How the DNS Can Lead the Team Before, During, and After an Emergency

Emergencies can occur at any moment. Fires, hurricanes, snowstorms, ice storms, water main breaks, power outages, and outbreaks are just a few of the emergencies nursing homes must prepare for throughout the year. However, in September 2023, the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) …

QAPI: How to Maximize Performance Improvement as well as Quality Assurance

The continuing expansion of the Skilled Nursing Facility Value-Based Purchasing program (SNF VBP) quality measure (QM) set is part of a multi-pronged approach by the Centers for Medicare & Medicaid Services (CMS) to encourage improvements in the quality of care for nursing home residents. The SNF VBP focuses on financial …

Schizophrenia Audit Takeaways for NACs and the IDT

In the Jan. 18, 2023, Quality, Safety, and Oversight (QSO) memo QSO-23-05-NH, the Centers for Medicare & Medicaid Services (CMS) announced plans to conduct offsite audits to assess whether nursing homes appropriately assess, document, and code diagnoses captured in MDS item I6000 (Schizophrenia (e.g., Schizoaffective and Schizophreniform Disorders)) that are …

The Basics of Significant Change and What Has Changed

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss some of the common concerns noted with Significant Change in Status Assessments (SCSAs).

OIG General Compliance Program Guidance (GCPG) Updated

The GCPG is a reference guide for the health care compliance community and other health care stakeholders.  The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health care compliance. The GCPG is voluntary guidance that discusses general compliance risks and compliance programs.  The GCPG …

The Dietitian’s Role in Nursing and Reimbursement

To meet residents’ individualized needs, the director of nursing services (DNS) requires the expertise of many healthcare professionals working collaboratively, including the dietitian. This tool provides guidance on how to enhance collaboration between the nursing and dietary departments. This AAPACN resource is copyright protected. AAPACN individual members may download or …

SNF VBP QMs: What Just Happened, What’s Next—and What the DNS Should Monitor

On Oct. 1, 2023, the Centers for Medicare & Medicaid Services (CMS) kicked off a critical step in expanding the Skilled Nursing Facility Value-Based Purchasing program (SNF VBP) quality measure (QM) set. This expansion means that the director of nursing services (DNS) will need to work with both staff and …

Improving Collaboration with the Registered Dietitian

To meet residents’ individualized needs, the director of nursing services (DNS) requires the expertise of many healthcare professionals working collaboratively. For expertise on nutrition, the DNS should collaborate with the registered dietician (RD), who is an invaluable addition to the team for both the residents and the facility. This article …

How the Dietitian Can Help the DNS Improve Quality Outcomes

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Anna Sherman, RD, LD, a registered dietitian at RD Nutrition Consultants, discuss the registered dietitian’s role as a key member of the interdisciplinary team and how the director of nursing services (DNS) can …