AAPACN 2024 Quality Virtual Conference
Early-Bird Registration (through Oct. 22) – Members: $299 | Non-members: $598
Regular Registration (after Oct. 22) – Members: $349 | Non-members: $698
Continuing Education: 12.0 CE hours
Dates: Nov. 6 – 7, 2024
Time: 10 am – 4:30 pm ET | 9 am – 3:30 pm CT | 8 am – 2:30 pm MT | 7 am – 1:30 pm PT
Boost Quality Outcomes and Performance
Quality is the engine of success in post-acute care. Federal quality initiatives are like a complex road map, filled with manuals, specifications, and timelines that can be challenging to navigate, even for seasoned staff. Join MDS and quality experts during the AAPACN 2024 Quality Virtual Conference for a two-day journey of learning, collaboration, and inspiration aimed at boosting a facility’s performance and quality outcomes. Gain the tools and knowledge needed to steer your facility towards improved outcomes and resident satisfaction.
The schedule consists of expert-led breakout sessions focused on topics including Quality Measures, ICD-10, Five-Star, SNF QRP, SNF VBP, discharge planning, and QAPI. This virtual event is ideal for nurse assessment coordinators (NACs), directors of nursing services (DNS), administrators, clinical nurse leaders, quality improvement coordinators, and any staff passionate about driving quality initiatives within the skilled nursing facility (SNF). Download this digital slick to share with colleagues.
Online registration will open in late September.
Schedule At-a-Glance
*All times are listed in Eastern Daylight Time. Schedule is subject to change.
Wednesday, Nov. 6, 2024
Stacy Grondel RN, BSN, RAC-MT, CMAC, QCP, Brickyard Healthcare
Understanding the basics of Quality Measures (QMs) can be a tricky road to navigate. During this session, the speaker will take you on a crash course of the fundamentals of QMs, review how the data is collected, and cover what is impacted by the QMs. These core concepts are essential for healthcare professionals seeking to deepen their understanding of QMs and improve quality outcomes. Following this session, you’ll be able to:
- Understand basic QM key concepts and their purpose
- Identify basic QM data collection and reporting
- Recognize the impact of QMs in nursing homes
Carol Maher, RN, GERO-BC, RAC-MT, RAC-MTA, CPC, Hansen Hunter & Co
There are five Quality Measures (QMs) that are often impacted by MDS coding errors: Falls with Major Injury (LS), Urinary Tract Infection (LS), Significant Weight Loss (LS), Antipsychotic Med Use (SS), and Pressure Ulcer Worsening (SS). In this session, the speaker will briefly explain how MDS assessments trigger QMs, provide a review of the five QMs that are impacted by MDS coding, discuss the difference between look-back scan measures and other measures, explain the differences between percentages and percentiles, and highlight the types of MDSs that can trigger QMs. Following this session, you’ll be able to:
- Recognize the most common coding errors impacting the Significant Weight Loss QM
- Identify the two criteria that must be met before coding Urinary Tract Infection
- Recall the four “major” injuries that impact the Falls with Major Injury QM
- Understand the requirements that must be met to code the diagnosis of Schizophrenia and how the diagnosis impacts the Antipsychotic Med Use QM
- Review the many instructions regarding “present on admission” for coding pressure ulcers that impact the Short Stay Pressure Ulcer Worsening QM
Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, AAPACN
Resident diagnoses and ICD-10-CM coding play a pivotal role in quality measurement and reporting for skilled nursing facilities (SNFs). In this session, you will explore how ICD-10-CM codes affect SNF Quality Measures (QMs), including the methodologies for triggering measures and calculation of exclusions and risk adjustment. Following this session, you’ll be able to:
- Understand the relationship between ICD-10-CM coding and QMs
- Refine ICD-10-CM coding practices
- Identify specific diagnoses that impact QMs
Tammy Cassidy RN, BSN, LNHA, RAC-MT, Engage Consulting
Are your stars in alignment with the quality of care your community provides? Understanding recent changes to the Quality Measures (QMs), and definitions of each element, is critical to the success of any organization. The QMs are not only a major component of the Five-Star Quality Rating System, but they also impact state and federal survey samples, influence participation in managed care programs and preferred provider listings, and drive how consumers view communities. This session will guide you through the QM domain and will detail the qualifications and impact of each measure. You will learn best practices and strategies to ensure the information reported to the Centers for Medicare and Medicaid Services (CMS) accurately represents the residents and the care they receive. Following this session, you'll be able to:
- Understand how the QMs impact the overall Five-Star score
- Discuss specific ways to ensure accuracy of the QMs
- Identify common QM errors and ways to reduce their occurrence
Judy Wilhide Brandt, RN, BA, RAC-MTA, RAC-MT, DNS-CT, QCP, CPC, Wilhide Consulting
Learn how one of the most important Quality Measures (QMs) is calculated — the Discharge Function Score measure. During this session, the speaker will explain terms like imputation, logistical regression, and use of covariates in plain language, as well as walk you through how the measure is constructed and what it means. You will come away with the knowledge to explain this measure to your colleagues and have a clear understanding of how to approach improvement efforts. Following this session, you will be able to:
- Understand the calculation and risk adjustments used in the MDS-based QM and the Discharge Function score
- Identify the QM programs for which this measure has been approved and how it will be used
- Know important risk adjustment terms, their meaning, and how they are used in this measure: statistical imputation, specific covariates, logistical regression
- Recognize what this QM measures and why it’s important
Join subject-matter experts from the day’s education sessions for a live panel discussion and Q&A session. Take advantage of this opportunity to get answers to your specific questions.
Thursday, Nov. 7, 2024
Joel VanEaton, BSN, RN, RAC-CT, RAC-CTA, MT, MTA, Broad River Rehab, AAPACN Education Foundation Board Chair
The Skilled Nursing Facility Quality Reporting Program (SNF QRP) continues to grow in importance and influence on SNFs. With the fiscal year (FY) 2024 and 2025 final rules firmly establishing SNF QRP expansion, providers should be aware of the scope and variety of measures with reporting requirements that could impact their Prospective Payment System (PPS) payment rates. This session will help you gain a deeper understanding of the SNF QRP, measure specifications, reporting requirements, and the validation process. Following this session, you’ll be able to:
- Describe the SNF QRP and recognize the SNF QRP measures
- Appreciate the complexity of the MDS-based technical specifications
- Identify the SNF QRP reporting requirements
- Understand the SNF QRP Validation Requirement
- Apply an understanding of the SNF QRP to daily practice
Robin L. Hillier, CPA, LNHA, RAC-MT, RAC-CTA, RLH Consulting, AAPACN Board Member
The Centers for Medicare and Medicaid Services (CMS) Value-Based Purchasing (VBP) program is expanding over the next several years to include four new measures, replace the current single rehospitalization measure used, and introduce a health equity adjustment to the scoring methodology that generates the annual incentive multiplier that adjusts each center’s Medicare rates. In this session, the speaker will review the changes and implementation timeline so facility staff can be prepared. Following this session, you’ll be able to:
- List the specific measures that will be used in SNF VBP in the next four years
- Define the health equity adjustment to be incorporated into the SNF VBP
- Describe CMS’s plans to validate claims, the Payroll Based Journal reporting, and MDS coding that generate SNF VBP measures
Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, AAPACN
Starting in fiscal year (FY) 2027, the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program will change to a variable distribution to allow for the health equity adjustment (HEA). During this session, the speaker will map out how dual eligibility status and Quality Measure (QM) performance will be used to determine bonus points and potentially a higher VBP incentive payment. Following this session, you’ll be able to:
- Identify QMs that will be used in the HEA
- Calculate the underserved multiplier based on the proportion of residents with dual eligibility status
- Determine the HEA bonus points based on facility case-study performances
Maureen McCarthy, RN, BS, RAC-MT, QCP-MT, DNS-MT, RAC-MTA, Celtic Consulting, AAPACN Board Chair
Get ready to elevate the discharge planning process! Comprehensive discharge plans have been recognized to improve resident outcomes post-discharge, reducing skilled nursing facility (SNF) readmission measures and optimizing outcomes in quality programs. This session will dive into the essential regulations that guide discharge planning, explore the critical impacts of the SNF Value-Based Purchasing (VBP) program and SNF Quality Reporting Program (QRP). Learn how to transform the team’s approach from working in silos to a collaborative, unified effort that drives better resident outcomes and compliance. Following this session, you’ll be able to:
- Build a comprehensive discharge plan, including considerations for community services, transportation, health literacy, and language
- Utilize an interdisciplinary approach during the discharge planning process
- Understand the impact on SNF VBP and SNF QRP
Beckie Dow, RN, RAC-MT, CHC, CPC-A, Maine Veterans’ Homes
The Quality Assurance and Performance Improvement (QAPI) team has a unique perspective on opportunities for improvement in the skilled nursing facility (SNF). When comprised of the right members and when focused on the right goals, this team is unstoppable! During this session, you will learn the Five Elements of a QAPI program with a focus on how the team can use their Quality Measure (QM) data to drive QAPI initiatives and improve the resident’s experience of care. Following this session, you’ll be able to:
- Name the Five Elements of QAPI
- Identify tools to guide the development of a QAPI program
- Recognize key personnel to include in Performance Improvement Projects (PIPs)
- Understand how to use QM data, as well as other sources of data already collected, to evaluate progress toward goals and when to set new goals
Join subject-matter experts from the day’s education sessions for a live panel discussion and Q&A session. Take advantage of this opportunity to get answers to your specific questions.
Registration Information
AAPACN does a thorough evaluation when developing and implementing an educational activity to ensure that Planning Committee members, speakers, and presenters do not have conflicts of interest; if a conflict of interest is identified, it is resolved and disclosed to all participants prior to the beginning of the activity.