The NHSN Vaccination Team will be hosting multiple webinars to review important changes to the surveillance definition of Up to Date with COVID-19 vaccines for long-term care facilities reporting vaccination data and RIFC Pathway data …
CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home …
Memo # QSO-23-21-NH Posting Date 2023-09-20 Fiscal Year 2023 Title Memorandum Summary • Adjustment to Staffing and Quality Measures: CMS will update the staffing level case-mix adjustment methodology and replace some of the Quality Measures …
The Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual V16.0 is now available. The MDS 3.0 QM User’s Manual V16.0 contains detailed specifications for the MDS 3.0 quality measures and includes a Notable …
2024 release of ICD-10-CM October 1, 2023 release of ICD-10-CM The FY2024 ICD-10-CM codes are to be used from October 1, 2023 through September 30, 2024. Note: This replaces the FY 2023 – April 1, …
Errata V3.01.3 for MDS Data Specifications V3.01.1 (FINAL) is now available for download. These specifications will go into effect on October 1, 2023. Four issues were added to the errata. IMPORTANT NOTE: Issue 23 will not …
The Centers for Disease Control and Prevention (CDC) will change the National Healthcare Safety Network (NHSN) surveillance definition of “up to date” for reporting weeks beginning on Sept. 25, 2023, to align with new (pending) ACIP …
Weekly health care personnel (HCP) & Resident COVID-19 Vaccination Weekly COVID-19 Vaccination Data Reporting Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN. September 2023 Updates Resources …
The key takeaway of the Fiscal Year (FY 2024) Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, published on Aug. 7, 2023, is that the director of nursing services (DNS) will need to …
Patient safety research is growing, spanning across more healthcare settings, and considers a wide array of contextual factors. The combination of emerging patient safety threats and the growing amount of published patient safety research, patient …
2023 Measure Updates and Specifications Report Skilled Nursing Facility Value-Based Purchasing Program Skilled Nursing Facility 30-Day All-Cause Readmission Measure –Version 2.0 This report describes updates that have been made to the Skilled Nursing Facility 30-Day …
The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is …
As people age, oral health often declines. Teeth can lose enamel, and gums may recede, causing tooth loss and pain. Oral health is much more than just brushing and flossing. Symptoms in a resident’s oral …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Dr. Nancy Kusmaul, PhD, MSW, associate professor in the baccalaureate social work program at the University of Maryland, …
Next month, The Centers for Medicare & Medicaid Services (CMS) will release two new Health Equity Confidential Feedback Reports to post-acute care (PAC) providers in the Home Health (HH), Inpatient Rehabilitation Facility (IRF), Long-Term Care …
An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in …
Listed below are the three-part manual ZIP file set, as well as the PDF file labeled “MDS3.0RAIManualv1.18.11R.Errata.September.8.2023.” The errata document contains revisions to pages in Chapter 4 of the MDS 3.0 RAI Manual version (v)1.18.11R …
The FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 …
The FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
he FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2026 …
The FY 2024 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Final Rule (88 FR 53200) revised data collection and submission requirements for the SNF Quality Reporting Program (QRP) affecting the Fiscal Year (FY) 2025 …
In the long-awaited Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a three-pronged, comprehensive staffing approach for Medicare- …
The Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measure Calculations and Reporting User’s Manual Version 5.0 serves as an update to the specifications used to calculate quality measures that are included in the SNF …
In February 2022, the Biden-Harris Administration announced a comprehensive set of reforms aimed at improving quality and safety for residents in nursing homes. One aspect of this initiative was conducting a new Nursing Home Staffing …
Resources: Press Release: The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), issued a proposed rule that seeks to establish comprehensive staffing requirements for nursing homes—including, …
The Minimum Data Set (MDS) determines Medicare and often state Medicaid reimbursement; prompts initial and MDS-assessment-based care planning; provides data that the Centers for Medicare & Medicaid Services (CMS) uses to calculate Quality Measures (QMs) …
F740 (Behavioral Health Services) is not a frequently cited F-tag so far in calendar year (CY) 2023, according to QCOR data posted on Aug. 13, 2023. However, the consequences can be severe—surveyors often issue this …
The Centers for Disease Control and Prevention (CDC) has released new resources on enhanced barrier precautions (EBPs). EBPs are recommended by the CDC to reduce the risk of transmission of multi-drug resistant organisms (MDROs). These …
AAPACN has updated the Section GG 3-Day Data Collection Tool to include all of the new self-care and mobility items effective Oct. 1, 2023. This AAPACN resource is copyright protected. AAPACN individual members may download …
In preparation for the upcoming Oct. 1, 2023, implementation of the also-just-updated v1.18.11v5 MDS item sets, the Centers for Medicare & Medicaid Services (CMS) has released the final Long-Term Care Facility Resident Assessment Instrument 3.0 …
Effective August 21, 2023, MDS 3.0 Frequency data will be available from a new location on the data.cms.gov website (https://data.cms.gov/quality-of-care/minimum-data-set-frequency). This new website replaces the previous MDS 3.0 Frequency Report webpage which was decommissioned on …
The final Minimum Data Set (MDS) 3.0 Item Sets version (v)1.18.11 have been updated and are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. All item …
The final Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) User’s Manual version (v)1.18.11 is now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. The MDS …
Table of Contents 1. Launch/Help Questions 1.1 Will iQIES have the same spec version at launch as QIES (version 3.00.1 including Errata Version3.00.8)? _____________________________________________ 1.2 How do I register for iQIES? 1.3 Whom can I …
The Optional State Assessment (OSA) Item Set and OSA Manual have been updated, and the updated versions are now available in the Downloads section on the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual page. …
iQIES is the Internet Quality Improvement and Evaluation System, which is the system that the MDS submissions system is being transferred to. The QIES Technical Support Office maintains a website with iQIES reference materials, including …
Infection Control Assessment Tools Acronyms & Definitions ICAR: Infection Control Assessment and Response Program IP: Infection Prevention Healthcare Personnel IP Competency: The proven ability to apply essential knowledge, skills, and abilities to prevent the transmission of pathogens during …
Infusion therapy services are so inherently complex that the Centers for Medicare & Medicaid Services (CMS) identifies “intravenous or intramuscular injections and intravenous feeding” and “enteral feeding that comprises at least 26 percent of daily …
There are times when the nursing department needs new solutions or process changes to enhance resident care or improve staff workload. Often, these are high-cost solutions that require approval from the governing body, executive staff, …
The phrase “budget development time” often elicits moans and groans from facility leadership. During this process, leadership usually asks the director of nursing services (DNS) if he or she has any requests of items to …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, curriculum development specialist for AAPACN, discuss the director of nursing services’ …
Question: Are there specific requirements for CNA documentation? Answer from Alexis Roam, MSN, RN-BC, CPHQ, DNS-MT, QCP-MT: Although Appendix PP of the State Operations Manual (SOM) includes numerous references to documentation, it does not specify what …
The Centers for Medicare & Medicaid Services (CMS) added administrator exclusion criteria to the PBJ public use files. The updated criteria excludes administrator data if a nursing home reports five or more administrators on four …
R12182QRI 2023-08-03 Fiscal Year 2018 and After Payments to Skilled Nursing Facilities (SNFs) That Do Not Submit Required Quality Data – This CR Rescinds and Fully Replaces CR 9944. 2023-09-04 13242 R12174CP 2023-08-03 Medicare Part …
On June 14, 2023, the American Association of Post-Acute Care Nursing (AAPACN) hosted the AAPACN 2023 Quality Virtual Conference, a one-day virtual conference that brought together leaders and experts in quality improvement to provide attendees …
The Centers for Medicare & Medicaid Services (CMS) is offering a virtual training program that provides instruction on the updated guidance for the Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Resident Assessment Instrument …
The final rule and key files: Permalink FY 2024 PDPM ICD-1- Mapping (ZIP) (effective 10-01-2023) CMS-1779-F Wage Index Tables for FY 2024 – Final (ZIP) PDPM Case-Mix – Tables 5 and 6 show the FY 2024 PDPM case-mix …
Five-Star, NHQI, SNF QRP, SNF VBP, PBJ data Data sets: Provider Information General information on currently active nursing homes, including number of certified beds, quality measure scores, staffing and other information used in the Five-Star …
Memo # QSO-23-02-ALL (EXPIRED) Posting Date 2023-07-25 Fiscal Year 2023 EXPIRATION INFORMATION: CMS PUBLISHED A FINAL RULE WHICH ENDED THE REQUIREMENTS RELATED TO STAFF VACCINATION FOR ALL PROVIDER TYPES, EFFECTIVE ON 8/05/23. ADDITIONALLY, THIS RULE …
The National Pressure Injury Advisory Panel has released the second version of their Standardized Pressure Injury Prevention Protocol – abbreviated as “SPIPP” (pronounced S – PIP). The SPIPP is a shortened checklist of preventive actions …
The use of psychotropic medications in the skilled nursing facility (SNF) is a controversial issue with implications for resident, regulatory, and financial outcomes. The many requirements can be confusing, especially for a relatively new director …
Nursing homes face significant risk and liability under F-tag 609 (Reporting of Alleged Violations), says Janet Feldkamp, RN, BSN, LNHA, CHC, JD, a partner in the Benesch Healthcare + Practice Group at Benesch, Friedlander, Coplan …
The Centers for Medicare & Medicaid Services (CMS) has released a new Quality in Focus Series. The series includes a number of 10–15-minute videos that aim to reduce the deficiencies most commonly cited during survey. …
Question: Where can I find the list of Special Focus Facilities and candidates? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT: CMS releases their Special Focus Facility (SFF) Program list monthly. This list includes …
The Centers for Medicare & Medicaid Services (CMS) is offering an updated video tutorial to assist providers with guidance application and interview strategies for the cognitive assessment known as the Brief Interview for Mental Status …
So far in fiscal year 2023 (Oct. 1, 2022 – Sept. 30, 2023), F-tag 607 (Develop/Implement Abuse/Neglect, etc. Policies) is not even in the top 20 most frequently cited F-tags nationwide. However, this citation does …
Recent severe weather events have highlighted the need for and importance of emergency power systems for nursing homes. Nursing homes are required to provide an alternate source of energy (usually a generator) to maintain temperatures …
TeamSTEPPS is an evidence-based program designed to optimize the performance of healthcare teams. The Welcome Guides in this section provide an introduction to TeamSTEPPS 3.0 adapted to the needs of various TeamSTEPPS roles, including: …
The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) …
Occupational Safety and Health Administration 29 CFR Part 1904 [Docket No. OSHA-2021-0006] RIN 1218-AD40 Improve Tracking of Workplace Injuries and Illnesses AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Final rule. SUMMARY: OSHA is …
The Centers for Medicare & Medicaid Services (CMS) released the draft of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual (RAI User’s Manual), version 1.18.11, in April 2023, noting substantial revisions. These …
The Office of Inspector General (OIG) has released two toolkits to assist facilities in identifying and measuring adverse events: The Medical Record Review Methodology toolkit and the Clinical Guidance for Identifying Harm toolkit. The Medical Record …
On April 3, 2023, the Centers for Medicare & Medicaid Services (CMS) released the draft Long-Term Care Facility Resident Assessment Instrument (RAI) User’s Manual, version 1.18.11, which will go into effect Oct. 1, 2023. The …
Question: What can a facility implement to aid with staffing challenges? Answer from Alexis Roam MSN, RN-BC, CPHQ, DNS-MT, QCP-MT: A few things that might help address risk of noncompliance and also attract and retain …
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 Lisa Morris, D.Ph., BCGP, FASCP, executive director of clinical services for Consana, discuss changes …
July 5, 2023 Riester MR, Goyal P, Steinman MA, et al. J Gen Intern Med. 2023;38(6):1563-1566. Potentially inappropriate medication (PIM) prescribing in older adults is common and can lead to medication-related harm. This retrospective study of Medicare beneficiaries estimated that the …
Proposed policies will expand behavioral health services, support the President’s Cancer Moonshot, promote innovation, and grow value-based care Permalink Today, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Medicare …
Toolkit: Medical Record Review Methodology07-06-2023 | OEI-06-21-00030 | Complete Toolkit Toolkit: Clinical Guidance for Identifying Harm07-06-2023 | OEI-06-21-00031 | Complete Toolkit What are the Adverse Events (AE) Toolkits? The AE toolkits are technical resources to assist the …
This user manual provides information for CMS, Providers, Vendors, Accrediting Organizations, Contractors, and State Agencies to effectively perform Reports functions and the processes necessary to request, view, download, and save reports in iQIES. Appendix A: …
Memo # QSO-23-18-NH Posting Date 2023-06-28 Fiscal Year 2023 Memorandum Summary • Posting Nursing Home Affiliation on Nursing Home Care Compare: CMS will include ownership and operatorship affiliation information on our Nursing Home Care Compare …
CDC Director Rochelle P. Walensky, M.D., M.P.H., endorsed the CDC Advisory Committee on Immunization Practices’ (ACIP) recommendations for use of new Respiratory Syncytial Virus (RSV) vaccines from GSK and Pfizer for people ages 60 years …
The flu season is here, and yearly vaccination is a key component of an infection control program. The Influenza and Pneumonia Vaccination Toolkit will assist the director of nursing services (DNS) with auditing influenza and …
The director of nursing services (DNS) position is multi-faceted, and a new DNS must learn a lot quickly. Areas such as providing residents quality care and staffing take top priority, and rightfully so. However, another …
Data from the Centers for Medicare & Medicaid Services (CMS) shows that, as of January 2023, half of all Medicare beneficiaries are now enrolled in a Medicare Advantage plan, according to a recent Kaiser Family …
Question: Do we still need to quarantine non-vaccinated residents? Answer from Kellie VanRee, RN, LNHA: This document from the Centers for Disease Control and Prevention (CDC), Infection Control: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) | …
The Centers for Medicare & Medicaid Services (CMS) revised two Critical Element Pathways on June 5, 2023: Medication Storage and Infection Control. The CMS Critical Element Pathways are used by surveyors to determine compliance during …
Members: $21 | Non-members: $42Continuing Education: 1 CE hourRecording Date: July 12, 2023Duration: 60 minutesSpeakers: Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC Training, training, training! There has been a wave of MDS trainings for the new …
In This Issue This month’s newsletter focuses on establishing and monitoring a Naloxone program for your nursing facility. Become informed about regulatory guidance and share new COE-NF resources that will assist your facility in implementing …
The HCP Flu Vaccination Module, which is part of the HCP component in NHSN, is used to input required NHSN data for the SNF QRP. This site provides access to the HCP Vaccination Module: Influenza …
The American Association of Post-Acute Care Nursing (AAPACN) recently hosted the AAPACN 2023 Quality Virtual Conference, a one-day virtual conference that brought together leaders and experts in quality improvement to provide attendees with the information …
The Centers for Medicare & Medicaid Services (CMS) updated two data products with skilled nursing facility utilization data for beneficiaries enrolled in Medicare Advantage (MA). The Medicare Advantage Geographic Variation PUF (MA GV PUF) now …
Memo # QSO-23-16-Hospitals Posting Date 2023-06-06 Fiscal Year 2023 CMS is committed to ensuring that the health and safety of patients are protected when discharges from hospitals and transfers to post-acute care providers occur. Therefore, …
This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going …
The Centers for Medicare & Medicaid Services (CMS) released a final rule on May 31, 2023, withdrawing the federal requirement of COVID-19 vaccinations for healthcare personnel (HCP). Although the requirement is being lifted, CMS continues …
Restorative nursing took a big hit in many nursing homes during the COVID-19 public health emergency (PHE), says Carol Hill, MSN, RN, RAC-MT, RAC-MTA, DNS-MT, QCP-MT, CPC, president of Hill Educational Services in Warrior, AL. …
On May 11, 2023, the Centers for Medicare & Medicaid Services (CMS) ended certain emergency waivers; put in place during the public health emergency, these waived some F-tag elements that would otherwise have applied during …
Question: Is there a requirement regarding how abuse training is completed? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT:CMS requires education on certain topics for new and existing staff, specifically, training on abuse, neglect, …
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 Alexis Roam, MSN, RN-BC, CPHQ, DNS-MT, QCP-MT, AAPACN curriculum development specialist, discuss how to …
From MLN Connects: CMS finalized staff education requirements while ending the COVID-19 staff vaccination requirements for Long-Term Care Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities. These provisions were included in the “COVID-19 …
CS1963652 Resolved Reports ALL iQIES Users are currently experiencing issues generating reports in HTML or downloading them in CSV/PDF format, presenting no data or limited data to users. Team is investigating and resolving actively 05/31/2023 …
AMDA-The Society for Post-Acute and Long-Term Care Medicine partnered with the American Society of Consultant Pharmacists, the Gerontological Advance Practice Nurses Association, the American Association of Nurse Practitioners, and the American Academy of Physician Assistants/Associates …
The tables list the Section S items that will be active on MDS 3.0 records with a target date on or after October 1, 2023. The active item on each item subset code (ISC) is …
A systematic approach to utilizing the Internet Quality Improvement and Evaluation System (iQIES), (formerly CASPER), reports is necessary for QAPI, survey readiness, and reimbursement. While there are numerous reports available via iQIES, this tool highlights …
Direct links: SNF Training Program Overview SNF Understanding Changes to the MDS 3.0 RAI Manual v1.18.11 Training Webinar SNF Social Determinants of Health and New Data Elements in Section A Training Webinar SNF Section C: …
The American Geriatrics Society (AGS) released the 2023 update to the AGS Beers Criteria® for Potentially Inappropriate Medication Use in Older Adults (DOI: 10.1111/jgs.18372). The AGS Beers Criteria® serves as a comprehensive list of medications …
