Elopement Program Success Hinges on Staff Education and Training

Editor’s note: This is the second article in a three-part series on elopement prevention and response in nursing homes. The first article addressed risk assessment and care planning, and a future article will tackle elopement risk management, including mechanical and human risks. Staff training is a critical component of effective …

SNF QRP: Monitor Data Submission Threshold Performance With These Reports

Swingtech, a contractor with the Centers for Medicare & Medicaid Services (CMS), alerts skilled nursing facilities (SNFs) that are not meeting the Skilled Nursing Facility Quality Reporting Program (SNF QRP) data submission threshold for the Medicare Part A annual payment update (APU) prior to the submission deadline for each calendar …

FY 2022 SNF PPS Final Rule: No PDPM Parity Cuts, but Other Changes Impact SNFs

FY 2022 SNF PPS Final Rule: No PDPM Parity Cuts, but Other Changes Impact SNFs Providers can breathe a sigh of relief that the Centers for Medicare & Medicaid Services (CMS) will not move forward in fiscal year (FY) 2022 to recalibrate the parity adjustment for the Patient-Driven Payment Model …

ASPR TRACIE: mAbs (Monoclonal Antibody Therapeutics) Calculator Tool for COVID-19 (8/21)

The mAbs Calculator is a free decision-support tool that enables healthcare facilities to make data-informed choices about resource allocations needed to effectively and efficiently provide monoclonal antibody therapeutics to qualified patients. The mAbs Calculator can support planning in multiple settings, including long-term care facilities. Check out This new tool and the related …

Elopement Prevention Starts With Risk Assessment and Care Planning

Editor’s note: This is the first article in a three-part series on elopement prevention and response in nursing homes. Future articles will address staff training, policy and procedure development, and elopement risk management, including mechanical and human risks. Anecdotal reports gleaned from the monthly Full Texts of 2567 Statements of …

SNF QRP: Common Sources of Dashes on Data Submission Threshold MDS Items

It’s never a good time for a skilled nursing facility (SNF) to be hit with a two percent reduction in its Medicare Part A annual payment update (APU) due to not meeting the MDS data submission threshold requirement for the Skilled Nursing Facility Quality Reporting Program (SNF QRP). However, financial …

‘Problem’ Physicians? The Medical Director Can Be the Nursing Home’s Liaison

A physician who always sends residents to the emergency department (ED) when nurses call them about a significant change in condition, an advanced practice provider (APP) who routinely orders expensive and unnecessary tests, a physician who often prescribes antibiotics that aren’t compatible with the facility’s antibiotic stewardship program—these are all …

CMS Plans to Issue Infection Prevention and Control Proposed Rule in November (7/21)

Spring 2021 Unified Agenda of Regulatory and Deregulatory Actions HHS has released the spring 2021 list of rules coming from its agencies here: https://www.reginfo.gov/public/do/eAgendaMain?operation=OPERATION_GET_AGENCY_RULE_LIST&currentPub=true&agencyCode=&showStage=active&agencyCd=0900&csrf_token=0E1B877ADA6F1E9E7B917760AB4DF631E1235A1E80343E41CEE5211522813776D81C588749E57D66DD6727F7D1F1E611994A Key agenda items: HHS/CDC Proposed Rule Stage Respirator Certification Fees; Fee Schedule Update 0920-AA70 HHS/CDC Proposed Rule Stage Development of Regulatory Requirements for Respirator Fit Capability …

Focus on These MDS/ICD-10 Denial Trends in Medicare Advantage Audits

Medicare managed care (Part C) plans, which are still predominantly Medicare Advantage plans, tend to conduct more medical reviews than traditional Medicare Part A contractors, says Carol Maher, RN-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC, director of education for Hansen, Hunter & Co. PC in Vancouver, WA. “Even though skilled nursing …

AHRQ Toolkit to Improve Antibiotic Use in Long-Term Care (6/21)

The Long-Term Care Toolkit explains the Four Moments of Antibiotic Decision Making, and has tools to support their implementation and improve prescribing in three areas: developing and improving an antibiotic stewardship program, creating a safety culture around antibiotic prescribing, and disseminating best practices for common infectious diseases. Welcome to the …