Sexual Expression/Intimacy Requires a Person-Centered Approach

The Centers for Medicare & Medicaid Services (CMS) makes clear that nursing homes should have a sexual expression/intimacy program that supports sexually intimate relationships when possible. Specifically, F607 (Develop/Implement Abuse/Neglect, etc. Policies) in Appendix PP of the State Operations Manual states:   The facility must have and implement written policies and procedures to prevent …

How to Help LTC Residents Overcome Loneliness During the Holiday Season

For staff, the holidays can be a busy time full of family gatherings and holiday celebrations, but for our residents, the holidays can be an especially lonely time. Our residents must adjust to so many different circumstances as they age — issues such as physical disability, loss of independence, social …

How Can the NAC Take Time Off? Build a Supportive Team

Planning for time off over the holidays often takes coordination across the entire interdisciplinary team (IDT) to ensure processes and systems continue to operate smoothly while key players are missing. The nurse assessment coordinator (NAC) must ensure MDS assessments are in place, skilled Medicare decisions are being made appropriately, significant …

Policy and Procedure Review and Development Guide Tool

Policies and procedures are essential to the operation of your organization because they provide written structure and clarity for employees and inform all staff of the expectations for how to go about the work they do. Survey agencies review a facility’s policies and procedures as part of their investigation to …

Care Conferences: A Critical Step to Person-Centered Care

By Emily Royalty-Bachelor Care conferences: maybe you’re familiar with them. Maybe you even attend them on a regular basis. But are you confident that your care conferences are meeting their intended purposes and making good use of everyone’s time? Here are some important details you need to know about hosting your …

BMI Plays a Key Role From Reimbursement to Care Planning

As a screening tool to identify potential weight problems for adults, body mass index (BMI) has always been important to document, but it gained new importance as a reimbursement factor for Medicare Part A residents under the Patient-Driven Payment Model (PDPM). Here’s what nurse assessment coordinators (NACs) need to know …

Comprehensive Person-Centered Care Plan Audit Tool and Care Planning Cheat Sheet

The care plan should reflect a resident’s goals for health and wellness, and what the clinical team is doing to help the resident achieve those goals. AAPACN’s §483.21 Comprehensive Person-Centered Care Planning Cheat Sheet provides the DNS with an overview of the required components of the care plan, including the …

PDPM Case-Mix Group Conversion to HIPPS Characters Tool

The nurse assessment coordinator and team members can easily convert the case-mix groups achieved under the Patient-Driven Payment Model (PDPM) to the five-digit Medicare billing code by using the PDPM Case-Mix Group Conversion to HIPPS Characters tool.   For permission to use or reproduce this tool in full or in …