IDR panel to be "a person currently engaged in the provision of Long Term Care services who has no affiliation with the provider disputing a deficiency." Typically, a Long Term Care Administrator is on each IDR panel. There is no payment or travel reimbursement for an Administrator serving on a panel. Administrators will be rotated. If a Long Term Care Administrator is interested in serving on a panel, a confidentiality statement must be signed prior to the participation in the first IDR panel.
Chrystal Daugherty, IDR/IIDR Coordinator
Office of Inspector General
116 Commerce Ave.
London, KY 40744
Fax: (606) 330-2054
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Improve Quality Measures for
Pressure Ulcers and Other Wounds
and Earn FREE CE Credits for LTC Nurses, Social Workers, Dietitians/Nutritionists
Access the newest AMDA Clinical Practice Guideline on
Pressure Ulcers and Other Wounds as part of the Kentucky initiative to prevent pressure ulcers! Staff can earn FREE CE/CPE hours by completing the exam for nurses, social workers, and dietitians/nutritionists. Other staff can earn a Certificate of Completion!
Access the other
FREE training resources at the password-protected website
www.cpgltc.org
with the CMS Region IV Quality Improvement Initiative, a 6-state CMS CMP program.
- 20 CE Exams with 1-3 contact hours – up to 42 total hours for LTC Nurses
- 15 CE Exams with 1-3 contact hours – up to 29 NASW approved hours for LTC Social Work
- 14 CE Exams with 1-3 contact hours – up to 20.5 hours for LTC Dietitians/Nutritionists from Becky Dorner Associates
- CPG Implementation Series (Heart Failure, Pain Management, Urinary Incontinence) with accompanying training resources including narrated Power Points for nurses and nurse aides
- 4-part Disease Awareness Video Series (COPD, Diabetes, Pain Management, Moderate Alzheimer’s)
- Know-it-All™ Before You Call (for LTC staff) data collection tools for 70+ common health conditions
- Know-it-All™ When You’re Called (for physicians and practitioners) data collection tools for 70+ common health conditions
LTC administrators receive facility-specific passwords and usernames. Please share with staff for access to FREE training materials at
www.cpgltc.org. For facility username and password assistance, contact
help@cpgltc.org.
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Kentucky's Top 10 Citations
for Nursing Homes
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MDS/RAI CONTACT INFORMATION
Chrystal Daugherty
MDS Assessment/Coding Issues
Rhonda Littleton-Roe
Transmission or Technical
Please note: Do not send any identifiable patient information through e-mail. This includes patient names, SSNs, dates of birth, or any other data items considered identifiers or Protected Health Information (PHI) under HIPAA. Please redact any PHI prior to sending.
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Is your certified nursing facility signed up for ePOC? If so, be diligent about keeping your account and password up to date.
Click here
for the CMS security rules.
If your facility is not signed up, see the
Account Setup
instructions.
Not sure if your facility has any ePOC accounts or have other questions?
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Have you notified your residents?
Click the link below to download and/or print the contact list for various agencies.
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Which Branch is Serving You?
To provide the highest level of service, the Division of Health Care operates through four regional offices. Knowing the appropriate Branch to contact with questions and concerns will ensure you receive maximum service in minimum time. Review links below for detailed information.
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CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
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Transfer/Discharge Hearing Appeals
Please submit your requests for transfer/discharge hearing appeals to Secretary Adam M. Meier, Cabinet for Health and Family Services, by emailing:
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LTC Facility Self-Reported
Incidents & Complaints
New email addresses have been established for communications regarding LTC Facility Self-Reported Incidents and for use by residents and the general public to report possible violations of regulatory requirements.
Click Here
for the email addresses and additional contact information.
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ISTW: Integrated Surveyor Training Website
This CMS website provides training information to include the preceptor manual, the State Operations Manual and other documents. As always, the survey and certification process is a collaborative effort between CMS and providers. This website will allow providers the opportunity to take the same courses as surveyors.
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Employment Opportunities
To search and apply for positions within the Office of Inspector General, please visit the Kentucky Personnel Cabinet's web page by clicking below.
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DHC Leadership Team:
Inspector General
Vacant
Deputy Inspector General
Director
Assistant Director
Assistant Director
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Want to Sign Up for This Newsletter?
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and enter your information to join our mailing list, or contact
MelissaD.Richard@ky.gov
.
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Commonwealth of Kentucky | Office of Inspector General | 275 East Main St., Frankfort, KY 40621
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The Office of Inspector General is the regulatory and licensing agency for all health care, day care and long-term care facilities and child adoption/child-placing agencies in the commonwealth.
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