Question: Is a Significant Change in Status Assessment required for a new stage 3 pressure ulcer? Answer from Janine Cortesa RN, BSN: A stage 3 pressure ulcer may signify the need for a Significant Change in Status Assessment (SCSA), but not necessarily. The RAI User’s Manual in chapter 2, states …
Question: I have a Medicare Part A resident discharging to another SNF and will continue skilled Medicare there. Would I combine the OBRA Discharge with a PPS Part A Discharge assessment? In A2400, would I put the day she discharged as her Medicare Part A end of stay or would …
The magnitude of facility-initiated discharges in nursing homes remains unknown. Many challenges exist to identifying and addressing inappropriate facility-initiated discharges, including that neither Administration for Community Living (ACL) nor Centers for Medicare and Medicaid Services (CMS) collect data on the number of facility-initiated discharges, and many State Ombudsmen do not …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Erin DuPrae, OTR/L, clinical support specialist with AAPACN Diamond Partner, Synchrony Rehab, discuss how facilities can be proactive with Part B denials and how to prepare for appeals.
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Question: Where can I find information on the new CMS COVID-19 vaccination requirements? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-CT, QCP: CMS has developed a FAQ document regarding the Interim Final Rule that answers a lot of questions regarding the 214-page document that was released on Nov. 4. CMS …
Lucian Leap just released a new book called Making Healthcare Safe. This free, downloadable book discusses ways a skilled nursing facility can implement a culture of safety by changing processes, working conditions, and communication in order to make the facility as safe as possible for both residents and staff. For …
Morning stand-up is meant to be a brief meeting (15 minutes or less) to exchange information that affects the operations of multiple departments on that given day. The information exchanged should be shared with the intent of facilitating connection among all departments and coordinating operations. Facility leaders can utilize this …
Question: Where can I find resources to help our facility prevent and manage sepsis? Answer: TMF, a Quality Improvement Organization, offers a free toolkit called the Sepsis Post-Acute Care Training Toolkit for Nursing Homes. This toolkit educates nursing home staff, residents, and families about the early identification of sepsis in …
Question: Would you code a positive nasal swab for MRSA as a multidrug-resistant organism (MDRO) in section I? Answer from Heide Keen, RN, BSN, RAC-CT: Most often, we find that MRSA of nares is colonized and not considered actively infectious, and not being medically treated. It all depends on the …
Electronic access (PDF) to this book is free with IHI membership (also free). Leape LL. Making Healthcare Safe. Springer; 2021. Written by Lucian Leape, a pioneer of the patient safety movement, this book describes how patient safety became recognized as an important problem, the underlying science, and the efforts to implement changes. The …
