Tuesday, June 18, 2019

Not for Profit Provider Education Offered at the AHCA/NCAL Convention

Jon-Patrick Ewing

On Tuesday, October 15, during the 70th AHCA/NCAL Convention & Expo, special programming for Not for Profit providers include sessions focused on leadership and accountability, workforce challenges, and survey and certification issues. You'll also have great opportunities for networking and sharing ideas and experiences.

Keynote Speaker Commander Kirk Lippold, USN (Ret.) will talk about Leadership and Accountability When It Matters.

Commander Lippold will show how the principle of integrity can create an environment for leadership, describing the harrowing experience in which he and his crew responded to a devastating suicide terrorist attack on their ship. Their own sense of personal accountability and leadership proved to be a guiding principle in the crucible of combat. Lippold will also share why his “Five Pillars of Leadership” are must-have business tenets for any team.

Additional programming follows:

Workforce Challenges Discussion for LTC Providers: A panel of experts will lead a moderated discussion to examine workforce policies and issues impacting the LTC world.

CMS Update for LTC Providers: CMS expert Evan Shulman, Acting Director, Division of Nursing Homes Centers for Medicare and Medicaid Services, will review survey and certification issues, delve into SNF/NF Interpretive Guidance, and talk about CMS' work on various initiatives.

The Not for Profit Reception caps off the day from 6:00 pm to 7:00 pm and is an excellent opportunity to network and catch up with other providers from around the country. It is just one of many special events taking place over the four-day convention in October.

Hurry and register today! Early bird available through July 26. The Not for Profit program is included in the Premium and/or Full Convention Registration Packages and does not require a separate ticket to attend.

The Number of Open LTC Jobs Nationwide Significantly Drops in June

Dave Kyllo

There are 39,003 open jobs posted by direct employers in the nursing care facility (including SNFs), assisted living, and continuing care retirement community (CCRC) sectors this month according to the latest Gartner TalentNeuron statistics.  That represents a decrease of more than 10,000 open jobs compared to May figures.
        
The Gartner TalentNeuron statistics also show an estimated 2,101,000 potential candidates in the nation’s workforce whose skills likely match the qualifications being sought by long term care employers. Figures show that 2,469 direct employers are competing for candidates this month which is a decrease of more than 670 employers over May figures.  The average number of days a job was posted was 31 days in June – an increase of one day in the last month.
       
Finding qualified employees is one of the greatest challenges facing long term care providers and early 2019 statistics prove that the challenge continues in a strong economy with a low unemployment rate.  Lead them to your job vacancy through the AHCA/NCAL Long Term Care Career Center

The LTC Career Center is designed to help AHCA/NCAL members be competitive in attracting qualified candidates to fill their health care positions.  Job postings receive far greater exposure than local ads and job boards because the LTC Career Center connects to a national network of nearly 300 national and state health care organizations and societies where serious candidates look for health care jobs. Employers are also able to post vacancies as they occur and search resumes on the network.

Rates for posting job vacancies are affordable at $350 for a 30-day job posting.  Employers who utilize the site also receive complimentary additional exposure through rotating new job listings on AHCA’s home page – the web site where long term care professionals go for news and information.  In addition, employers who post vacancies through the center receive free bonus 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.  Job seekers are using the site with more than 60,000 searchable resumes on the National Healthcare Career Network this month.
 
Join the high profile employers that use AHCA/NCAL’s premier member resource to find top talent.  Check out the LTC Career Center 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.   

The AHCA/AHIMA ICD-10 Training Delivers the Coding Knowledge SNF Professionals Need to Succeed

Dave Kyllo

The October 1 PDPM implementation date is rapidly approaching and training key staff now to be ICD-10 proficient is critical. The American Health Care Association (AHCA) and the American Health Information Management Association (AHIMA) are offering ICD-10 on-line training. Because staff needs differ based their coding responsibilities, two specific trainings have been developed – one training for coders and a shorter less intense course for non-coders.
 
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 – 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.

With thousands of codes and changes based on the new Patient Driven Payment Model (PDPM), accurate ICD-10 coding is essential. PDPM relies on accurate patient assessments and diagnosis on the MDS and ICD-10 coding to determine payment for each patient. Inaccurate coding can negatively impact a facility’s bottom line and resident care.
To learn more or register for either on-line training, please visit the websites below.    
Members will need to login with their AHCA/NCAL usernames and passwords.  For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.org with your name and facility contact information. 

AHCA’s Virtual PDPM Training Prepares You for PDPM Success!

Dave Kyllo

Did you miss the in-person PDPM training in your state? Did you attend the training but feel like you could benefit from taking it again?  AHCA’s Virtual PDPM Training can set your skilled nursing facility up for success.

The new Patient Driven Payment Model (PDPM) for skilled nursing facilities begins October 1, 2019. The PDPM system will rely on more than 180 MDS item fields and completely transforms the existing system Medicare Part A payment system for skilled nursing facilities. Staff roles and facility processes must be substantially modified to operate effectively under PDPM.

AHCA’s Virtual PDPM Training prepares AHCA SNF members for PDPM and will mirror the in-person trainings that have been held for AHCA provider members in almost every state in recent months. The virtual training allows AHCA SNF members to learn about the critical steps necessary on the pathway to success under PDPM. 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. 

With a little more than three months left before PDPM implementation, AHCA’s Virtual PDPM Training can set your facility up for success. 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. 

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

Criteria to Assess Dementia Interventions' Readiness for Pragmatic Trials

Rosa Baier

Q&I and Hebrew SeniorLife researchers have identified criteria to determine which non-drug dementia interventions are ready for testing in pragmatic trials.

While many dementia interventions have shown promise for improving outcomes for people living with Alzheimer’s disease and related dementias, uptake of these interventions remains low. Pragmatic trials, which test interventions under real-world conditions, have the potential to accelerate the translation of evidence into practice. The identified criteria relate both to conducting the research and to maximizing the likelihood that effective interventions are widely adopted, and are available in an editorial published by the Journal of the American Medical Directors Association.

The criteria reflect expert input from participants at a meeting the authors convened to discuss how best to identify and support non-drug dementia interventions ready for pragmatic trials. 

Learn about research from AHCA’s research center at Brown: brown.edu/go/innovation.

Wednesday, June 12, 2019

AHCA’s Virtual PDPM Training is Now Available!

Dave Kyllo

Did you miss the in-person PDPM training in your state? Did you attend the training but feel like you could benefit from taking it again?  AHCA’s Virtual PDPM Training can set your skilled nursing facility up for success.

The new Patient Driven Payment Model (PDPM) for skilled nursing facilities begins October 1, 2019. The PDPM system will rely on more than 180 MDS item fields and completely transforms the existing system Medicare Part A payment system for skilled nursing facilities. Staff roles and facility processes must be substantially modified to operate effectively under PDPM.

AHCA’s Virtual PDPM Training prepares AHCA SNF members for PDPM and will mirror the in-person trainings that have been held for AHCA provider members in almost every state in recent months. The virtual training allows AHCA SNF members to learn about the critical steps necessary on the pathway to success under PDPM. 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. 

With a little more than three months left before PDPM implementation, AHCA’s Virtual PDPM Training can set your facility up for success. 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. 

NOTE: Members will need to login with their AHCA/NCAL usernames and passwords.  For assistance obtaining AHCA/NCAL usernames and passwords, please e-mail educate@ahca.org with your name and facility contact information. 

Observation Stays Coalition Submits Statement to the House Energy & Commerce Committee

Dana Halvorson

On June 12, the Energy and Commerce Health Subcommittee held a hearing entitled, “No More Surprises: Protecting Patients from Surprise Medical Bills.”  The National Observation Stays Coalition, of which AHCA/NCAL is a member, submitted a statement for the hearing record. The Coalition noted that it has come together to address the surprise medical billing issue of the observation stays matter.  Recent Capitol Hill and Administration efforts have focused on eliminating burden and unanticipated/surprise medical bills that are having a significant negative impact on out-of-pocket-costs and patient-provider relationship.  The Coalition noted in their statement that the observation stays matter is one such area that should be addressed as part of comprehensive efforts to eliminate surprise medical bills.  Counting observation status toward the 3-day inpatient requirement in the Medicare program is a common-sense policy that does not affect hospital care -- but does protect the ability of beneficiaries to receive needed post-acute nursing home care.  For more information about the observation stays issue, please visit the AHCA/NCAL website.         

Medical Expense Deduction Coalition Praises House, Senate Legislation

Dana Halvorson

The American Health Care Association/National Center for Assisted Living has joined with other members of the Medical Expense Deduction Coalition, including AARP, on a letter to lawmakers who introduced bipartisan legislation in the House and Senate to make permanent the 7.5 percent threshold for the medical expense deduction.  The coalition sent the correspondence to Reps. Katie Porter (D-Calif.) and Kenny Marchant (R-Texas) in support of H.R. 2073 in the House and to Sens. Susan Collins (R-Maine) and Maria Cantwell (D-Wash.) to back companion legislation in the Senate, S. 110.  In the House, the bill was referred to the Ways and Means Committee for further action and in the Senate to the Finance Committee.

In the correspondence, the coalition said for the past 75 years, people with high health care costs have been able to deduct medical expenses from their taxes.  And, for the approximately 4.4 million Americans who annually do this, the deduction provides important tax relief in helping to offset the costs of acute and chronic medical conditions for older Americans, children, pregnant women, and other adults, as well as the costs associated with long term care and assisted living.  You can read more on this Coalition effort and the medical expense deduction in this Provider article

Build Your CNAs’ Careers this National Nursing Assistants Week with the CARES® Dementia Specialist Credential and Save 15%

Dave Kyllo

June 13-19, 2019 is National Nursing Assistants Week.  Recognize your frontline staff’s dedication by advancing their dementia care knowledge and caregiver careers.  Train and credential key members of your staff with the CARES® Dementia Specialist™ (C.D.S.) professional credentialing program.

Each member of your team completing the C.D.S. will learn advanced quality dementia care strategies based upon the Alzheimer’s Association’s new Dementia Care Practice Recommendations.  Having caregivers who are credentialed dementia care specialists translates to a far more efficient and effective dementia care team and reduces staff reliance on licensed nurses to solve the repetitious questions and issues that arise daily when providing care to residents with dementia. 

The C.D.S. credential also provides employees with a higher level of care knowledge and expertise that allows them to grow personally and professionally and be recognized by their peers.  Consider a team of three to five C.D.S. credentialed staff to serve as the “go to” dementia specialists within your organization. 

By completing the CARES® Dementia Specialist training programs, submitting their documentation, passing a required 100-point online C.D.S. credentialing exam, and being approved, staff members will be able to use the C.D.S. credential after their name, on their resume, or on a business card. Staff members will also be placed on a national registry of people who earn and hold a current C.D.S. credential.  Recognize your CARES® Dementia Specialists by displaying their credentialing certificates in your lobby and telling your residents’ families about your knowledgeable caregivers.

The C.D.S. curriculum consists of 32 hours of online, video-based person-centered dementia care education.  Once activated, individuals have 10-day access to each of the six required courses (courses range from 4 to 10 hours).  The C.D.S. courses include: 
CARES® is recommended by the American Health Care Association/National Center for Assisted Living to help reduce the off-label use of antipsychotics. CARES® is also recognized by CMS and is mobile friendly and available 24/7.

CARES® training is unique because it includes direct video “before and after” training with an easy-to-use, easy-to-apply approach to dementia care called the CARES® Approach®. The CARES® Approach can be used in any situation, with any person with dementia, at any stage of the disease.  Unlike most other dementia training programs, the CARES® C.D.S. credential teaches how to change care practices to help reduce challenging resident behaviors.
 
Be sure to take advantage of your exclusive AHCA/NCAL member discount.  AHCA/NCAL members receive a 15% discount on the $599.95 C.D.S. package by using discount code AHCA15 at checkout!
 
Contact HealthCare Interactive at (952) 928-7722 with any questions about the CARES® trainings or to place your order.    

Tuesday, June 11, 2019

Be Prepared! Cyber Attacks Are Now a Question of When, Not If

Dave Kyllo

Headlines about data breaches and cyber extortion are commonplace.  Phishing, Vishing, Botnets and Cyberespionage are everyday occurrences.  Those same cyber threats are real for long term care communities of all sizes.  Protecting your long term care community against these threats is essential.
 
Before purchasing cyber liability insurance, it’s important to understand critical cyber risks facing businesses today and what risks long term care providers should insure against.  Below are examples of key components of a comprehensive cyber liability insurance policy: 
  • Security & Privacy Liability – A cyber thief hacks your facility’s computer system and steals the personal data of past and current residents/patients.  Your facility gets sued for $1 million on behalf of several resident families for the negligent unauthorized release of personal information.   
  • Breach Event Costs – The cost of notifying all the victims of the data breach and their families can be staggering as can the public relations expense of explaining what went wrong.
  • Regulatory Fines and Proceeding Coverage – Regulators will likely be interested in the cause of your data breach and whether your response followed state and federal laws.   Coverage includes paying for your legal counsel, hearing expenses and any fines where insurable under the law. 
  • Multimedia Liability – This includes protection should your facility’s logo be similar to another company’s logo or should your website contain content that is copyrighted or trade-marked by others. 
  • Network Asset Protection – Hackers may destroy software and the information/data stored in your computers.  This coverage pays for the expenses to replace or restore software and data.
  • Business Interruption Income Loss – Facility revenue may be impacted through a tainted reputation following a data breach.  Insuring against this risk pays for the reduction in profit and extra costs such as renting a replacement computer system.
  • Cyber Extortion – Possibly one of the most talked about cyber security risks is “ransomware” – a computer virus that freezes your computer system until the demanded ransom is paid.  The insurance pays for expert advice on how to retrieve your system, negotiate with the hackers and pay any ransom if necessary.
HealthCap is the AHCA/NCAL endorsed carrier for liability insurance and cyber liability coverage.  The company’s sole focus is serving the needs of long term care providers, including assisted living.  HealthCap® carrier partners offer cyber liability insurance and it is not necessary for a long term care provider to have General or Professional liability insurance through HealthCap to purchase cyber liability insurance through HealthCap’s carrier partners.

For more information about HealthCap’s comprehensive suite of data security and privacy insurance solutions and to find a local agent, contact Peter Feeney at Peter.Feeney@chelsearhone.com