Keynote Presentations
Come and Meet Ima Famlimember! Deborah Afasano, BSN, RNC, RAC-CT
Come and meet Ima Famlimember! Ima is a well-known visitor in any long-term facility. Ima can be your greatest ally or a recurrent nightmare, and believes it is time that we come together and take time to RAP about QUALITY, and opportunities for enhancement in LTC. Ima knows about 3.0 and thinks she should be coded at M1 as a facility-acquired pressure sore. When she is upset, she puts pressure on everyone! Ima has assumed the role of health care surrogate and resident rights advocate, and has her own ideas about putting the CARE in care plans. Be ready to respond to what triggers her fury! Ima is a one-armed bandit waiting to set off bells and whistles. Come meet Ima as she explains: “How to Hit the Quality Jackpot in LTC, Find Pots of Gold at the End of the LTC Rainbow, Walk in Each Others Ruby Slippers to Create a Home Away From Home”.
AANAC Discussion Group MDS 3.0 Live!
Panel Discussion: Carol Job, RN, RAC-CT; Carol Maher, RN-BC, RAC-CT; Rena Shephard, MHA, RN, RAC-MT, C-NE; Judy Wilhide-Brandt, RN, BA, RAC-MT, SMQT, C-NE
Discussion Groups are a means of getting in touch with large groups of your peers concerned with similar issues online. AANAC’s members have been online with each other since the beginning of AANAC in 1999 and it is the nation’s most active Discussion Forum for long-term care nurses and other professionals. Join us for a live version of the online forums with a panel of experts ready to provide you with answers to your most pressing questions about MDS 3.0, RUGS-IV, Medicare and beyond!
CMS Updates
Thomas Dudley, MS, RN: Sheila Lambowitz, MBA, RN; Mary Pratt, MSN, RN (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 and Medicaid. Participants will receive updated information on the status of the MDS 3.0 and implementation plans. Additional updates will be provided on RUGs 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).
Culture Change: Developing a Central Role for Nursing
Bonnie Kantor, Sc.D
As it enters its second decade, the culture change movement is at a crossroads: although the true "pioneers" are on board, widespread implementation of person-directed practice has not occurred. We are now ready to move from the demonstration stage that has characterized the first decade of culture change to the broad-scale spread of this compelling innovation. While we know it’s possible to deliver person-directed care that is both cost-effective and highly satisfying to those receiving the care as well as to their families and caregivers, the lack of clearly defined steps and pathways to person-directed care is a barrier to the broader spread of innovation. This presentation focuses on national initiatives and partnerships intended to speed diffusion of this innovation. Special attention will be paid to efforts to empower nurses throughout the organization to become clinical champions and leaders in the delivery of person-directed care and caring. To ensure a strong leadership role for nurses we need to provide details about what makes a successful nurse leader in culture change. During this presentation we will focus on the development, dissemination and evaluation of core competencies for nursing in a resident-directed care environment. Emphasis will be on how these competencies can be applied in everyday practice.
About the Breakouts
MDS 3.0 and RUGS IV: Dealing with Reality: How to Redesign Operations and Responsibilities in a Changing SNF Universe
Sheryl Buchholtz Rosenfield, RN, BC, RAC-MT
This session provides an overview of assessment and payment changes to SNF, changes to the facility admission process and changes to clinical team operations for assessment, care planning and payment. It will also cover accurate billing and payment strategies and successful clinical and reimbursement team strategies.
MDS 3.0 is Upon Us – What You Need to Know to Get Started
Rena Shephard, MHA, RN, RAC-MT, C-NE
MDS 3.0 implementation is right around the corner. This session will highlight some of the key changes in MDS requirements, explore changes in operational and clinical systems and processes that can help to pave the way to successful implementation, and answer burning questions.
Don’t Gamble with Compliance
Sophie Campbell, MSN, RN, CRRN, RAC-CT
Stephanie Kessler, Senior Manager, RAC-CT
This session will provide information of facility compliance needs from MDS coding to Recovery Audit Contractor (RAC) audits and include relevant topics such as the OIG Work Plan and Five-Star Quality Rating System. We will provide insight based on experience in assisting providers with components of compliance.
A Practical Approach to Culture Change
Linda Kettles, RN, RAC-CT
KJ Langlais, CEO, LACHA
Many organizations have made the decision for culture change, but struggle with day to day reality of implementation. In this session attendees will receive real solutions and tools to successfully implement culture change presented by experienced staff of an award-winning organization on the leading edge of culture change.
MDS 3.0 Improve Your Odds of Success
Sheri Kennedy, RN, BA, MS Ed, RAC-MT
At first glance the MDS 3.0 may appear daunting. Listening to this MDS 3.0 Gold Standard Nurse as she identifies similarities and differences between the 2.0 and 3.0, discusses resident voice and accountings from her personal assessment experiences will help prepare you to embrace the new MDS 3.0.
Developing Your Expertise in Geriatric Nursing and Leadership
Christine Mueller, PhD, RN, FAAN
Developing your expertise in geriatric nursing and leadership is essential to provide quality, team focused care to nursing home residents. This session will provide nurses with resources and strategies to strengthen their expertise and create an individualized professional development plan.
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Member Networking
By popular demand, this breakout session is devoted to members
networking in small group roundtables. Please join your fellow
- MDS Coordinators
- Directors of Nursing, ADONs
- Corporate reimbursement specialists
- Corporate clinical consultants
- Administrators
- And others
and compare notes, ask questions, and make valuable professional connections.
Quality Indicator Survey – The Fundamentals of What You Need to Know
Kenneth Daily, LNHA
CMS is transitioning to the Quality Indicator Survey across America. The QIS incorporates a comprehensive and systematic approach to review all regulatory areas. A facility’s Quality Care Indicators are determined through the use of sophisticated computer software, Surveyors subsequently compare facility practice with nationally accepted thresholds. Each CQI determined to be greater than the thresholds trigger a more thorough surveyor investigation to determine facility compliance. Highlights will include proactive, realistic approaches to identify your facility’s survey weaknesses and how to prepare for the new survey process in order to achieve and maintain compliance.
Understanding the New RUGS IV Changes
Jan Stewart, RN, RAC-MT
Payment Category changes in PPS reimbursement will be a challenge to everyone in long-term care. Participants will learn how to focus on the key elements required for placing residents into the new RUG categories.
MDS and Medicare MDS 2.0 vs MDS 3.0
Carol Maher, RN-BC, RAC-CT
The presentation will include how to successfully schedule and complete PPS assessments to meet regulations, completing OMRA, HIPPS codes, Medicare Certifications, and others so that Medicare can be appropriately billed. The MDS 3.0 Medicare schedule would also be explored to show differences and similarities.
Reducing Potentially Avoidable Hospitalizations
Steven Littlehale, MS, GCNS, BC
Nursing homes once again find themselves in the spotlight and challenged to prevent rehospitalizations, specifically of Medicare residents. Critics imply (though data does not support this) that nursing homes are accepting residents they cannot manage and are solely motivated by the revenues associated with these medically complex and debilitated residents. Reducing hospitalization rates is imbedded in CMS’ “P4P” (Pay for Performance or Value-based Purchasing) initiative. This session will focus on the use of evidence-based practice and a MDS-based hospitalization prediction model to predict resident risk for hospitalization. Best practice recommendations from a CMS published study in Georgia for effectively managing the care of these high-risk residents will be discussed. The Interact Framework, developed by The Georgia Medical Care Foundation, focuses on communication about the resident between facility and hospital staff and offer care paths for common acute conditions to guide treatment in the nursing home. The discussion will also address the need for resident and family education regarding advanced care planning to assist in reducing transfers of residents who are terminally ill or on a palliative care plan.
Pain Management and the IDT
Karyn Leible, RN, MD, CMD
In March 2009, the new guidance for surveyors for F Tag 309 became available. In the new guidance are directions for assessing a facility’s response to pain in their residents. This presentation will address assessment and documentation requirements to meet the guidelines. The presentation will focus on pain in the elderly being cared for in a long-term care facility. There will be a discussion regarding changes in the pain section on MDS 3.0.
MDS 3.0 Care Area Assessments – When, How, and Why
Rena Shephard, MHA, RN, RAC-MT, C-NE
Care Areas Assessments (CAA) 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.
Restraint in LTC: What Are the Rules, and How Do I Code MDS 3.0?
Linda Taylor, MSN, RN
This is a focused workshop on restraint use in LTC. The session will clarify the meaning of the term restraint, describe the federal regulatory requirements, explain the MDS 3.0 coding requirements, and provide the chance to practice through scenario analysis and coding.
Four-Steps to Five-Star Success
Steven Littlehale, MS, GCNS, BC
In December 2008, the “Five-Star Nursing Home Quality Rating System” was rolled out. Ratings for the nearly 16,000 nursing homes nationwide can be found on the Centers for Medicare and Medicaid Services’ (CMS) Nursing Home Compare website. The intent is for the Five-Star Rating System to provide helpful information for consumers to better understand overall nursing home quality as well as quality within three specific domains: Health Inspections, Staffing and Quality Measures. The session will help you understand the following: principles of the current rating system, concerns and shortcomings that have been identified, how to ensure posted ratings are based on accurate data, what other entities may be using these ratings and any further related initiatives and plans that might evolve.
Hitting the Jackpot: Effective Resident Interviewing
Rita Roedel, MS, RN
Lisa Hohlbein, RN, BS, RAC-CT, MSCN
This session describes techniques that establish rapport and set the stage for optimal exchange of information as part of the new MDS 3.0 rules for resident interviewing.
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