You're receiving this email because of your relationship with the Office of Inspector General, Division of Health Care. Thank you for your continued commitment to serving the citizens of our Commonwealth!
Cabinet for Health & Family Services
Office of Inspector General
Division of Health Care
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Long Term Care Provider Newsletter
October 2019
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Temporary Facility Closures Due to Emergency Events
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If a facility is forced to close for any length of time due to damage to the facility from a storm, tornado, etc., and they are not going to have any residents, they need to contact CMS by emailing
nhstaffing@cms.hhs.gov.
CMS will have their staffing data suppressed until they reopen and have residents there. This will not affect the facility’s overall star rating. It is critical, however, that the facility contact CMS and let them know so that they can put that suppression in place and the facility does not get downgraded for not submitting.
NOTE: If the facility knows when they will reopen, they can include that information in the e-mail to
nhstaffing@cms.hhs.gov
so that CMS knows how long the suppression should remain in effect. If they do not know when they will be reopening, CMS can suppress until the facility notifies them that they have reopened and have residents.
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Transitioning to the New MDS Assessments
We would like to thank each and every one of you who were able to join us for this year's MDS Training in Louisville, Kentucky, on September 25th and 26th. For those that were unable to attend, below you will find links to the presentations. Again, we appreciate your participation!
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FREE WEBINAR
Sanders-Brown Center on Aging at the University of Kentucky is offering a FREE live webinar via Zoom video conferencing in partnership with the Kentucky Office of the Inspector General and Centers for Medicare and Medicaid. Attendance provides free continuing education credit (CEU’s) through CECentral and is offered for all staff of Certified Nursing Facilities in the state of Kentucky. Please be sure to mark your calendars and keep an eye out for an email in November with a link to registration for the presentation.
Webinar Title:
Non-pharmacological management of behavioral and psychiatric symptoms for persons with dementia
Date and Time:
December 3, 2019 at 3:00pm EST
Updated participation instructions are listed on the attached
flyer
.
Please do not hesitate to let
Elizabeth.rhodus@uky.edu
know if you have questions regarding this program or the KEEN-CDC series.
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EP 301 CONFERENCE – CATASTROPHIC PLANNING
November 6-7, 2019 – Kentucky Dam Village Conference Center
This
FREE
conference will be repeated in March 2020 (Louisville) and April 2020 (Berea)
This LTC2Prepare EP 301 Conference-Catastrophic Planning will include:
- CMS Final Rule on Emergency Preparedness as it relates to planning for catastrophic events
- Using the on-line electronic HVA tool to prepare your annual HVA and as a planning tool for Catastrophic Hazards
- Speakers from the Central US Earthquake Consortium (CUSEC)
- Mitigation Planning – Minimizing Earthquake Damage
- Introduction to the new Kentucky Earthquake Preparedness Guide for Lon-Term Care Facilities
- Communication Planning and Technology Advances
- Sheltering-in-Place
- Evacuation and Medical Surge Planning
Who should attend?
Leadership teams of Administrators, Assistant Administrators, Directors of Nursing, Maintenance and/or Plant/Facility Directors, Risk Managers, all members of the Safety/Emergency Preparedness Committee, QIO/QIN, LTC Ombudsman and SSA Surveyors.
FREE Continuing Education Credits
: This program has been submitted for Continuing Education hours to NAB/NCERS for Nursing Home Administrators. This program has also been submitted to the Kentucky Board of Nursing through University of Louisville Hospital, provider number 4‐0068‐7‐20‐1141 for continuing education credits.
REGISTRATION IS FREE
and there are 3 ways to register:
Fax completed form to 502/852-5887
*Each KY LTC Administrator has a unique user name and password for their facility. Contact
help@ltc2prepare.org
for assistance with the facility user name and password.
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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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Quality Measures
Nursing Home Quality Measure Changes
The following nursing home quality measures have been removed:
- Percentage of short-stay residents who report moderate to severe pain.
- Percentage of long-stay residents who report moderate to severe pain.
This change supports the federal initiative to reduce opioid utilization by seeking to prevent a potential scenario where the performance of a facility on the pain quality measures may inappropriately contribute to their decision to seek the administration of an opioid.
MDS 3.0 QM User’s Manual Version 12.1 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
Quality Measures
page and the MDS 3.0 QM User’s Manual V12.0 has been moved to the
Quality Measures Archive
page.
One file related to the MDS 3.0 QM User’s Manual has been posted:
- MDS 3.0 QM User’s Manual V12.1 contains detailed specifications for the MDS 3.0 quality measures. MDS 3.0 QM User’s Manual V12.1 is available under the Downloads section of the Quality Measures page.
- Quality Measure Identification Number by CMS Reporting Module Table V1.7 documents CMS quality measures calculated using MDS 3.0 data and reported in a CMS reporting module. A unique CMS identification number is specified for each QM. The table is available under the Downloads section of the Quality Measures page.
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Five-Star Quality Rating System
Changes were announced to the Five-Star Quality Rating System that will be implemented in October 2019. Refer to CMS memoranda:
QSO 20-01-NH
&
QSO 20-02-NH
.
For more information about all the changes described in these memorandums, please see the “Five-Star Users’ Guide October 2019” in the downloads section of the
Five-Star Quality Rating System
site.
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RUG Update
A new version of RUG-IV has been applied to the MDS ASAP system. Effective Sunday, September 29, 2019, the ASAP will evaluate all RUG-IV HIPPS codes using version 1.04. This version is backward compatible and will evaluate assessments with all target dates before or after October 1, 2019. To avoid receiving the ASAP system warning message -3616b, please download the file from the
MDS 3.0 Technical Information
webpage and update the RUG-IV version number to “1.04” to submit your HIPPS code.
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PDPM Update
A revision to the PDPM DLL Package (V1.0003 FINAL) was posted, and the previous version (V1.0002 FINAL) was removed. This version corrects four bugs that were identified after the V1.0002 release. The package contains updated test files and documentation and is available for download at the bottom of the
MDS 3.0 Technical Information
webpage.
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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 v1.7.1 is now available for download 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 v1.7.1.
jRAVEN v1.7.1 includes the following enhancements:
- The Final PDPM Grouper, version 1.0003
- All enhancements included with jRAVEN v1.7.0:
- MDS Item Set Version V1.17
- MDS Data Specification Version V3.00
- VUT Version V3.1.0
- The initial PDPM Grouper (replaced with v1.0003 in jRAVEN 1.7.1)
- 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
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State Registered Nurse Aide Training Program
Upcoming Fall 2019 & Spring 2020 Course Dates
Evening Class Dates:
- November 4th—December 12th, 2019
- January 13th—February 13, 2020
- February 17—March 19, 2020 ***Classes continue over Spring Break****
- March 23rd—April 23, 2020
Monday, Tuesday, Thursday 5:30 pm - 9:30 pm
403 College of Nursing Bldg.
751 Rose Street, Lexington, KY
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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?
If you have received a copy of this newsletter from a friend or co-worker, you can click
here
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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