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Programs
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Keynote - 8:30 – 10:00 am
Navigating the Seas of Leadership
Elizabeth Jeffries, RN, CSP, CPAE
In this playful and participative opening session, you’ll discover seven of the most
critical attitudes and skills of a nurse leader in long-term care. From charting the
course to selecting your crew, you’ll learn what it takes to land at your desired
destination. You’ll leave this session sparked with renewed courage for action,
deeper conviction of your calling and fresh business strategies. Get ready to chart
the course to a higher level of executive success!
Keynote - 10:30 – 12:00 noon
CMS Policy Updates: The Quality Indicator Survey
Karen C. Schoeneman, MPA (Invited)
Robin Harper, RN
Karen Schoeneman is responsible for the survey and certification of nursing
homes and training of surveyors across the United States. Karen will update
the audience on the impact of culture change, the Quality Indicator Survey and
its implementation nationwide. Robin Harper, who has been involved in the
development of the Quality Indicator Survey by Nursing Home Quality Inc., the
developers of this important process, will join Karen in a panel discussion of the
implications of this change for providers.
Breakouts
1:30 – 3:00 pm
Resident Voice: Interview Skills for Coding the MDS 3.0
Rena Shephard, MHA, RN, RAC-MT, C-NE
A monumental shift is underway that is causing sweeping changes in the way
assessment is being accomplished in nursing homes: the steady momentum that’s
moving providers to resident-directed care. Did you know that:
- • The MDS 3.0 includes five scripted interviews that will form a basis for resident-directed care?
- • Quality of life is of equal importance to nursing home residents as their health and safety – and most nursing home residents can answer questions about how they feel and what is important to them?
- • I-format care planning cannot effectively be accomplished without first hearing the resident’s voice?
If your facility hasn’t altered its assessment methods to keep up with these trends,
this class will help you to understand the underlying issues as well as the kind
of interview techniques that can spell success for your facility and a better life
for your residents. The session also will explore processes and methods for
implementing these changes.
1:30 – 3:00 pm
Survey and Enforcement: Keeping Up With the Changing Times
Janet Feldkamp, RN, BSN, LNHA, JD
This session will provide information regarding the latest trends in survey and
enforcement. With the multiple changes in the interpretive guidelines, providers
are finding themselves lost in the maze. Learn the new and emerging areas
for survey focus and the plans from CMS regarding additional changes to the
interpretive guidelines.
1:30 – 3:00 pm
Leadership: Defining the Course of Long-Term Care
Mary Tellis-Nayak, BSN, MSN, MPH, RN
Change has affected every aspect of our work including what our customers
need and desire, and no longer are facilities and nurse executives in control of
defining what those needs might be. More than ever, residents, families and staff
are redefining their own course in long-term care, and nurse executives must find
ways to acknowledge and accept this transition and still find creative ways to
achieve excellence in service by addressing the individual needs of each consumer
group. The new world of eldercare calls for new leadership and requires unique
management skills. The traditional model has fostered compliancy managers,
which does not fit the future of aging services. What are the statistics telling us
and how can nurse leaders balance consumers needs, meet the intent of federal
regulations and continue to sustain the gains?
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1:30 – 3:00 pm
Managing Constipation and the New Quality Indicator Survey
Malcolm Fraser, MD, CMD
This will be a lively interactive presentation which will review the new
Quality Indicator Survey (which is coming to a state near you) and compare
it with the existing survey. It will focus on areas of interest to the nurse
executive and, using the management and new treatments of constipation as
an example, show how potential quality issues can be avoided.
3:30 – 5:00 pm
Urinary Incontinence: What is it About and What Can We Do To Fix it?
Diane K. Newman, RNC, MSN, CRNP, FAAN
This session will present information on the assessment and treatment of
urinary incontinence. The options for handling incontinence are far more
diverse and effective than many nurse practitioners today are aware. Effective
assessment, treatment and management options for urinary incontinence will
include the following: behavior modification, pelvic floor muscle exercises,
and drug therapy. In addition, available incontinence devices, catheters, and
products will be discussed.
3:30 – 5:00 pm
Customer Satisfaction: What Can One Nurse Do???
Jennifer Pettis, RN, RAC-MT, C-NE
Assessing resident and family satisfaction is one of the eight goals of
Advancing Excellence in America’s Nursing Homes. Research repeatedly
shows the interrelationship of resident, family and staff satisfaction. As a
nurse executive, you have the power to influence all three through your
leadership and management skills. During this session, the speaker will
address strategies for the nurse leaders to enhance customer satisfaction
including staff retention and development, communication, complaint
management and more. One nurse can make a difference and that nurse is
you!
3:30 – 5:00 pm
Beneficiary Notices: Clearing Up the Confusion
Ron Orth, RN, NHA, RAC-MT
Beneficiary Notification of potential financial liability is an important
aspect of the Medicare Program. Increased confusion has occurred with
the development of multiple forms. Become compliant with beneficiary
notification by learning when to provide the SNFABN or Denial Letter,
NEMB and the Expedited Determination Notices. The presenter will also
describe how the Denial Letter regulations will be reviewed during the new
Quality Indicator Survey (QIS). Rules and regulations related to the new
SNFABN will also be reviewed if available at the time of the presentation.
3:30 – 5:00 pm
The Softer Side of the MDS - The MDS and Culture Change (AANAC Grant Project)
Carmen Bowman, MHS, ACC (Invited)
The MDS, yes it is a required assessment. However, it was not necessarily
intended to generate an institutional practice. Learn how to get to know
someone “over coffee” instead of “over a form.” Ideas shared in this session
result from a grant project funded by Nurse Competence in Aging to the
American Association of Nurse Assessment Coordinators to look at the
MDS and culture change. Areas covered will be:
- The Softer Side of the MDS - interviewing ideas
- Making the most of CMS’s Resident Assessment Protocols (RAPs)
- Identifying a person’s “highest practicable level of well-being” as required by Tag F279
- One nursing home’s progression from nursing care plans to individualized care plans to I care plans to narrative care plans
- Regulatory support for innovative “I” and narrative care planning
- Really getting to know a PERSON
- Communicating the Care Plan
- The AANAC grant project and resulting manual free to the public
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Keynote - 8:30 – 10:00 am
Keynote: Managing and Leading Organizational Change
Clint Maun, CSP
This session will focus on methods, techniques and skills a supervisor or
manager needs for successful staff motivation. The participants will work
with a practical performance-based management system concentrating on
managing marginal performance, not developing theoretical understandings
of employee motivation. Participants will be involved in lecture,
demonstration and role play. They will be able to develop a plan for an actual
on-the-job performance problem.
Breakouts
10:00 – 11:30 am
How to Conduct an Internal Investigation
Fred Miles, JD
There are many reasons why a facility must conduct an internal investigation.
A patient incident, an allegation of resident abuse, an employment claim–all
must be investigated immediately. These matters usually have regulatory
implications and human resource overtones. Reports may be required by
the regulatory and law enforcement agencies regarding the occurrence and
those involved. The importance of a facility having the capacity to conduct
an immediate, thorough and competent investigation has never been greater.
However, while most nurse managers and department heads have expertise
in their disciplines, most are usually not trained investigators.
This session will assist those who are assigned the important task of
conducting an internal occurrence investigation. The session addresses the
preliminary assessment the facility must make in structuring its investigation
and then examines in detail ten basic steps of a thorough investigative
process. The program closes with how to evaluate the investigation and
some case studies.
10:00 – 11:30 am
Winning the Battle! How to Survive Regulatory Expectations
and Operational Realities for Pressure Ulcer Prevention and
Treatment
Janine Savage, RN, RAC-CT
The Centers for Medicare and Medicaid Services (CMS) has “raised the
bar” for pressure ulcer prevention and treatment with its initiatives related
to pressure ulcers. In addition, the National Pressure Ulcer Advisory Panel
(NPUAP) has released a new staging system for pressure ulcers. Pain
management related to wounds is now recognized as an important quality of
life consideration. How does a facility “operationalize” current best practices
to meet regulatory expectations and to provide the best quality of care for
our residents?
10:00 – 11:30 am
Restorative Nursing: Optimizing Resident Function and
Reducing the Use of Restraints
Rita Roedel, MS, RN
Restorative Nursing is not a new concept. Even though OBRA (1987)
emphasized maintaining resident function, many facilities have not
implemented a truly effective restorative nursing program because they
are unsure how to refine systems and processes to facilitate the change.
This session takes away the mystique! It provides an overview of an RAI
compliant program and explains how to implement restorative nursing at the
facility level. In addition, participants will see how an effective program
can reduce use of restraints. Finally, the crucial role of the nurse executive
in championing the transition to an interdisciplinary restorative nursing
program will be explained. You won’t want to miss this timely session!
10:00 – 11:30 am
The CNA/MDS Connection
Sandy Biggi, BSN, SNT, RAC-MT, C-NE
Jennifer Pettis, RN, RAC-MT, C-NE
The program will give MDS Coordinators the tools to provide their CNAs
with insight into the critical information needed from them about resident
care to ensure MDS coding is reflective of resident status. The speakers will
focus on activities of daily living, indicators of depression, anxiety and sad
mood as well as behavior symptoms, all of which are critical to ensuring
accurate Medicare and Medicaid reimbursement. Accurate reimbursement
begins at the point of care, with the CNAs.
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10:00 – 11:30 am
Dealing with Difficult People
Clint Maun, CSP
Have you ever worked with one of “those” people that made you want to:
Avoid them? Shout at them? Terminate them? Divorce them? Give them up
for adoption? Cause them physical damage? If the answer is yes to any of
these questions, you need to attend this session.
Keynote - 1:00 – 2:30 pm
The MDS 3.0- Final Developments
Rena Shephard, MHA, RN, RAC-MT, C-NE
The implementation date for the new MDS 3.0 has been set for October
1, 2009. It will be the first major revision of the MDS since 1995. This
presentation will review the national testing of MDS 3.0 and resulting planned
changes to MDS. This session also will make the connection between the
MDS 3.0 and resident-directed care and culture change. Attendees also will
hear about some of the experiences of the nurses who tested the form and
will explore the role of AANAC and its members in the implementation of
the new instrument.
Breakouts
3:00 – 4:30 pm
Coaching: Implications for Nursing Leadership
Donna J. Duss, RN, MSN
Coaching is defined as “helping other people solve their own problems, to be
creative within their own responsibilities.” The goal of coaching is to help
workers enhance performance, as well as to develop the ability to learn and
apply new concepts and ways of thinking. This presentation covers coaching
opportunities in the long-term care environment. It describes the benefits
of coaching, discusses reasons for workers’ non-performance and identifies
measures participants can take to implement a coaching approach in their
organizations.
3:00 – 4:30 pm
BIMS, PHQ-9, PUSH and CAMS: An introduction to New
Assessment Processes for the MDS 3.0
Ron Orth, RN, NHA, RAC-MT
The implementation of the MDS 3.0 will bring along with it several new
scientifically validated assessment processes that have not previously
been utilized in the LTC industry. Come learn the techniques required
to properly complete the Brief Interview of Mental Status (BIMS),
Patient Health Questionnaire (PHQ-9), Pressure Ulcer Scale of Healing
(PUSH) and the Confusion Assessment Method (CAMS). Knowledge and
implementation of these processes now will better prepare you for the MDS
3.0 implementation.
3:00 – 4:30 pm
Food, Prizes, Men in Tights: Sure Fire Engagement Techniques for Employees
Clint Maun, CSP
Everyone wants to retain employees. Everyone wants to engage employees.
Everyone wants to have culture change occur using staff involved in
teams. What are the ways you really step up staff involvement and ensure
a successful implementation? The proven techniques in this session will
provoke stimulated conversation, immediate implementation strategies and
positive ideas to set the stage for any organizational improvement effort.
Culture change or organizational improvement does not need to be a top
down process. We do not need to have a method for staff engagement that
is not fun and exciting. There are ways to use simple, proven, sure fire
techniques that truly engage the staff in an effort that can be continued on the
organization’s journey towards excellence.
3:00 – 4:30 pm
Medicare Part A: Perilous Pitfalls and Missed Opportunities
Rena Shephard, MHA, RN, RAC-MT, C-NE
The criteria for reimbursement under Medicare Part A in an SNF are
complex, involving multiple facility systems and expert understanding of
the MDS as well as coverage and documentation criteria. And the trouble is
that you really don’t know if you’re doing it right until some of your claims
are reviewed. Even some of the most conscientious, experienced Part A
providers are having trouble getting through claim reviews. Still others are
missing significant opportunities to capture legitimate Part A services. The
problems range from setting the ARD on the wrong date to not recognizing
coverable situations to really not “getting” the documentation piece. This
session will make the connection among the pieces of this complex puzzle to
assist your facility to provide the services the residents are entitled to – and
to receive the reimbursement it’s entitled to.
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