Sunday, October 13, 2019

Preventing the Spread of Novel or Targeted Multidrug-resistant Organisms (MDROs) in Nursing Homes through Enhanced Barrier Precautions

Date: Thursday, October 24, 2019
Time: 2:00pm–3:00pm (ET)
A few minutes before the webinar begins, please click the link below to join:
https://zoom.us/j/535497188

Or join by iPhone one-tap:
US: +16468769923,,535497188# or
+16699006833,,535497188#

Or join by Telephone:
US: +1 646 876 9923 or +1 669 900 6833

Webinar ID: 535 497 188
In the United States, nursing homes provide complex medical care to residents at high risk of acquiring multidrug-resistant organisms (MDROs). Through outbreak responses to novel or targeted MDROs, the Centers for Disease Control and Prevention (CDC) and public health partners have found that gaps in infection prevention practices, such as inadequate use of gowns and gloves, contribute to the spread of MDROs. In nursing homes, it can be challenging to implement the contact isolation precautions used in hospitals when caring for patients with MDROs.

CDC recently introduced a new approach called Enhanced Barrier Precautions to help address these challenges. Enhanced Barrier Precautions are recommended for preventing the transmission of novel or targeted MDROs in nursing homes involved in a public health containment response. Enhanced Barrier Precautions fall between Standard and Contact Precautions, and require gown and glove use for certain residents during specific high-contact resident care activities that have been found to increase the risk for MDRO transmission.

During this COCA Call, clinicians will learn about Enhanced Barrier Precautions, with a detailed discussion of the residents and high-contact resident care activities for which they apply.

Please note: The slides for this presentation will be posted on the call page under the “Call Materials” tab as soon as they are available.


Updated List of Excluded Individuals and Entities (LEIE) Database File

Lilly Hummel

The US Department of Health and Human Services, Office of Inspector General (OIG) has released its updated List of Excluded Individuals and Entities (LEIE) database file, which reflects all OIG exclusions and reinstatement actions up to, and including, those taken in September 2019. This new file replaces the updated LEIE database file available for download last month. Individuals and entities that have been reinstated to the federal health care programs are not included in this file.

The updated files are posted on OIG’s website at http://www.oig.hhs.gov/exclusions/exclusions_list.asp, and healthcare providers have an “affirmative duty” to check to ensure that excluded individuals are not working in their facilities or face significant fines.

Instructional videos explaining how to use the online database and the downloadable files are available at http://oig.hhs.gov/exclusions/download.asp.

As a best practice, long term care providers should check the LEIE on a regular basis.

Secure Your Umbrella License with the Motion Picture Licensing Corporation

Lilly Hummel

AHCA/NCAL and other leading industry associations negotiated an agreement with the Motion Picture Licensing Corporation (MPLC) for member savings on MPLC’s Umbrella License®, the most comprehensive copyright license available for senior living and health care communities to show movies. The license provides access to content from nearly 750 rightsholders, ranging from major Hollywood and independent studios to faith-based and foreign language producers.

Once licensed, an unlimited number of movies may be shown. Movies can be secured from any legal source whether rented, purchased, or borrowed via DVD, stream, or downloaded. However, unlicensed exhibitions may subject your community to substantial fines for copyright infringement. If your community currently shows movies, please secure the required license to ensure copyright compliance.

As AHCA/NCAL has advised in the past, the 2016 Agreement establishes guidelines for the licensing of motion picture exhibitions in all senior living and health care communities regardless of the level of care provided or the license status of the community. The Agreement states that:

  • All communities, regardless of their type or license status, must obtain licensure for exhibitions of Videos transmitted over a closed circuit television system or in-house channel.
  • All communities, regardless of their type or license status, must obtain licensure for exhibitions of Videos in common areas such as a theater, lounge, or community room. This includes:
    • Affordable housing facilities and units.
    • Assisted living, nursing and rehabilitation facilities and units.
    • Independent living facilities and units.
    • Adult day services centers.
    • Assisted living, nursing and rehabilitation units receive a reduced rate on the license. Minimum fees are waived for campuses that are strictly nursing, assisted living, or rehabilitation. Effective in 2019, the rate per sleeping unit is $3.45, with a 10% member discount available.
  • Affordable housing units receive a reduced rate on the license.

Please contact MPLC directly at (800) 462-8855 or online at seniorliving.mplc.org for assistance with pricing or to ask any questions about the Umbrella License.

If your senior living community operates assisted living, nursing or rehabilitation units, and held an Umbrella License prior to October 2016, AHCA/NCAL encourages you to provide MPLC with updated unit counts for the aforementioned units prior to your renewal date. Longstanding licensees are eligible for reduced pricing for any assisted living, nursing, or rehabilitation units/rooms added during this renewal year only. Thereafter, the license requirement remains, but units will be priced at a higher fee.

Delivering the Distinct Feeling of Fall with Mood Media

Dave Kyllo

Whether it’s Nat King Cole’s “Autumn Leaves” or The Kinks’ “Autumn Almanac,” members can keep music at the core of fall celebrations through music offered by Mood Media at AHCA/NCAL “Member Only” discounted rates.

Mood Media offers great musical variety for events or casual common area listening via the internet or streaming, and offers customized commercial free music options that allow facilities to tailor musical selections to meet changing resident preferences.  Mood customers enjoy freedom from music licensing worries on Mood Media’s huge collection of music selections played on Mood Media’s portable devices.

Use Mood Media’s music to:

  • Improve the dining experience and set the mood in dining areas as residents gather for meals;
  • Provide a variety of background music in common areas;
  • Create a positive environment for activities; and 
  • Provide musical entertainment for social gatherings and happy hours.

AHCA/NCAL members receive exclusive discounted rates on Mood services and equipment with three-year agreements.  The core music package starts at $27.99 per month or less than $1 per day with a three-year agreement.   

For more information about Mood Media’s services, call 800-345-5000 or go to   http://partner.moodmedia.com/ahcancal/ (password: moodpartner).

Get Your Staff Up to Speed Fast with AHCA’s Online PDPM Education Courses

Dave Kyllo
 
The new payment system known as the Patient Driven Payment Model (PDPM) took effect October 1 transforming the way skilled nursing facilities are reimbursed for Medicare Part A stays.  AHCA offers virtual training on PDPM and ICD-10 coding. 

AHCA SNF members who did not attend an in-person PDPM Academy training hosted by an AHCA state affiliate earlier this year are encouraged to take AHCA’s Virtual PDPM Training.  Included with the virtual training is access to all materials on AHCA’s PDPM Academy. The PDPM Academy is where updates, tools, webinars and other supporting materials are housed. AHCA SNF members who attend the Virtual PDPM Training will also be able to join in free monthly PDPM Academy webinars hosted by AHCA. 

This training is available to AHCA SNF provider members only. The cost for the training – whether first time or repeated - is $350. The training has been approved for 8 NAB CE credits. 

Virtual ICD-10 Coding training is also available through AHCA and is equally important to PDPM success and bulk purchases are available.  There are two online trainings offered, including: 

  • AHCA/AHIMA ICD-10 Training for PDPM – Coder is an in-depth course designed for SNF billing staff, MDS staff, Nursing and Therapy staff, and Admissions and Discharge staff.  The course contains seven modules and comes with 16 CNEs for nurses and 16 AHIMA CEs upon successful completion.  The cost is $499 for AHCA members and $599 for non-members. AHCA/AHIMA ICD-10 Training for PDPM – Coder:    ahcancal.org/icd10pdpmcoder
  • AHCA/AHIMA ICD-10 Training for PDPM – Non-Coder is a four-hour course developed for individuals who need to lead a successful PDPM transition and is intended for Administrators, DONs, and other management staff.  The course for non-coders comes with 4 CNEs for nurses, 4 AHHIMA CEs or 4.5 NAB approved CEs upon successful completion.  The cost is $199 for AHCA members and $249 for non-members. AHCA/AHIMA ICD-10 Training for PDPM – Non-Coder: ahcancal.org/icd10pdpmnoncoder

Members will need to login with their AHCA/NCAL usernames and passwords to register for any of these courses.  For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.org with your name and facility contact information. 

AHCA members can also access their facility's personal Top-Line PDPM report here. This report is a snapshot of previous coding practices for ICD-Coding on MDS assessments. Use this step-by-step guide to access your reports.

Find Your Next LTC Hero On the LTC Career Center & Save $100

Dave Kyllo

Now through November 30, open positions can be posted on the AHCA/NCAL Long Term Care Career Center for $250 per 30-day posting when employers use promo code LTCHERO. That’s $100 off the regular low AHCA/NCAL rate of $350. Rates for posting job vacancies are reduced for 60- and 90-day postings through November 30.   

The LTC Career Center gives unprecedented targeted national exposure because it connects with the Health Care Career Network by providing visibility on the network’s nearly 300 national and state health care organizations and societies.  Serious health care candidates look for jobs on this national network built for health care employers to reach health care professionals.  This short video shows how easy it is to create an account and post a job vacancy. 

The $250 sale price for a 30-day posting gives even more value because employers who utilize the LTC Career Center  receive free bonus exposure through rotating job listings on AHCA’s home page – the web site where long term care professionals go for news and information.  In addition, employers that post vacancies through the AHCA/NCAL LTC Career Center get extra value through free rotating listings on the Long Term Care Career Center home page. 

Of course, the LTC Career Center is always free for job seekers and the LTC Career Center  features many of the best positions the long term care profession has to offer.  Graduates and experienced health care professionals utilize the Health Care Career Network to find the best health care openings. 

Make the smart, low-cost employee recruitment choice.  Check out the LTC Career Center today and don’t forget to use promo code LTCHERO to save $100 on your job postings.  Employers may use the code an unlimited number of times between now and November 30.           

Visit the LTC Career Center Employer Page or call Robin at 866-964-2765 x2736 for more information about posting job vacancies on the LTC Career Center and other discounted job listing packages.   

Updates to the OMHA Case Processing Manual

Lilly Hummel

The Office of Medicare Hearings and Appeals (OMHA) has published a  revised chapter of the OMHA Case Processing Manual (OCPM). Chapter 16 on Decisions has been revised effective October 9, 2019.

Effective July 8, 2019, OMHA also revised the following chapters:

Chapter 4; Parties
Chapter 5; Representatives
Chapter 6; CMS, CMS Contractor, and Plan Roles
Chapter 7; Adjudication Time Frames, Case Prioritization, and Escalations
Chapter 9; Request and Correspondence Intake, Docketing, and Assignment
Chapter 11; Procedural Review and Determinations
Chapter 14; Scheduling and Noticing for Prehearing Conferences and Hearings
Chapter 17; Dismissals
Chapter 18; Requests for Information and Remands
Chapter 20; Post-Adjudication Actions

This manual standardizes the day-to-day procedures for carrying out adjudicative functions, in accordance with applicable statutes, regulations, and OMHA directives, and gives OMHA staff direction for processing appeals at the OMHA level of adjudication. As part of an ongoing effort to make the manual more user friendly and reflect recent regulatory changes, OMHA is in the process of drafting new OCPM chapters and revising existing chapters under a new format.

New and revised OCPM chapters can be accessed at https://www.hhs.gov/about/agencies/omha/the-appeals-process/case-processing-manual/index.html.

Chapters that were published before May 10, 2018, can be accessed at:
https://www.hhs.gov/about/agencies/omha/the-appeals-process/case-processing-manual/2017/index.html.

Wednesday, October 9, 2019

Cultural Competence: What it Means for Person-Centered Thinking, Planning, & Practice

Register Now

Tuesday, October 29, 209 - 3:00PM - 4:00PM EST

Georgetown University National Center for Cultural Competence and the National Center on Advancing Person-Centered Thinking, Planning, and Practice, NCAPPS will be hosting a webinar, which is the is the second in a four-part series that explores cultural and linguistic competence as it relates to person-centered thinking, planning, and practice.

Cultural competence is widely recognized as essential to the delivery of high quality and effective services and supports by policy makers, health, mental health and social service professionals, educators, and researchers. There is a solid base of evidence that cultural competence improves access, utilization, outcomes, and satisfaction in health and human service delivery systems. While this evidence is compelling, many organizations have struggled to integrate cultural competence into their person-centered thinking, planning, and practice. This webinar will:
  1. Describe a framework for cultural competence and at the individual and organizations levels
  2.  Provide a “real life” example of an organization that values and practices cultural competence
  3. Highlight personal narratives of individuals who will share what culturally competent services mean to them
  4. Describe how cultural competence and person-centered thinking and practice are integrally linked
 NCAPPS webinars are open to the public, and are geared toward human services administrators, providers, and people who use long-term services and supports. All NCAPPS webinars will be recorded and archived at https://ncapps.acl.gov. You can find the archives and resources from the first in the series here. 

Key Facts on Nursing Assistants Employed in Nursing Homes

Dana Ritchie

PHI released a report last month entitled, “U.S. Nursing Assistants Employed in Nursing Homes: Key Facts (2019).”  According to the PHI website, the research brief “provides the latest annual snapshot of U.S. nursing assistants employed in nursing homes, including key demographics and a variety of wage and employment trends.  This year’s research found that 581,000 nursing assistants support older people and people with disabilities in nursing homes.”  The brief also includes that “nursing homes will need to fill nearly 680,000 nursing assistant job openings between 2016 and 2026.” More key takeaways on nursing assistants can be found in the brief here.  

CMS Releases Medicare General Information, Benefit Policy, and Claims Processing Manual Updates Related to PDPM Implementation

Dan Ciolek 

This week, the Centers for Medicare and Medicaid Services (CMS) issued sub-regulatory guidance related to the Skilled Nursing Facility Medicare Part A Prospective Payment System (SNF PPS) Patient Driven Payment Model (PDPM) in recent Program Manual update transmittals.  The Medicare General Information, Eligibility, and Entitlement Manual PDPM transmittal contains minor updates to certification guidance.  The Medicare Benefit Policy Manual PDPM transmittal contains minor updates to the SNF benefit period and benefit days sections in chapter 3, and major changes to the SNF PPS guidance in Chapter 8.  Finally, the Medicare Claims Processing Manual PDPM transmittal provides substantial updates to the chapter 6 SNF PPS claims processing instructions.  AHCA has conducted a preliminary review of these updates and will be highlighting key observations later this week.  We will also be highlighting key points during the upcoming “Week 2 of PDPM Implementation Status Update” all-member webinar on Friday, October 11, 2019 from 3:00-4:00 PM eastern.  You may register for the webinar here