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Keynote Sessions
8:30 a.m. to 10:00 a.m.
MINDSHIFT: Change is Inevitable, Growth is Optional
Susan Murphy, PhD, MBA, RN
Change energizes some people and paralyzes others. The rate of change in today’s world is escalating—and will continue to do so. This humorous, high content presentation addresses the four stages of change and predictable human behaviors that occur during each stage. There are specific actions needed at each stage to get back on track and navigate through the change. As a healthcare leader, embracing change is critical to your success. Research shows that the behavior of leaders is the most important factor in how people in organizations accept change. Self-management is one of the toughest challenges during times of change. It is no longer survival of the fittest, but survival of the most flexible. By proactively shifting our mindset from resisting change to embracing change, professionals can learn to respond to change by strategically planning for the impact of change. This presentation will focus on prescriptions for surviving and thriving during times of change.
This presentation will address:
- Four stages of change
- Human behaviors occurring at each stage of change
- Leadership behaviors required to navigate through change
- Prescription for thriving during change
10:30 to 12 Noon
MDS 3.0 and the Quality of Life Tags: Assessment and Regulation Embrace Culture Change
Rena Shephard, MHA, RN, RAC-MT, C-NE and Debra Saliba, MD, MPH
The new MDS 3.0 scripted interviews and the recently updated Quality of Life survey tags make it clear that nursing homes are expected to provide care based on a resident’s specific needs, preferences, routines, and priorities. This session will look at how these CMS initiatives connect with the culture change movement that’s sweeping through nursing homes across the country and will spotlight valuable methods for achieving this different kind of relationship with residents.
Breakout Sessions
1:00 to 2:30 p.m.
(1) Triple Check: Key to Accurate Reimbursement
Sophie Campbell, MSN, RN, CRRN, RAC-CT and Stephanie Kessler, Senior Manager
2010 is the year of significant change in status for MDS assessments and reimbursement. One constant is the OIG FY 2011 Work Plan requirement for documentation support for submitted claims for reimbursement to providers. This session will correlate compliance requirements to processes resulting in accurate claims for reimbursement.
1:00 to 2:30 p.m.
(2) Roadmap to Understanding Case-Mix Revenue Via Innovative Programming and Management
Cheryl Ben-David, PT, DPT
This presentation focuses on rehab department management, with emphasis on developing programs for the long-term resident; identifying reimbursement opportunities and highlighting collaboration of nursing and rehab, while providing ethical programming and quality outcomes. The presentation clarifies documentation requirements, including timing across payers, affecting viability of associated billing.
1:00 to 2:30 p.m.
(3) In the Company of Women: Joys & Challenges of Working with Women
Susan Murphy, PhD, MBA, RN
Based on the best-selling book about women working with women, Dr. Susan Murphy’s presentation uses humor and research to explore how to create powerful alliances among women. This illuminating presentation explores the Power-Dead-Even-Rule as well as research findings - biological, genetic and sociological—that explain female behavior. When women work well together, morale and productivity of the whole team improves. When women have conflict, indirect aggression and sabotage may occur. Dr. Murphy presents this important topic with respect, wit, and relevant stories. She provides strategies for developing successful relationships.
This presentation will address:
- Gender Differences in brain structure, hormones, sociology, and genetics
- How Power affects relationships and impact of the Power-Dead-Even Rule
- Strategies for dealing with “Difficult Women”
- Effective methods and tools for developing successful relationships
1:00 to 2:30 p.m.
(4) Functional Decline: Preventing the Downward Spiral—and Increasing Your Five-Star Rating
Rena Shephard, MHA, RN, RAC-MT, C-NE
Assisting residents to attain or maintain the highest level of well-being is OBRA’s mandate for nursing homes, but facilities still struggle with this challenge. Learn how to strengthen systems and improve functional outcomes as well as quality of life—and your Five-Star rating at the same time.
3:00 to 4:30 p.m.
(5) Hit the High Notes with MDS 3.0 Scales
Sheila Capitosti, RN-BC, NHA, MHSA
This program will provide an overview of the BIMS, the CAM, the PHQ-9 and the Numeric and Verbal Pain Intensity Scales and identify changes to the ADL Index for MDS 3.0. Case study examples and ideas for applying the scales beyond the MDS will be discussed.
3:00 to 4:30 p.m.
(6) Are Your Medicare Meetings Working for You?
Marilyn Mines, RN, BC, RAC-CT
Medicare meetings are frequently time consuming and don’t accomplish what they really need to. This session will provide the audience with tools to better manage the meetings and allow therapy, billing, and nursing to get needed information in a more timely fashion.
3:00 to 4:30 p.m.
(7) Individualized Care Planning
Annette Sanders, BS, RN
Individualized care planning involves a fundamental shift in the process of care planning: removing the task orientation and focusing on the person and their abilities. Transforming to person-centered care challenges us to review and alter our care planning process so goals are set by residents and caregivers.
3:00 to 4:30 p.m.
(8) Achieving Successful Outcomes in Long Term Care Electronic Medical Record (EMR) Implementation
Janine Savage, RN, RAC-CT, CHC
Despite evidence demonstrating the benefits of using information technology, long-term care has been slow to implement electronic medical records. Many barriers and obstacles to successful outcomes exist. This unique presentation will focus on a leading-edge approach to EMR implementation using a best-practice adoption model.
Keynote Sessions
8:15 to 9:45 a.m.
CMS Updates
Thomas Dudley, MS RN; Ellen Berry, PT and Karen Schoeneman, MPA (Invited)
This program is intended to keep you up-to-date with an overview of the RAI/MDS activities under development at the Centers for Medicare & Medicaid Services. Participants will receive updated information on the status of the MDS 3.0 and implementation plans. Additional updates will be provided on RUG-IV, development of new quality measures, Value-Based Purchasing (Pay for Performance), the Recovery Audit Contractor (RAC) Program, the Five Star Program and the Quality Indicator Survey (QIS).
10:00 to 11:30 a.m.
If You Are Not a Little Crazy, You Cannot Come Into My House
Francis Battisti, PhD, LCSW
As professionals, life is full of circumstances that allow us to forget about being good to ourselves. These circumstances, if not handled consciously, can start a process of destruction in our bodies and minds. “If You Are Not A Little Crazy...” is a high-energy program designed for renewed sense of purpose, harmony and spontaneity.
Breakout Sessions
12:30 to 2:00 p.m.
(9) What to Say When: Conversations at the End of Life
Sandy Reifsteck, RN, MS Ed, FACMPE
Studies show that patients nearing the end of life die in pain, often receiving treatments that are “high burden and low benefit”. Communication skills are key in the delivery of palliative care. Outcomes include identification of concerns, relief of distress, coping and quality of life.
12:30 to 2:00 p.m.
(10) Highlights of MDS 3.0 Section M - Skin Conditions
Elizabeth A. Ayello, PhD, RN, ACNS-BC, CWON, MAPWCA, FAAN
The CMS timetable is that MDS 3.0 will be implemented October 2010. Since section M Skin Conditions is significantly expanded and is now three pages in length, facility system changes regarding documentation and new clinician assessment skills are needed. An overview of key elements of section M will be discussed in this breakout session.
12:30 to 2:00 p.m.
(11) Care Area Assessments—Improving Quality and Meeting Requirements
Rena Shephard, MHA, RN, RAC-MT, C-NE
Care Areas Assessments (CAAs) are part of the new lingo for MDS 3.0. But what are the CAAs, what will surveyors be looking for, and how can CAAs improve care? Come to this session and find out.
12:30 to 2:00 p.m.
(12) Quality Indicator Survey—Fundamentals of What You Need to Know
Kenneth Daily, LNHA, BA
More than 20 states have begun to transition to the Quality Indicator Survey (QIS) process with the remaining states scheduled to begin implementation over the coming years. The QIS is the revised survey and certification program by the CMS which incorporates a comprehensive and systematic approach to review all regulatory areas and through the use of sophisticated computer software. Surveyors use standardized interview, record analysis and observation techniques to determine a facility’s Quality Care Indicators (QCI). Each QCI determined to be greater than the established government threshold triggers a surveyor investigation to determine facility compliance with the federal regulations. This session will guide participants through the “big picture” overview and basic foundation of the QIS to understand and manage the process and how it differs from the traditional survey.
2:30 to 4:00 p.m.
(13) The Wave of the Future: Culture Change and the MDS 3.0
Lisa Hohlbein, RN, RAC-CT, MSCN and Janet Watton, CTRS, Eden Educator
This session describes techniques to link the MDS 3.0 to culture change and resident-directed care. Attendees will be shown how to incorporate the wave of the future by using targeted resident information to help predict and plan individualized care. Takeaways include resources to manage challenging behaviors.
2:30 to 4:00 p.m.
(14) Everything You Ever Wanted to Know About MDS Automation and Options for Correcting an MDS 3.0
Barbara Thomsen, CDM, CFPP, RAC-CT
This program will provide a step by step walk through of the MDS 3.0 automation and corrections process including the submission process, accessing the CASPER reporting system, and how to use validation reports. This session is an absolute must for those new to this process and for old timers that need an update on these systems.
2:30 to 4:00 p.m.
(15) MDS 3.0 and Medicare
Carol Maher, RN-BC, RAC-CT
This in-the-trenches type presentation will help the PPS team understand how to set MDS 3.0 ARDs according to instructions in the RAI User’s Manual and medicare regulations, how the new MDS 3.0 assessments impact both the PPS schedule and billing and how resident absences impact the PPS schedule.
2:30 to 4:00 p.m.
(16) Using the QIS Critical Element for Quality Assurance and Improvement
Kenneth Daily, LNHA, BA
Whether your state is already being surveyed under the new QIS process, or soon will be, this session is essential. The old adage of the “best defense is a strong offense” surely applies and being prepared for the QIS has never been more important. While the actual OBRA regulations have not changed, the QIS Process is vastly different from the traditional survey. Performing well under this two-stage, nine-task process will require an understanding of and preparation for the more than 160 Quality of Care Indicators and the Critical Element Pathways. Employing the QIS process into your facility’s quality program is practical proactive system for management of care and quality that can be readily understood, provides the most current information and parallels the QIS standards—creating an environment of monitoring of resident care and facility performance and a surefire way to avoid survey surprises.
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