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Support H.R. 4468, the Nursing Home Workforce Quality Act

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Education Sessions

Monday, March 18, 2019

General Session – 1:00pm – 2:30pm

Age-Related Sensory Changes & their Impact toward Direct Care Delivery; Helping Build Acute Care’s Shared Role in meeting the SNF QRP Requirements
Location: Grand Salon AB

Speaker: Betty Halvorson, RN, MSN, ACNS-BC, MMGT, Adult Clinical Nurse Specialist, NICHE Program Coordinator Torrance Memorial Medical Center (Affiliate of Cedars-Sinai Medical Center)

Session Description: This session provides a greater understanding of the assessment process of the older adult in its truly unique presentation revealing its differentiation from other younger adults— (If you don’t know it; you can miss it entirely)! We will take a closer look at how these changes affect fall rate occurrences and how to best work to yield their reduction. Proposed nursing care plan build of the role-sharing structure between acute care and skilled care needing to occur in meeting the SNF QRP requirements will be included.

Learning Outcomes: 

  1. Identify the age-related sensory changes in the various body systems
  2. Describe the clinical significance of these age-related changes and the need for addressing
  3. Discuss how these changes relate to fall rate reduction for the older adult
  4. Gaining the role-sharing structure between acute care and skilled care in meeting the necessary SNF QRP requirements for the 2020 FY

Competent Geriatric RNs – The New Driver of Financial Performance   
Location: Grand Salon IJ

Speakers: Heidi Keeler, PhD, RN, Assistant Professor, CON-Omaha Division, Director, Continuing Nursing Education, Director, Office of Community Engagement, Gero Nurse Prep Faculty, College of Nursing, University of Nebraska Medical Center; Anna Fisher, PhD, Director of Education and Quality, Hillcrest Health Services; Dave Kyllo, Vice President, Member Programs, AHCA; Angie Szumlinski

Session Description: Competent RNs drive quality care and outcomes in long term care settings. PDPM and value- based purchasing also means they now control the financial success of a facility. Providers need to sharpen the clinical knowledge and leadership skills of their RNs if they are to succeed in this new environment. This session will discuss how offering specialized training such as the Gero Nurse Prep course prepares RNs for the new challenges and positions them for board certification in gerontological nursing through the American Nurses Credential Center.

Learning Outcomes: 
  1. Describe the key clinical outcomes that improve in facilities with ANCC board certified RNs
  2. Discuss how Gero Nurse Prep and ANCC board certification increase RN confidence and competence in the assessment process and clinical leadership    
  3. Explain how ANCC credentialing and board certification in gerontological nursing can strengthen the ability to demonstrate overall clinical competence and improved resident outcomes with surveyors

We Are a Gold AL. Here is How We Got Here. 
Location: Grand Salon CD

Speakers: Alana Wolfe, National Director of Performance Excellence, Sunrise Senior Living; Kimberly Dilg, Executive Director, Sunrise of Gurnee; Deborah Fournier, RN, COO, Maine Veterans Homes

Session Description: The AHCA/NCAL National Quality Award Program continues to grow, celebrating the first two Gold-Excellence in Quality Award Winners in 2018. During this interactive session, hear directly from the Executive Directors of the Gold Award winning communities and learn how they and their teams achieved this recognition. You will also hear from the Chair of the Board of Overseers on the commonly cited barriers preventing assisted living communities from participating in the program and talk about the many free resources available to help assisted living providers succeed. In a competitive and ever-changing market, assisted living providers must identify ways to stay a step ahead and stand out to potential customers and referral sources. The Quality Award Program provides the external validation necessary to set yourself apart from the competition. Learn from a non-profit, independently owned community as well as a for profit, multi-state organization how you can also achieve Gold! If you are at any step of the Quality Award journey, you will not want to miss this session. 

Learning Outcomes: 
  1. Describe the perceived barriers for assisted living participation in the program and how to overcome them
  2. Summarize the free resources available to help assisted living providers succeed in the program
  3. Discover how participation in the program would benefit their organization

Concurrent Sessions – 3:00pm – 4:30pm

Transforming an Organization One Neighborhood at a Time
Location: Grand Salon AB

Speakers: Chris Cox, COO, Signature HealthCARE; Angie McAllister, Director of Cultural Transformation, Signature HealthCARE

Session Description: In this session, you will learn how Signature HealthCARE led transformation efforts in 57 communities through the Neighborhood Model; communities in their rural segment with traditional nursing home buildings and which did not undergo major construction. Learners will also learn about how they used person-centered practices such as team huddles, as a launching pad for transformation within the neighborhood. Additionally, guides will share their innovative LEAN strategies that incorporate the entire neighborhood in decision making and process mapping known as QUEST.

Learning Outcomes: 

  1. Define the Neighborhood Model and discuss its value in overall organizational design
  2. Apply ways to incorporate increased communication through the neighborhood huddle process
  3. List ways that Lean Management style can be incorporated into the neighborhood model

Connecting Restorative Nursing with PDPM
Location: Grand Salon AB

Speaker: Mary K. Ousley

Fentanyl Fantasies: How Prudent and Problematic Pain Management Efforts Impact Quality Results 
Location: Grand Salon GH

Speakers: Dr. Steve Levenson; Dr. Jean Storm

Session Description: The use of opioid medications to manage chronic pain is complex and challenging, especially in long-term care and post-acute settings. As the care of individuals with chronic pain in these settings increases, it will be imperative to understand the harms and regulatory concerns of opioid use. The use of standardized guidelines will provide structure and support in the management of pain and quality of person-centered care.

Learning Outcomes: 
  1. Understand how efforts to manage pain can have a major impact (both positive and negative) on patient outcomes and many other quality measures
  2. ​​​Understand the principles (including CDC guidelines) for managing pain properly and using pain medications (including opioids) prudently
  3. Understand how to determine when and how to use pain medications (including opioids), and when and how to reduce them and when to avoid them entirely

Tuesday, March 19, 2019

 Opening General Session 8:00am – 10:00am
Association Update and Keynote Speaker on Disruption

Concurrent Sessions – 10:30am – 12:00pm

PDPM as Vehicle to Advance Person-Centered Care
Speaker: Robin Hillier, Director of Reimbursement and Quality Metrics, Welcome Nursing Home

Best Practices When Interacting with the Press & Media
Speaker: Beth Martino, Senior Vice President, Public Relations, AHCA

Growing Effective Supervisors:  A Critical Ingredient in Quality Care and Quality Jobs
Speaker Kezia Scales, Director of Policy Research, PHI National
Session Description: Long-term care supervisors hold a vital role in the workplace.  They shape organizational culture, influence accountability, support regulatory compliance, and impact care outcomes, to name a few of their roles.  In fact, their job is so important that the overall quality of care and employee engagement rests largely in their hands.  Despite this, many long-term care supervisors have been promoted to their roles without adequate training to be successful.  Together, we’ll explore the impact of effective supervision and how to shift from traditional supervision to a more effective model featuring the PHI Coaching Approach to Supervision®.
Learning Outcomes:
  1. Identify the consequences of ineffective supervision in long-term care
  2. Explain the difference between traditional supervision and coaching supervision
  3. Identify impacts of coaching supervision on employee satisfaction and retention

Best Practices to Avoid Your Resident Being “Lost in Transition”
Speaker: Denise Wassenaar, RN, MS, LNHA, MatrixCare
Session DescriptionThe Centers for Medicare & Medicaid Services (CMS) defines a transition of care as the movement of a patient from one setting of care to another. Typically, this includes the “handoff” from one setting to another. In this era of value-based care and emphasis on preventing hospital readmissions, skilled nursing facilities need to understand and adapt the evidence-based practices developed by acute care. Since 2012 skilled nursing facilities have focused on the successful transition of patients from the acute care setting. However, with the implementation of value-based purchasing, it is time to shift the focus to the transition from the skilled nursing facility to the next level of care. There are several transitions-of-care models with published evidence of success, however, these models were designed for acute care. This session will review these models and discuss how they can be adapted to the long-term care setting. Successful transitions of care begin at the time of admission and continue well past the day of discharge. Implementation of best practices related to the care management of your residents will facilitate achievements of a successful discharge into the community.

Learning Outcomes: 

  1. Review the identified root causes of hospital readmissions
  2. Review the common evidenced based transitional care models, such as Coleman’s Care Transitions Intervention, Naylor’s Transitional Care Model, Project Boost
  3. Discuss how these models can be operationalized for the skilled nursing setting  

Concurrent Sessions – 2:00pm – 3:30pm

A Culture of Safety

Administrator Roundtables – Disruptions Leading to Innovations in Delivering Quality Care

Session Description: This session is designed to connect attendees with peers from around the country who took steps in their organizations to disrupt stale practices to allow for creative thinking leading to innovation to solve problems and bring needed change. 

No One Told Me That the Skills I Learned Playing Clue, Chutes and Ladders and Candy Land, Would Be Needed to Be A Leader of Healthcare
Speaker: Martie Moore, RN, MAOM, CPHQ, Chief Nursing Officer Medline Industries, Inc.

Session Description: This session will present how leaders can use the intertwining complexity of quality, workforce and customer service data to achieve the strategic and quality performance needed for today’s environment.

Learning Outcomes: 
  1. Learn how to use data to uncover stumbling blocks to five-star performance
  2. Recognize key behaviors needed for both leaders and workforce to advance performance towards key strategic goals
  3. Achieve sustainable change utilizing new research into successful change management leadership actions

Concurrent Sessions – 4:00pm – 5:00pm

Restore Me: A New Twist on Restorative Programming 
Speakers: Angie McAllister, Director of Cultural Transformation, Signature HealthCARE; Ryan Myracle, Hometown Culture Change Learning Manager, Signature HealthCARE; Annette Wenzler, Chief Nurse Executive, Signature HealthCARE

Session Description: Does your approach to restorative nursing seem outdated? Historically restorative nursing is a task-focused, routine, program owned by the nursing department. In this session, you will learn how to apply the 7 Eden Alternative Domains of Well-Being™ to create a person-directed experience that engages all members of the care partner team and supports a quality restorative program in skilled nursing as well as in assisted living.  You will also hear about two innovative concepts that will challenge your own perspective of restorative care.

Learning Outcomes: 
  1. Name two reasons why traditional approaches to restorative care typically yield poor outcomes.
  2. List two ways that the Restore Me approach differs from traditional approaches to restorative care.
  3. Identify two positive, measurable outcomes from this holistic approach to restorative care.
  Wednesday, March 20, 2019
8:30am – 10:00am  

Tired to Inspired
Speaker: Denise Boudreau-Scott, President, Drive Consulting 
Session Description: We all come into the aging services field wanting to make a difference in the lives of others, but after a few years we find ourselves feeling more tired than inspired! In this actionable, interactive and fun presentation you’ll discover the astonishing underlying cause of the fatigue that so often turns the most idealistic and well-intentioned staff into part of the problem. Benefit from the incredible feedback of tens of thousands of employees that have shared the secret of what goes right in their organization and what could go better.
Guaranteed the same bright spots and downsides can be found in your own organization. Once you find out the secrets, you'll learn the essential actions you need to address them and take an exhilarating round trip from tired to inspired!

Learning Outcomes: 
  1. Understand the importance of engagement and its impact on the resident and staff experience 
  2. Identify actionable steps to reduce the level of disengagement in their organization. 
  3. Discover what factors contribute to aging services staff losing their enthusiasm after they enter the field.

Care Practice Roundtables – Disruptions Leading to Innovations in Delivering Quality Care 
Session Description: This session is designed to connect attendees with peers from around the country and – through small group activity – find ways to disrupt outdated practices to allow for creative thinking leading to innovation to bring about needed change. 

Toward Better Behavior: Yours, Mine, And Everyone Else’s Session 
Speaker: Barbara Speedling, Quality of Life Specialist, Innovations for Quality Living
Session Description: As the long-term care demographics continue to shift and diversify, the greater the need to understand people as individuals. Achieving such understanding presents new challenges and considerations in assessment and care planning. While long-term care facilities once cared almost exclusively for the frail elderly, many of whom had also been diagnosed with dementia, today’s populations are far more varied in age, disability, and psychosocial circumstances. That makes understanding “what makes someone tick” more complicated, at best. This session provides professional caregivers a framework for developing an assessment process that results in a deeper understanding of what motivates someone to do what they do. With greater understanding comes a more focused, personalized plan to accommodate the complicated needs of every individual. 

Learning Outcomes:

  1. Understand the concept of culture change and the expectations of regulators and consumers about applying these principles 
  2. Develop a keener insight into human behavior and be able to apply that knowledge in creating an environment in which 
  3. Create person-centered, innovative interventions as alternatives to pharmacologic remedies in response to the behavioral health needs of residents with dementia

Closing General Session
10:30am – 12:00pm 
Provider Magazine Curated LED Talks

Session Description: Based on the popular TED Talks, Provider Magazine L(Lead) E (Engage) D (Discover) Talks showcase four speakers whose stories may provide inspiration, insight, and possible challenge your current thinking. Topics include:

What if Nursing Centers Responded to Depression the Way They Respond to Cancer (or the flu, or broken hips, or e-coli, or Ebola?)
Presenter: Richard Juman, PsyD, TeamHealth
Description: Nursing centers have an extremely high prevalence of depression (50-70%). What if it's us?! Depression is not/should not be an inevitable consequence of SNF admission. It is possible that we (the post-acute care sector) are inadvertently making people depressed? This talk will present a new idea based on the premise above. The talk will hone in on one central idea and solutions to disrupt the status quo way of approaching depression.

How to Save a Company: The Consulate Culture
Speaker: Chris Bryson, Chief Executive Officer, Consulate HealthCare
Description: This is a story of one company’s courage, persistence, and innovation. It’s the story of how one severely challenged company is taking its fate by the horns and changing course in a bold, new direction. The results, which play out in Five-Star ratings, employee engagement scores, and more, speak for themselves. This is the story of Consulate Health Care. Hear from the CEO that orchestrated Consulate’s full-fledged comeback as he shares the top risks he had to take to turn the company around.

A Story of Survival
Speaker: Jessica Johnson, Administrator, Riverside Convalescent
Description: Paradise, Calif., was anything but its name on Nov. 8 when an intense forest fire brought tragedy to the town. In what survivors called an ungodly combination of heat, smoke, and speed, the Camp Fire inferno killed dozens and torched most anything in its path. This is the story of how the consequences of a disaster played out in real time for this one SNF, and how fast-acting and determined administrators, staff, and volunteers drove residents to safety under extreme risk of peril.