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KDADS Update to PHE Ending
Click here to see updated slides that were referenced in the webinar. The KDADS team has provided additional clarification.
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Two major conversations affecting reimbursement occurred last week
First, how the 61.5 million-dollar Medicaid add-on would be distributed and second, a preview of the FY24 rates, impact and payment limits.
Click here to view Linda MowBray, President/CEO's update from Friday, May 19, 2023.
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Clinical Update from KHCA Consultant Linda Farrar
This week, let’s discuss F690 Bowel/Bladder Incontinence. F690 has jumped into the top 10 survey deficiencies cited in standard surveys. Bowel and bladder management is a vital aspect of care for nursing home facilities. Failure of appropriate management not only affects residents, but it is costly to the facility. It is particularly important for residents with physical disabilities or medical conditions that affect a resident’s urinary and/or GI systems. Providing effective and compassionate care in this area is crucial for maintaining the dignity, comfort, and overall well-being of residents. It is also vital to an effective fall prevention program. READ MORE
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Nurse Advisory Committee and Facility Standards Call Follow-Up
Friday, May 19th we tested a combined NAC and Facility Standards calls. We value and appreciate your feedback. Please click here to take the one minute survey.
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TOMORROW! Webinar: Mission Possible: SNF Department Head Briefing - Designs Well-Rounded Dietary Departments
5/23/2023 1:30PM - 2:30PM
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TOMORROW! KFMC and KDHE HAI/AR Open Office Hours
KFMC is inviting you to a scheduled Zoom meeting.
Topic: KFMC and KDHE Open Office Hours - LTC and Communal Setting
Time: May 23, 2023 01:00 PM Central Time (US and Canada)
Every month on the Fourth Tue, until Oct 24, 2023, 10 occurrence(s)
Jun 27, 2023 01:00 PM
Jul 25, 2023 01:00 PM
Aug 22, 2023 01:00 PM
Sep 26, 2023 01:00 PM
Oct 24, 2023 01:00 PM
Please download and import the following iCalendar (.ics) files to your calendar system.
Join Zoom Meeting
Meeting ID: 833 9458 3589
Passcode: 795023
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Meeting ID: 833 9458 3589
Passcode: 795023
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Federal Assistance Needed To Address Backlogged Nursing Home Inspections System, Experts And Lawmakers Say
Skilled Nursing News (5/18, Siddiqi) reports, "The nursing home inspections system is underfunded and understaffed and needs federal assistance for alleviating inspection backlogs, or residents will remain in peril, experts and legislators said" during a Thursday hearing before the US Senate Special Committee on Aging. AHCA/NCAL Quality, Regulatory, and Clinical Services Senior Vice President Holly Harmon said, "We appreciate the Senate Committee on Aging’s focus on this important issue and share concerns surrounding the backlog of nursing home surveys." Harmon added, "As the committee’s report signals, addressing this labor crisis requires significant investments, not mandates. We need a concerted, supportive effort to help recruit more individuals to serve our nation’s seniors."
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KCAL District 1 Round Table
Thursday, June 15, 2023
1:30PM - 3:00PM
Mission Chateau Assisted Living
4100 W 85th Street
Prairie Village, KS 66206
(Enter on the North Side)
Located on the west side of Mission Road, a block south of Corinth Square.
Assisted Living Round Table with Kansas Center for Assisted Living Board Members and KHCA/KCAL President/CEO Linda MowBray
Includes all Assisted Living, Home Plus, and Residential Health Care Communities in Douglas, Johnson, Leavenworth and Wyandotte Counties.
If you plan to attend this meeting, please RSVP to Teresa Keating by emailing tkeating@khca.org. Please indicate your name, what community you are with, and a phone number where you can be reached. You will then be sent a calendar invite.
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CMS Releases Updates to Survey Documents
The Centers for Medicare and Medicaid Services (CMS) has released updates to several survey resource documents, including the Entrance Conference form and the Infection Prevention, Control, and Immunization Critical Element pathway.
This was done to align with updated regulations and guidance related to the end of the public health emergency, and as noted with the expiration of COVID-19 Testing requirements (QSO-20-38-NH) and the updates made to Visitation (QSO-20-39-NH). READ MORE
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Request a SNF Quality Reporting Program Exception & Extension
Some AHCA member facilities have experienced issues accessing the HPS component in NHSN to report the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) required data on annual HCP influenza vaccination.
This means SNFs affected by a natural or man-made disaster or other extraordinary circumstances may request an exception or extension by filing a Request for Reconsideration Due to Disaster or Extraordinary Circumstance. The request must be submitted via email to SNFQRPReconsiderations@cms.hhs.gov with the subject line, “Disaster Exception or Extension Request,” within ninety (90) days of the event. READ MORE
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CMS Initiates National SNF 5-Claim Probe and Educate Review
CMS has reissued transmittal instructions for Medicare Administrative Contractors (MACs) to perform a 5-claim probe and educate medical review on every skilled nursing facility (SNF) in their jurisdiction. The purpose of this widespread review, which will be implemented in waves over the next year beginning June 5, 2023, is to lower the SNF improper payment rate. Providers should be on the lookout starting in early June for medical records requests related to this program.
The key elements of this project include:
- All MACs that review SNF Medicare claims.
- MACs will select five (5) claims from each selected provider unless they are already under review or a very low volume provider.
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MACs will complete one (1) round of probe and educate for each selected provider instead of the potential three (3) rounds as instructed by the traditional targeted probe and educate (TPE) program.
- Education offered will be individualized based on the claim review errors identified in the probe.
This will be a pre-pay review unless a provider requests a post-pay review for hardship. If the MAC identifies an improper payment, it will adjust the individual claim payment, as appropriate, in addition to providing education – including the explanation for denial or payment adjustment. MACs may prioritize providers with errors in all five claims reviewed for the traditional and more extensive TPE program.
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Reintroduced Legislation Would Lift Two-Year Lockout On CNA Training Programs
McKnight’s Senior Living (5/16, Gaivin) reports, "A two-year lockout on certified nursing assistant training programs in skilled nursing facilities with deficiencies would be lifted under certain conditions if the bipartisan Ensuring Seniors’ Access to Quality Care Act, reintroduced last week by US Reps. Ron Estes (R-KS) and Gerry Connolly (D-VA), becomes law." Since the passage of the Omnibus Budget Reconciliation Act of 1987, "the lockout provision has confounded providers as being counterintuitive for those who have typically exhibited a demonstrable need for more staff training, not less, as McKnight’s previously reported." In a statement, AHCA President and CEO Mark Parkinson said of the current bill, "With this legislation, we can help our nation’s seniors receive high-quality care delivered by highly trained and dedicated caregivers," also "noting that ‘nursing homes have experienced the worst job loss out of any health care sector during the pandemic.’"
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New Education on Demand for Social Services
Quality of Life Tags for Social Services: This 90 minute webinar reviews Quality of Life Regulations. Time will be spent specifically focused on the CMS regulations focused on Quality of Life. F675, F676, F677, F678, F679, and F680. The webinar is presented by Linda Farrar, RN, LNHA. KHCA/KCAL members email khca@khca.org to get $20 discount off this course. LEARN MORE
Care Planning for Social Services: This 75 minute webinar reviews Care Planning for Social Service identified needs. Time will be spent on the responsibility of the SSD in developing and implementing the focus list and goals that are resident stated and interventions to help the resident live to their highest well being. We'll show you how important the input from the SSD is to each individualized care plan. The webinar is presented by Linda Farrar, RN, LNHA. KHCA/KCAL members email khca@khca.org to get $20 discount off this course. LEARN MORE
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Nurse Leadership Conference
6/13/2023 11:00AM - 6/14/2023 4:00PM
This special Nurse Leadership Conference is an opportunity for nurses working in the Long-Term Care setting to strengthen their leadership skills. Building strong leaders through education is essential to promoting a better quality of life for our residents. Meet new vendor partners and spend time networking and getting to know others that are doing the same valuable work that you’re doing.
Education Topics Include:
- A Nurse Leaders role in Creating Culture for Staff and Residents
- Leading the Charge
- Resident and Family Grievances
- Nurse Advisory Committee Meeting
- Rebuilding After Burnout
- The Regulatory Crosswalk
- Advance Directives
- Fraud, Waste, Abuse and Identity Theft
- Regulatory Hot Topics
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Spring Sale! Required In-Service Bundles
Assisted Living In-Service Bundle was $157.50 now $65! Click here for more details.
SNF In-Service Bundle was $165 now $99! Click here for more details.
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Two On Demand Webinars focusing on Social Services
Questions about education can be directed to Polly Berkley VP of Operations and Education.
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Assisted Living Lunch and Learn: A Deeper Look at FCS/NSA and HSP
6/9/2023 10:00AM - 2:00PM
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MDS - RAI Changes Workshop
6/12/2023 9:00AM - 4:00PM
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Nurse Leadership Conference
6/13/2023 11:00AM - 6/14/2023 4:00PM
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Webinar: Deep Dive Into Federal Regulations in a Year: §483.25 Quality of Care Requirements
6/13/2023 1:30PM - 3:00PM
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Webinar: Mission Possible: SNF Department Head Briefing - Helps and Hints for Housekeeping
6/27/2023 1:30PM - 2:30PM
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Adult Care Home Operators Course
7/12/2023 9:00AM - 7/24/2023 10:00AM
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Administrator in Training (AIT) Program
We are excited to announce our new AIT Program! Click here for more details.
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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
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