June 16, 2023
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Focus MDS Update of the Week

Since their release on April 3, 2023, the final MDS Item Sets version 1.18.11v2 and the draft MDS 3.0 RAI User’s Manual version 1.18.11 were updated. For the next few weeks, AHCA will be focusing on a different section to highlight changes and what members need to know.

Changes to Section D
Since their release on April 3, 2023, MDS 3.0 version v1.8.11v2 final item sets and draft RAI guidance were updated and substantial changes were made to several sections. Changes to section D include:

  • Revision of the Patient Health Questionnaire (PHQ-9©) interview to the PHQ-2 to 9© interview. The PHQ-2 to 9© interview is a validated interview that screens for symptoms of depression and provides a standardized severity score and rating for evidence of a depressive disorder.
  • Incorporation of the Standardized Patient Assessment Data Elements (SPADES) pertaining to isolation.

AHCA has created a MDS Section D resource document to help providers breakdown the changes. The information in the resource document outlines key changes to MDS Section D, Coding Instructions/RAI Guidelines for each item, and Actions to Consider for implementation across your facility.

It is important to develop a training plan for your facility to ensure all staff impacted by the changes are trained in them. 

Additional Resources:

Please email regulatory@ahca.org with any questions.
Member Spotlight: Delaware Highland Assisted Living

“National Championship” in partnership with Kansas State University Research Extension (KSRE) Master Gardeners

Two gardeners asked to volunteer in a garden space behind Delaware Highlands Assisted Living Facility (DHAL). The goal was to improve residents’ lives using horticulture projects and activities while maintaining a flower and vegetable garden. After a five-year partnership (between DHAL and KSRE Master Gardeners) this Horticulture Therapy Project is being recognized next week at the International Master Gardener Conference (IMGC2023) as first place winner in a Search for Excellence award, Special Needs category. 
Member Spotlight: Medicalodges, Inc.

Medicalodges Academy: A Pathway to Learning and Earning held a kickoff celebration at Great Bend on Wednesday to announce our first group of apprentices! Representatives from the Chamber of Commerce, Senator Marshall's office and Kansas Health Care Association/Kansas Center for Assisted Living joined Medicalodges and Barton Community College representatives to celebrate and congratulate the inaugural group!

Medicalodges Academy is a registered apprenticeship program that provides workbased learning opportunities for employees who want to expand their education and enhance their career.

We cannot wait to see what the future holds for these fine individuals! Congrats to all!
In Case You Missed It
Over 230 Nurses and Administrators joined us this week for
MDS - RAI Changes Workshop and the Nurse Leadership Conference

Here is just a small snippet of presenters. Thank you to everyone who attended!
Linda MowBray, President/CEO of KHCA/KCAL
Just a portion of the attendees we saw over the last 3 days.
Lauren Ruth Martin,
Presenter
Teresa Coover,
Nurse Advisory Committee Chair
Polly Berkley,
VP of Operations and Education at KHCA/KCAL
Allison Lyda,
Presenter
Clinical Update from KHCA Consultant Linda Farrar

As you probably noticed in this month’s Reflections, F657 Care Plan Timing & Review jumped to the 3rd most frequently tagged deficiency! THIRD! So, let’s quickly discuss the requirements of this regulation. The guidance starts out by providing guidelines for providers that care plans have to be reviewed and revised at least quarterly. But in addition, the care plan has to be person-centered, individualized, comprehensive and timely. It must be revised at any time changes in the resident occurs.  READ MORE
Members Only Nurse Advisory Call & Facility Standards Call

We will not have our Nurse Advisory and Facility Standards call as normally scheduled this month. We hope you are joining us in Wichita at the Nurse Leadership Conference instead! Below you can still find the latest survey findings from Linda Farrar.
2023 National Training Program Virtual Workshops

Registration for the 2023 Centers for Medicare & Medicaid Services (CMS) National Training Program (NTP) virtual workshops is now open. More details including session dates can be found here.
Education Spotlight
6 Week Series: Restorative Nursing Excellence: Revitalizing Programs and Restoring Function After COVID-19 
Dedication to robust restorative nursing programming will bring countless benefits to your residents, as well as improved facility outcomes. Designed to achieve and maintain optimal physical, mental, and psychosocial functioning, restorative nursing programs are central to health-related quality of life. Unfortunately, restorative nursing is often underutilized due to obstacles providers face in staffing and effectively managing programs. Consider these factors and strategies to re-energize or sustain success in your restorative nursing program… READ MORE
Upcoming Education
Webinar: Mission Possible: SNF Department Head Briefing - Helps and Hints for Housekeeping

6/27/2023 1:30PM - 2:30PM

Click here for more details.
6 Week Series: Restorative Nursing Excellence: Revitalizing Programs and Restoring Function After COVID-19 

Every Thursday from June 22-July 27 from 1:30PM - 2:30PM

Click here for more details.
Webinar: Deep Dive Into Federal Regulations in a Year: §483.30 Physician Services & §483.35 Nursing Service Requirements

7/11/2023 1:30PM - 3:00PM

Click here for more details.
Adult Care Home Operators Course

REGISTRATION CLOSES ON JULY 5TH TO ALLOW TIME FOR SHIPPING REGULATION MANUALS TO EACH PARTICIPANT

7/12/2023 9:00AM - 7/24/2023 10:00AM

Click here for more details.
Administrator in Training (AIT) Program

We are excited to announce our new AIT Program! Click here for more details.

Questions? Email Teresa Keating at tkeating@khca.org
Kansas Health Care Association and the Kansas Center for Assisted Living
1100 SW Gage Blvd. | PO Box 4770 | Topeka, KS 66604
PH: 785-267-6003 FAX: 785-267-0833