Articles from AAPACN
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- How the DNS Can Lead Risk Mitigation for Schizophrenia Diagnoses2015—the year that the Centers for Medicare & Medicaid Services (CMS) added antipsychotic medication use quality measures (QMs) to the Five-Star Quality Rating System—marked the beginning of some difficult trends in the potentially inappropriate diagnosis …
- How to Lead the Team When Everyone is TiredWith a long-lasting pandemic, staff shortages, increased federal reporting requirements, and survey changes in 2022, and new MDS changes in the year to come, one thing is certain—everyone is tired. Amid all this, the director …
- Prepare for iQIES to Avoid MDS Submission FailuresThe Centers for Medicare & Medicaid Services (CMS) is on target to transition MDS submissions from the current Quality Improvement and Evaluation System (QIES) to the cloud-based Internet Quality Improvement and Evaluation System (iQIES). “While …
- NACs Empowered: Tips to Optimize the Resident Interview for MDS CodingThe nurse assessment coordinator (NAC) is responsible for coordinating the completion of the MDS assessment, a process which depends on the interdisciplinary team (IDT) supplying documentation to support MDS coding. While the IDT’s role in …
- MDS 3.0 v1.18.11 Draft Item Sets: PPS Discharge (NPE) Item Set Will See Big ChangesOn Dec. 23, 2022, the Centers for Medicare & Medicaid Services (CMS) released the nine revised MDS 3.0 v1.18.11 draft item sets so that nurse assessment coordinators (NACs) and other interdisciplinary team members can begin …
- Medical Review Audits and Regulatory Compliance: It Takes a VillageLong-term care is one of the most regulated settings in this country. The interpretive guidance in Appendix PP of the State Operations Manual, which surveyors apply during an onsite survey, is 856 pages long—and that …
- Bed Safety: Tips to Stay Out of the Danger Zone!Performing bed safety checks is often an essential duty of the maintenance supervisor. However, the risk to residents of injury or even death while they are in bed is a serious matter, and the DNS …
- Resident Care Items and Environmental Surfaces: Infection Prevention KeysF-tag 880 (Infection Prevention and Control) is the second most frequent citation nationwide in calendar year (CY) 2022—and the third most frequently cited at the immediate jeopardy (IJ) severity level, according to QCOR (Quality, Certification, …
- Pain Management and Addiction: Strategies for SuccessEffective Oct. 24, 2022, nursing homes are required to implement revised pain management guidance under F-tag 697 (Pain Management) in Appendix PP of the State Operations Manual for residents with active opioid use disorder or …
- Details, Details, Details: Five Keys for DNSs to Understand Five-Star StaffingWith the Staffing domain in the Five-Star Quality Rating System more complex than ever, Jessie McGill, RN, RAC-MTA, RAC-MT, a curriculum development specialist with AAPACN, offers directors of nursing services (DNSs) and other nurse managers …
- Schizophrenia: Keys to Coding I6000 and Supporting This Critical DiagnosisFrom 2015 – 2019, the number of long-stay residents who were coded in MDS item I6000 (Schizophrenia (e.g., Schizoaffective and Schizophreniform Disorders)) jumped by 35 percent, according to the November 2022 report Long-Term Trends of …
- Final Step of MDS Management: The Final Validation ReportWhen an MDS has been signed as complete, grouped into a batch, and submitted to the national repository, the nurse assessment coordinator (NAC) still is not yet done with managing that assessment. The last crucial …
- How to Implement and Sustain Changes in Practice to Comply with Appendix PP UpdatesAs of October 24, 2022, nursing facilities must comply with updates the Centers for Medicare & Medicaid Services (CMS) made to the surveyor guidance in Appendix PP of the State Operations Manual. Although changes to …
- When Psychosocial Harm Occurs: How to Mitigate Further Risks for ResidentsPsychosocial harm is such a critical issue in nursing homes that resident psychosocial outcomes are equally important to physical outcomes when surveyors are determining a deficiency’s severity level. Surveyors assign the severity level of a …
- Back to Basics: Daily and Weekly Tasks of a Nurse Assessment CoordinatorNurse assessment coordinators (NACs) new to the job often receive guidance from a mentor during their first two weeks in the role. That mentor might lead the new NAC step by step through all the …
- Decision Support Software: How to Get the Benefits and Limit the RisksAccuracy, efficiency, consistency—these are all work process gains that nurse assessment coordinators (NACs) can reap from decision support software, such as MDS “scrubbers” and automated care plan interventions, and they can help lead to improved …
- Tips to Provide a Safe and Happy Holiday SeasonOver the last two years, the holidays have been difficult for many residents, families, and providers. However, things seem to be looking up as we near the end of 2022! The Centers for Disease Control …
- CMS Takes Opioid Use Beyond §483.25 (Quality of Care) in Appendix PP GuidanceOn Oct. 3. 2022, the U.S. Department of Health and Human Services (HHS) renewed the nationwide opioid public health emergency (PHE), marking the launch of the PHE’s sixth year. Some nursing homes have been slow …
- Uncover Unusual Contributors to Fall RiskThe RAI User’s Manual states that “A previous fall, especially a recent fall, recurrent falls, and falls with significant injury are the most important predictors of risk for future falls and injurious falls” (CMS, 2019, …
- Discharge Planning: NACs Have a Key Role as an Information BrokerEffective discharge planning is critical to smooth transitions of care, which help guard against both hospital readmissions and adverse drug events, according to the Agency for Healthcare Research and Quality (AHRQ). The benefit for residents …
- Staff Retention: The Power of Purpose and Meaningful WorkWhen the pandemic pummeled the nursing home workforce, nursing homes lost more jobs than any other healthcare setting. This loss compounded the staffing shortage facilities were already confronting, leaving many facility leaders physically and emotionally …
- SNF QRP HCP Influenza Vaccine Reporting: 10 Things DNSs Need to KnowIt just got a little more difficult for skilled nursing facilities (SNFs) to avoid a 2 percent reduction to their annual payment update (APU) in the Skilled Nursing Facility Quality Reporting Program (SNF QRP). For …
- Understand the MDS Trickle-Down EffectA tall glass of crystal-clear water is very refreshing. But water that is murky, has particles floating around, or a mineral odor isn’t appealing – and may be dangerous. The source of the water is …
- Bring Clinical Case Management Into the Medicare Huddle ProcessNurse assessment coordinators (NACs) and directors of nursing services (DNSs) should work together either to implement or to finetune an interdisciplinary Medicare Part A huddle process that coordinates payment and clinical issues for residents, suggests …
- Partner Up! Working With the DNS to Create a Shared Vision Reaps RewardsNurse assessment coordinators (NACs) should take the time to build a shared vision and a shared approach with the director of nursing services (DNS), suggests Melanie Tribe-Scott, BSN, RN, RAC-MT, RAC-MTA, QCP, director of quality initiatives for …
- Tips for Accurate ICD-10-CM Coding of COVID-19 InfectionOn October 13, 2022, the U.S. Department of Health and Human Services (HHS) renewed the COVID-19 public health emergency (PHE) determination for another 90 days. Although COVID-19 has been affecting skilled nursing facilities (SNFs) for …
- Aligning the Regulatory Requirements with DNS Decision-MakingAmong the many decisions directors of nursing services (DNSs) make during their day, some of the most challenging involve regulatory requirements the Centers for Medicare & Medicaid Services (CMS) has issued. DNSs may find themselves …
- Opioids: Three Issues That Merit Stronger Collaboration With Consultant PharmacistsThe new surveyor guidance in Appendix PP of the State Operations Manual that went into effect on Oct. 24, 2022, takes a multi-pronged approach to opioids, starting with the critical risks associated with using opioids …
- Does Your Facility Staffing Data Tell the True Story? Ensure PBJ Accuracy for a Complete PictureStaffing is a topic that is always on the director of nursing services’ (DNS’s) mind, and its importance only continues to increase. Usually, the focus is on filling open positions to meet workload demands. However, …
- Proactive Steps for FYs 2023 – 2024 Center on Census and QualityOctober 1 is always an important date because it marks the transition to a new fiscal year for the fee-for-service Medicare Part A skilled nursing facility prospective payment system (SNF PPS). However, the next two …
- How to Speak the Same Language for Section K Coding: NACs and SLPsWhen a nurse assessment coordinator (NAC) reviews the speech language pathologist (SLP) evaluation notes and encounters the term globus sensation, he or she may not even consider that the phrase could indicate a potential swallowing …
- Working With Medicare Advantage Plans: 10 Tips to Maximize ResultsMedicare Advantage enrollment continues to grow, representing 48 percent of eligible Medicare beneficiaries in 2022, according to the Aug. 25, 2022, issue brief, Medicare Advantage in 2022: Enrollment Update and Key Trends, from the Kaiser …
- The Use of Critical Element Pathways to Identify NoncomplianceOn June 29, 2022, the Centers for Medicare and Medicaid Services (CMS) released updates to the surveyor guidance in Appendix PP of the State Operations Manual. Highlights of the updates can be found in the …
- CoreQ: Where It Stands With CMS—and How It Still May Help the DNSOne way or another, patient-reported outcome (PRO) measures eventually will come to nursing homes across the country. Meaningful Measures 2.0, the framework that the Centers for Medicare & Medicaid Services (CMS) established to guide quality …
- ICD-10 Coding: Keys to the Achieving the Highest SpecificityLike the Fiscal Year (FY) 2022 ICD-10-CM Official Guidelines for Coding and Reporting, the general coding guidelines in the FY 2023 ICD-10 Official Coding Guidelines instruct coders that “diagnosis codes are to be used and …
- Section G: Scheduled for Retirement October 2023The Activities of Daily Living (ADLs) in section G of the MDS are interwoven throughout the Care Area Assessments (CAAs), Quality Measures (QMs), and some state Medicaid reimbursement systems—and have been for years. Yet CMS …
- Updates to Requirements of Participation May Trigger More Citations for Resident-to-Resident AltercationsMrs. C is an 85-year-old resident with cognitive impairments. She often wanders from room to room and likes to pick up pretty trinkets and put them in her purse for safekeeping. Mr. M finds her …
- Get Baseline Care Plans Survey-Ready: Teach Staff to Set a Strong FoundationThe baseline care plan has been a requirement of Medicare/Medicaid participation under F-tag 655 (Baseline Care Plans) since the November 2017 implementation of phase two of the Reform of Requirements for Long-Term Care Facilities. “While …
- October 2023 MDS Item Set: No Section G and More Three-Day Look-BacksOn Sept. 1, 2022, the Centers for Medicare & Medicaid Services (CMS) released the draft MDS Nursing Home Comprehensive (NC) Item Set version 1.18.11, noting that it plans to post all of the final v1.18.11 …
- FY 2023 – 2024 Parity Recalibrations Demand a Back-to-Basics ApproachFee-for-service Medicare Part A reimbursement is under significant pressure over the next two fiscal years due to a parity adjustment recalibration that will reduce aggregate payments by $780 million just in FY 2023 (Oct. 1, …
- Is Your Facility’s Medicare Reimbursement Faucet Leaking? 3 Areas to Check for RepairsNurse assessment coordinators’ (NACs’) actions drive the Medicare reimbursement that a skilled nursing facility (SNF) receives for the care it provides. NACs oversee the process of assessing residents, developing documentation, and submitting the MDS—all of …
- PBJ Takes Center-Stage: What the DNS Needs to KnowThe Payroll-Based Journal (PBJ) electronic staffing data system remains a little bit of a mystery to many directors of nursing services (DNSs), but the Centers for Medicare & Medicaid Services (CMS) is going all-in on …
- The Road to Compliance Starts with a Gap AnalysisOn June 29, 2022, the Centers for Medicare and Medicaid Services (CMS) released updates to the surveyor guidance in Appendix PP of the State Operations Manual. Some are minor technical updates, while others introduce entirely …
- Get Ready: SNF QRP Data Submission Requirements Are IncreasingWhile key details are still pending, the Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule makes clear that meeting the reporting requirements of the Skilled Nursing Facility Quality Reporting …
- Don’t Shortcut the CAAsClinical education teaches nurses a process of problem identification. Encompassing assessment, nursing diagnosis, planning, implementation, and evaluation, it is often just called the nursing process. Many nurse assessment coordinators (NACs) may also recognize that the …
- Discharge Planning: How to Ensure a Smooth Transition for the ResidentThe words “It’s time for you to go home” can evoke happiness and excitement for both residents and staff. Smiles appear on the faces of residents and their families, and giddiness is in the air. …
- Infection Prevention: Lay the Groundwork for Collaboration With the Medical DirectorThe medical director’s role in infection prevention and control involves more than just signing off on whatever comes their way via quality assessment and assurance committee (QAA) meetings, says Deb Patterson Burdsall, PhD, RN-BC, CIC, …
- CMS Softens the Blow of the Parity Recalibration, but Change Is Coming QuicklyThe Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule may not “turn that frown upside down” as the popular saying goes, but it does give SNFs—and in some cases …
- What NACs Need to Know About Five-Star Staffing ChangesEffective July 27, the Centers for Medicare & Medicaid Services (CMS) has overhauled the methodology for the Staffing domain’s star rating calculations in the Five-Star Quality Rating System on Care Compare, says Jessie McGill, RN, …
- Tips to Achieve Supporting Documentation: Get the Information NACs Need to Code the MDSCompleting the MDS assessment requires documentation in the medical record to support nearly every item’s coding. When supporting documentation is in place, the MDS assessment process can be smooth and efficient. If it is not, …
- 3 Common QAPI Questions and Answers Nurse Leaders Need to KnowWhile most skilled nursing facility (SNF) leaders are aware of QAPI and have executed a QAPI plan, many view QAPI itself as nebulous, abstract, or vague. This lack of clarity complicates QAPI execution. This, in …
- Who Is the Infection Preventionist? If It’s the DNS, ReconsiderNursing homes must designate “one or more individuals as the infection preventionist (IP) who is responsible for assessing, developing, implementing, monitoring, and managing the infection prevention and control program (IPCP),” which includes the requirements at …
- Solve the Mystery of the Interrupted StayAh, the great mysteries of life. Which came first, the chicken or the egg? Is there intelligent life on other planets? Where do all the missing socks go? And of course, the enduring mystery: what …
- 10 Tips to Feel More Confident as a New Nurse Assessment CoordinatorStarting out as a new nurse assessment coordinator (NAC) can be overwhelming. There’s so much to keep track of—from ensuring MDS assessments are in place to understanding all the components of the Patient-Driven Payment Model …
- Time to Review Those 2022 Goals: Will They Be Met?Long-term care has seen many changes this year; new vaccination regulations, the removal of some COVID-19 waivers, and, of course, ongoing changes related to COVID-19 have all required frequent adaptation. In this context, nurse leaders …
- How—and Why—to Maximize Your Staff’s Communication SkillsThis Oct. 24, surveyors will begin enforcing mandatory communication training requirements to ensure that direct-care staff can communicate effectively with residents under F-tag F941 (Communication Training) in Appendix PP of the State Operations Manual, according …
- Accurately Code Wounds in MDS Section M: How to Get Strong Supporting DocumentationIn many facilities, the wound nurse may not be doing weekly wound rounds because they are getting pulled to the floor, which can create a nerve-wracking situation for nurse assessment coordinators (NACs) trying to code …
- Section GG Education and Spot Audits Boost Coding QualityAny staff members, including nurses or certified nursing assistants (CNAs), who document for section GG (Functional Abilities and Goals) need to be trained on how to observe the resident in those areas, says Scott Heichel, …
- Appendix PP Revisions in the State Operations Manual: Breaking Down Key ChangesOn June 29, the Centers for Medicare & Medicaid Services (CMS) issued a major update to surveyor guidance via Quality, Safety and Oversight (QSO) memo QSO-22-19-NH to strengthen the implementation of the already-in-effect Phases 2 …
- Nurse Leader Fundamentals: An OverviewWhen I was an assistant director of nursing, I accepted a promotion and became the director of nursing services (DNS). I had been a nurse manager for a few years and thought I was prepared …
- Educational Planning Starts—but Doesn’t Stop—With the Facility AssessmentUsing the facility assessment to create an educational planning table seems pretty simple, but effective educational planning requires a more comprehensive, ongoing approach that addresses both competencies and global training needs identified from multiple sources. …
- AAPACN Responds to CMS’s Comment Request for FY 2023 SNF PPS Proposed RuleJessie McGill, RN, RAC-MT, RAC-MTA and Alexis Roam, MSN, RN-BC, DNS-CT, QCP The annual rulemaking process enables stakeholders to comment on proposals that will affect skilled nursing facilities (SNFs) throughout the next year. In early …
- Baseline Care Plan: Connecting the Dots to the ComprehensiveUnlike the baseline care plan, the comprehensive care plan is largely MDS-based and analysis-driven, points out Mary Madison, RN, RAC-CT, CDP, a long-term care and senior living clinical consultant for Briggs Healthcare in Clive, IA. “It …
- Work-Life Balance for the Director of Nursing ServicesThe vital role of director of nursing services (DNS) in skilled nursing facilities (SNFs) comes with so many demands. DNSs are often—or always—on call for questions regarding changes in resident conditions; they often fill in …
- Communicating Comfort: Help the IDT Help the Residents and ThemselvesThe clinical skills that nursing home staff need to care for residents are just one piece of the care puzzle, says Joan Devine, RN, LNHA, the Weldon Springs, MO-based director of education for the Pioneer …
- Part A Physician Certs/Recerts: Don’t Strike Out on This Condition of PaymentPhysician certifications and recertifications are a technical requirement of payment (i.e., a condition of payment) under fee-for-service Medicare Part A. These certifications are needed to verify that a resident requires daily skilled care in a …
- Coding Diagnoses in MDS Section I: The Art of the Physician QueryThe coding instructions for MDS section I (Active Diagnoses) in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual require that every diagnosis coded in this section be documented by a physician or a …
- Becoming a Fiscally Savvy DNS – Part 2: Budget, Revenue, and Five-Star RatingsWhen one considers financial management, thoughts usually go to managing expenses first, which part one of this series discussed. However, managing revenue, Five-Star ratings, and the budgeting process are equally important to keeping the nursing department and …
- Preventing Unnecessary ED Visits: Steps That Can Reassure Residents and FamiliesResidents or their family members sometimes demand to be sent to the emergency department (ED) for an issue that the nursing home can handle in-house. Unnecessary ED trips can disrupt the continuity of care, be …
- Updated MDS Item Set Proposed for FY 2024The last MDS item set update nurse assessment coordinators (NACs) had to prepare for was v1.17.1. When it went into effect Oct. 1, 2019, that version provided the changes needed to implement the Patient-Driven Payment …
- Coding Malnutrition and Morbid Obesity on the MDS: Two Core Rules Must Be FollowedThe most common mistake that nurse assessment coordinators (NACs) and other MDS assessors make when coding malnutrition, at risk for malnutrition, or morbid obesity on the MDS is being unaware that a dietitian cannot diagnose …
- Family Reluctance for Hospice: Keys to Overcoming Stigmas“When does Mom get the black pill?” Families sometimes ask hospice providers this type of question—mistakenly thinking that hospice is a form of assisted suicide—even though hospice services were introduced in the United States more …
- Becoming a Fiscally Savvy DNS – Part 1: ExpensesWhen I was in my first DNS role, I remember looking at the budget that the administrator put in front of me and thinking it looked like a foreign language. I told the administrator, “I …
- Changing ARDs and Assessment Windows: When to Consider This StepNurse assessment coordinators (NACs) often set assessment reference dates (ARDs), which determine the look-back periods for MDS assessments, using a fairly regimented schedule to establish consistency in the Resident Assessment Instrument (RAI) process. However, an …
- PDPM: Clearing Up Nursing Component Confusion – Part 5 – Behavioral Symptoms and Cognitive Performance and Reduced Physical FunctionEditor’s note: This is the fifth and final article in a series on the Patient Driven Payment Model (PDPM) categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as …
- Resident Safety and Nurse WorkaroundsResident harm is every nurse’s nightmare. Four years ago, a nurse administered the wrong medication to a patient, which resulted in the patient’s death. RaDonda Vaught was recently criminally convicted of negligent homicide and neglect …
- The SNF/HHA Handoff: Keys to a Strong Transition of CareIn the survey process, two F-tags primarily govern interactions between skilled nursing facilities (SNFs) and home health agencies (HHAs): F660 (Discharge Planning Process) addresses the requirement for nursing homes to assist residents and their families …
- Highlights from CMS’s 2022 Updates AAPACN Conference SessionLast week, the AAPACN 2022 Conference was held in Las Vegas, bringing together nursing professionals for exceptional learning opportunities. One outstanding session occurred on Thursday, April 14, when representatives from the Centers for Medicare & …
- Section GG: What It Takes to Get the Coding RightHow can nurse assessment coordinators (NACs) lead the interdisciplinary team (IDT) to develop a workable plan to ensure that MDS section GG (Functional Abilities and Goals) is coded accurately per the coding guidelines in the …
- New Measures and New Rules Will Change the SNF VBP LandscapeWith the release of the Fiscal Year (FY) 2023 Skilled Nursing Facility Prospective Payment System (SNF PPS) proposed rule, the Centers for Medicare & Medicaid Services (CMS) has signaled a significant commitment to pay-for-performance via …
- FY 2023 SNF PPS Proposed Rule Pushes SNFs Out of Emergency ModeWhile the COVID-19 public health emergency (PHE) put the brakes on many nursing home initiatives over the past two years, the Centers for Medicare & Medicaid Services (CMS) is ready to get back to business …
- Retain Nursing Home Staff with Stay Interviews and an Action PlanSince the start of the pandemic, the healthcare system has experienced significant job losses, but in recent months, all sectors have slowly begun to recover—except for nursing homes and assisted living communities (AHCA, 2021). Despite …
- Long-Term Care Needs DNSs to Step Up and Advocate: How to Get StartedDirectors of nursing services (DNSs) and other nurse managers in nursing homes may at times feel powerless in the face of the COVID-19 public health emergency (PHE), the ongoing staffing crisis, and years of changing …
- Running From Fire to Fire on QMs? Develop a Systematic ApproachEven with the implementation of other quality programs over the past few years, the Nursing Home Quality Initiative (NHQI) quality measures (QMs) remain the core public-facing quality thermometer of long-term care. Taking the time to …
- Hospice Requirements: Significant Changes and Care PlanningWhen it comes to the MDS and hospice, there are several rules the nurse assessment coordinator (NAC) must be aware of, especially with the requirements of the Significant Change in Status Assessment (SCSA). While many …
- Handle Urgent or Emergency Situations Better With Rapid Evaluation TeamsNursing homes have to prepare emergency operations plans to be compliant with the emergency preparedness regulations that are detailed in Appendix Z of the State Operations Manual, points out Amanda Thorson, MSN, BSN, RN, CMSRN, …
- CNA Longevity Part 2: Money Isn’t a Cure-All—Management Style MattersEditor’s note: In this two-part series, this article covers management techniques that can help directors of nursing services (DNSs) and other members of the administrative team improve long-term certified nursing assistant (CNA) retention. The first …
- PDPM: Clearing Up Nursing Component Confusion – Part 4 – Focus on Clinically ComplexEditor’s note: This is the fourth article in a series on the PDPM categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as essential coding tips. Part one focused …
- Accurate ICD-10 Coding Requires a Deeper DiveA nurse assessment coordinator (NAC) needs an ICD-10-CM diagnosis code for MDS section I (Active Diagnoses) or a Medicare claim. They enter the physician-documented, active diagnosis into a software tool or online lookup tool and …
- Handling Loss and Working Through Grief in Nursing HomesThe loss nursing home staff members have experienced over the last two years has been unprecedented. Many have lost well-loved friends, family members, and residents—and nearly all have had their sense of normalcy upended. Healthcare …
- CNA Longevity Part 1: Make Operational Changes to Re-enforce the CNA ProfessionEditor’s note: In this two-part series, this article addresses operational steps that can boost long-term retention of certified nursing assistants (CNAs). The next article will cover management techniques that can help directors of nursing services …
- Utilizing Social Determinants of Health in Discharge PlanningSocial determinants of health (SDOH) are items most long-term care professionals are familiar with, but they may not immediately recognize how the determinants affect their job. According to the Office of Disease Prevention and Health …
- Frustrated by Managed Care Payment Denials? Learn to Spot Key LandminesMedicare Advantage (MA) plans, the most common type of Medicare managed care organizations, are an attractive option for healthy Medicare beneficiaries in the community because they often provide a range of supplemental benefits that aren’t …
- PDPM: Clearing Up Nursing Component Confusion – Part Three – Focus on Special Care LowEditor’s note: This is the third article in a series on the PDPM categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as essential coding tips. Part one focused …
- QAPI, More Than a MeetingImagine sitting in a quality assurance and performance improvement (QAPI) meeting while different team members take turns reporting count data or the number of occurrences of an issue in the month. For example, the director …
- Nursing Competencies and Changes in Condition: Are You Survey-Ready?In calendar 2020, F-tag 726 (Competent Nursing Staff) was the 35th most-cited tag nationwide—up from 41st in pre-pandemic 2019. However, as the staffing crisis continued to worsen, F726 declined to the 46th overall most-cited tag …
- Solving the IPA Mystery Can Help NACs Show Their WorthThe nurse assessment coordinator (NAC) is still commonly stereotyped as a paper pusher or desk nurse in some sectors of long-term care, but the Patient-Driven Payment Model (PDPM) in the Skilled Nursing Facility Prospective Payment …
- How to Improve the Facility’s Collaboration with HospiceThe diversity of care required to meet the individualized needs of each resident means that the director of nursing services (DNS) must seek the expertise of a variety of healthcare professionals and work collaboratively. When …
- Crisis Leadership: How Nurse Leaders Can Step UpWhile COVID-19 justifiably takes up a lot of bandwidth, the next big crisis could hit a nursing home from any direction, points out Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, AAPACN’s vice president of Education …
- The Substantial Impact of the PHQ-9Nearly two years into the COVID-19 public health emergency (PHE), nursing home staff continue to see its impact on all residents, not just those who have recovered from COVID-19. According to the CMS memorandum QSO-20-39-NH, CMS’s …