SPICE Antibiotic Stewardship Training & Education Resources
NC SPICE is pleased to offer free educational materials on antibiotic stewardship including: Visit https://spice.unc.edu/clasp-resources/
I0020B: Avoid Common Sources of Confusion When Coding This MDS Item
The ICD-10-CM code captured in MDS item I0020B (ICD-10 Code/Primary Medical Condition Category) is the foundation of case-mix classification for the Physical Therapy (PT), Occupational Therapy (OT), and Speech-Language Pathology (SLP) payment components in the Patient-Driven Payment Model (PDPM) under the fee-for-service Medicare Part A skilled nursing facility prospective payment …
Updates to ICD-10-CM Coding Guidelines: Key Revisions and Their Implications
The International Classification of Diseases, Clinical Modification, 10th revision (ICD-10-CM), coding system is an essential tool needed to document and bill accurately for healthcare services in the long-term care (LTC) setting. Annual updates to both the coding guidelines and the actual codes reflect updated clinical practices, advancements in medical understanding, …
Infection Control Issues and Career Advancement of the Infection Preventionist
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Dr. Devin Jopp, EdD, chief executive officer for the Association for Professionals in Infection Control and Epidemiology (APIC), discuss the role of the infection preventionist in long-term care and how this respiratory season …
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Nursing Orientation and Onboarding Done Right Can Boost Retention
Working as a nurse in a nursing home can be overwhelming, especially if the director of nursing services (DNS) and executive leadership expect nurses to learn on the job and fail to set up a comprehensive program that includes adequate orientation (short-term training and support) and onboarding (longer-term training and …
Steps to a Strong Discharge Process
The facility has a high number of discharges to the community every month, and the director of nursing services (DNS) feels the discharge process is a good one, as she has received no complaints from residents or staff. However, a review of the facility’s Quality Measures (QMs) tells a different …
F677: How to De-Risk ADL Care for Dependent Residents
Providing residents with the appropriate level of assistance in the activities of daily living (ADLs) is foundational to care in nursing homes, yet the ADLs consistently remain a common citation risk in the survey process. From 2021 to summer 2024, F677 (ADL Care Provided for Dependent Residents) is the eighth most-cited F-tag …
Skilled Teaching and Training: Benefit From the Care Team’s Expertise
Like care plan management and evaluation and observation and assessment of a resident’s condition, teaching and training activities are a core nonskilled component of resident care that can rise to the level of a skilled service. Another way that these indirect skilled services are alike is that they historically haven’t …
Quality Measure IQ Series: Discharge Function Score Measure
The newest section GG Quality Measure (QM), the Discharge Function Score, has left many nurse assessment coordinators (NACs) with more questions than answers about how it is calculated. This measure estimates the percentage of Medicare Part A skilled nursing facility (SNF) stays that meet or exceed an expected Discharge Function …
Revised SNF ABN (Form CMS-10055) Mandatory Oct. 31, 2024
With the help of contractors, CMS revised the SNF ABN, Form CMS-10055, and the form instructions. The SNF ABN form and instructions are located in the download section and are available for immediate use, but will be mandatory for use on 10/31/2024. Skilled Nursing Facilities (SNFs) must issue a notice …