PDPM and you

Impact of PDPM on Skilled Therapy

Angie Szumlinski Compliance, News

With the implementation of PDPM in SNFs, questions, concerns and job security are being discussed by skilled therapists and rightfully so! In this article from AOTA, PDPM concerns are discussed along with responses to questions regarding facility operations/protocols. Using PDPM as the “reason” for downsizing your therapy department does not make the process of implementing PDPM easier and in fact …

Social Media Icons on Phone

The Risks of Social Media

Angie Szumlinski Compliance

Social media is a huge area of risk for providers and as such should be an important part of your QAPI committee discussions. Identifying your “social media footprint” is one step in the process however a bigger concern is your employees use of social media and how it could impact your organization. We have all heard about the horrific pictures …

Request for Criminal Background Check

OIG Background Checks

Angie Szumlinski Compliance

Although long-term care providers have been required to perform criminal background checks for many years, the national data base is not accessible to providers. In a recent article published in Provider Magazine, Mark Parkinson, CEO of AHCA/NCAL and David Gifford, MD, Senior Vice President of Quality and Regulatory Affairs at AHCA discussed a recent OIG report on the effectiveness of …

Warning

This Could Be You!

Angie Szumlinski Compliance

The OIG is inspecting nursing facilities to identify whether they are in compliance with the Life Safety Code and Disaster Preparedness. In this article, the OIG discusses the 2016 updated life safety and emergency preparedness regulations aimed at improving care. The OIG made the decision to visit nursing facilities to ensure compliance with the regulations. The visits were conducted in …

CMS Ensuring Safety and Quality in Nursing Homes: Five Part Strategy Deep Dive

Angie Szumlinski Compliance

CMS recently blogged about their five-part approach they are using to ensure safety and quality in America’s nursing homes. The approach is: Strengthen Oversight Enhance Enforcement Increase Transparency Improve Quality Put Patients over Paperwork Seema Verma, Administrator, Centers for Medicare & Medicaid Services wrote about the first strategy, Strengthen Oversight, in a recent blog post.

Arbitration Agreement

Is Your Arbitration Agreement Compliant?

Christina Nechiporchik Compliance, Legal, News

After litigation and multiple comment periods from the public, the new CMS rule for arbitration agreements went into effect on September 16th. The rule only applies to arbitration agreements entered into on or after September 16th. Providers should take note of key requirements to ensure that their arbitration agreement will be enforceable. While it was a recommended best practice prior …

Improved Oversight Needed to Protect Residents from Abuse

Angie Szumlinski Compliance

A study conducted by the Government Accountability Office (GAO)  identified that citations for abuse have more than doubled—from 430 in 2013 to 875 in 2017 and  abuse deficiencies cited in 2017 were more likely to be categorized at the highest levels of severity (deficiencies causing actual harm to residents or putting residents in immediate jeopardy)—than they were in 2013. The …

PDPM and you

PDPM and You!

Angie Szumlinski Compliance

There are many changes coming in the next few weeks and PDPM is one that will likely have the most impact on your operations. The goal of PDPM is to address our residents unique, individual needs (thus Patient Driven) and ultimately improving outcomes. The assessment process will change significantly with the PDPM model and it is critical that your team …

CMS Proposes Removing Requirements for Unnecessary Rules

Angie Szumlinski Announcements, Compliance

The Centers for Medicare & Medicaid Services (CMS) announced  a proposed rule, “Medicare & Medicaid Programs; Requirements for Long-Term Care Facilties: Regulatory Provisions to Promote Efficiency and Transparency” (CMS-3347-P). This proposed rule would increase facilities’ ability to devote their resources to improving resident care. The proposed rule would, among other provisions: Reduce  the frequency that LTC facilities are required to …

Is Efficiency a Trade-off For Safety?

Angie Szumlinski Compliance, Health

A randomized clinical trial conducted on a study group of over 3,300 Clinicians, who in total recorded almost 4.5 million order sessions, discovered a causative behavior between the number of patient records open at a time and the number of wrong-patient order errors incurred. Clinicians were placed in one of two groups. The first could only have one record open …