Review and Status of Nursing Home Survey: Summary of Traditional and Quality Indicator Survey (QIS)

Angie Szumlinski Uncategorized

Nursing Home Survey Evaluation: For the past 10 years, the Centers for Medicare & Medicaid Services (CMS) and the States have used two standard survey processes that assess the quality of care and quality of life for nursing home residents. Enclosed is a review of both the traditional survey and QIS processes.   Survey Efficiency and Effectiveness: The CMS is …

Professional Liability Toolkit – AHCA

Angie Szumlinski Uncategorized

A newly revised Arbitration Agreement template is the first product being made available as part of the AHCA’s Professional Liability Toolkit. The revision replaces earlier versions, dated 2002 and 2004, said a memo about the product from Dianne De La Mare, AHCA vice president of legal affairs. “The association continues to assert that one of the best ways to avoid …

Guidelines for Preventing Workplace Violence – OSHA

Angie Szumlinski Uncategorized

Jackson Lewis P.C. and Lyn Bentley, AHCA OSHA recently released an update to its Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers The publication includes industry best practices and provides some insight on how to reduce the risk of violence in various health care and social service settings. In the document, OSHA recommends that health care providers …

Observation Stay Update

Angie Szumlinski Uncategorized

Association Applauds Rep. Courtney for Reintroducing Bill to Help Fix Observation Status Issue Legislation ensures time spent as outpatient, satisfies Medicare requirement Washington, D.C. – The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) today commended Congressman Joe Courtney (D-CT-2) for reintroducing the Improving Access to Medicare Coverage Act of 2015. The legislation ensures that time spent …

ACP Wound Prevention And Treatment Guidelines

Angie Szumlinski Uncategorized

Philadelphia, March 3, 2015 — The American College of Physicians (ACP) published two evidence-based clinical practice guidelines in Annals of Internal Medicine for the prevention and treatment of bedsores, also called pressure ulcers. Bedsores commonly occur in people with limited mobility, such as those in hospitals or long-term care settings.   “Up to $11 billion is spent annually in the United States …

CPR – Is Your Facility Meeting the New Regulations?

Angie Szumlinski Uncategorized

On October 18, 2013 CMS released S&C: 14-01-NH regarding F155 and Cardiopulmonary Resuscitation (CPR) in Nursing Homes.  This memo was revised on 1-23-15.  The memo (see link below) gives guidance to surveyors on assessing a facilities policy for honoring resident choice and advance directives.  In the past, some facilities have chosen to not train their staff to initiate CPR but …

Changes to the 5 Star Rating

Angie Szumlinski Uncategorized

Last week CMS announced changes to the Five-Star Quality Rating System that take effect on February 20, 2015. The changes will likely impact a number of our member skilled nursing facilities' ratings, resulting in a loss of one or two stars.  CMS released a preview of each center's new ratings on Friday, February 13. Information on how you can access …

More Evidence that Baldrige Criteria Help Organizations Perform Better

Angie Szumlinski Uncategorized

Several recent articles in national journals support the validity of the Baldrige approach across several sectors, including health care and manufacturing. First, “Understanding High-Reliability Organizations: Are Baldrige Recipients Models?” published in The Journal of Healthcare Management of the American College of Healthcare Executives, asks, Is the Baldrige model a platform for achieving high reliability? Author John R. Griffith analyzed the outcomes of Baldrige Award recipients …

Corporate Compliance and the 2015 OIG Work Plan for Nursing Homes

Angie Szumlinski Uncategorized

The Kitch Firm recently had a client that was subject to an investigative subpoena from the Office of Inspector General (OIG) which was looking into MDS/therapy/billing irregularities.  That client said, “I wish there was a service that would tell us what the OIG was going to be looking for so we could be prepared.”  That ability to “foresee the future” …

Emergency Preparedness – Are You Ready?

Angie Szumlinski Uncategorized

As we soldier through the winter months, it is a great time to think about emergency preparedness.  When we think about emergencies, we often think of the usual winter events: snow storms, blizzards, power outages, staffing challenges, etc.  However, as we have learned in recent years, there is more to an emergency preparedness plan that moving snow and salting parking …