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

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Education Sessions

 


​AL Audience ​​​SNF Audience
 



Monday, March 09, 2020

Concurrent Sessions: 1:00pm – 2:30pm

Workforce: What Works! AL and SNF.jpg
*Brought to you by the Quality Cabinet Workforce Committee

Speakers: Bill Bogdonavich, President and CEO, Broad Reach Healthcare; Colleen Engler, MHA, LNHA, Chief Culture Officer, Guardian Elder Care; Shauna Kapsner, Director of Operations, Partners Senior Living Options, LLC; Lois McCaskey, Vice President, Labor Management, Genesis Healthcare, LLC

Moderator: Joseph DeMattos Jr., MA, President and CEO, Health Facilities Association of Maryland 

Session Description: Ask any leader in long-term care what the top three things are that keep them up at night and invariably you will hear that one of them relates to the workforce. This panel discussion will give you the opportunity to hear from fellow providers on “what works” for them when it comes to employee retention, engagement, and recruitment.  

Learning Outcomes: 

  1. Attendees will be able to identify leadership practices that create a culture of retention. 
  2. Attendees will be able to apply strategies to increase workforce engagement in their organizations.
  3. Attendees will learn innovative recruitment strategies and what it takes to implement them.    



Customer Satisfaction Lessons from Gold Quality Award Recipients AL and SNF.jpg
*Brought to you by the Quality Cabinet Customer Experience Committee 

Speakers: Bo Dalton, LNHA, Administrator, Comer Health & Rehabilitation 
Lina Dureza, Administrator, Hughes Health & Rehabilitation 

Moderator: Mark Pavlovich, MA, Behavior Analyst, Ethica
 
Session Description: Providing good service for our patients and their families, and our staff is both crucial and expected. If we stop at patients and staff, we may find success, but we also lose opportunities.  Identifying all customers, and actively programming to assure their satisfaction is difficult. Do you consider your referral sources to be your customers?  How about care providers when patients leave your service?  Are you actively working to provide excellent customer care for your payers? What are you doing to include your DME suppliers, surveyors, and the local media in your customer list? Developing and actively working to improve these relationships will increase your chances of building life-long friends and partners.  In this session Gold Award winners will discuss best their practices in understanding, improving and sustaining excellence in engaging all customers. 

Learning Outcomes: 
  1. Identify a comprehensive list of your customers. 
  2. Understand the different engagement preferences for each customer. 
  3. Develop individualized strategies to pursue satisfaction for each customer.


Host Sponsor Session: Infection Control by  SNF.jpg
Session details coming soon. Please check back. 

Leveraging Trend Tracker and Other Sources to Monitor Quality Impact of Patient Driven Payment Model (PDPM) SNF.jpg

Session Description: AHCA offers a powerful member benefit called Long-Term Care Trend Tracker (LTCTT).  AHCA members can monitor their Skilled Nursing Facility (SNF) Rehospitalization Value-Based Purchasing (VBP) performance as well as their IMPACT Act Quality Reporting Program (QRP) performance via LTCTT. During this session participants will learn the range of Patient Driven Payment Model (PDPM) related resources available on LTCTT and how AHCA members are using LTCTT to monitor their PDPM performance as well as learn about new AHCA resource called Patient Pathway Platform © aimed at assessing referral patterns, patient characteristics, and related quality performance.  


Concurrent Sessions: 3:00pm – 4:30pm 


Innovative Practices from Role-Model Organizations AL and SNF.jpg

Speakers: More information coming soon
Moderator: Dr. David Gifford, MD, MPH, Senior Vice President, Quality & Regulatory, AHCA/NCAL 

Session Description: This session presents an opportunity to learn from Gold Quality Award recipients who are solving problems and addressing challenges in new and innovative ways.  Attendees will hear an innovation or improvement from each of our panelists, that was made possible or inspired by your use of the Baldrige criteria. These innovations or improvements will cover each of the Baldrige criteria categories, including clinical, workforce, customers, strategic planning and leadership.

Learning Outcomes:

  1. Understand best practices from role model organizations achieving positive outcomes
  2. Learn how to successfully implement improvements across an organization
  3. Identify ideas that you can implement in your own organization



Best Practices for Your Emergency Preparedness Survey AL and SNF.jpg
*Brought to you by the Quality Cabinet Emergency Preparedness Committee 

Speakers: Peggy Connorton, LNFA, National Director, Skilled Nursing Operations, Covenant Retirement Communities; Sheila Guenin, Vice President of Long-Term Care, American Senior Communities; Shawn Wellman, Administrative Coordinator, and Analyst, Health and Hospital Corporation of Marion County

Session Description: Attend this session to help develop your emergency preparedness survey compliance! This session will provide an overview of the top E-tags across the nation to understand the key challenges providers are experiencing with compliance. Hear from two providers on their best practices on the survey process and tips on developing effective after-action reports that can be incorporated into your emergency plans.

Learning Outcomes:

  1. Identify the top E-tags across the nation and regions.
  2. Recognize how to demonstrate compliance with the top E-tags.  
  3. Explain the steps to create effective after-action reports.  



More Than 200 Drug Trials for Alzheimer’s Disease Have Failed – What Now?AL and SNF.jpg

Speakers: Dr. Michael Felver, MD, Internist, Cleveland Clinic; Jill Tasse Ricker, Director of Operations, SAIDO, Covenant Living Communities & Services

Session Description: The SAIDO Learning method involves a caregiver (called a “Supporter”) trained to work with two older adults (called “Learners”) by engaging them in a series of precise, yet simple, arithmetic, writing and reading exercises. The exercises are performed five times per week and last 30 minutes. The object of the program is not to teach the material but to engage the Learner in the accomplishment of repeated successful exercises, progressing to new material at the Learner’s own level and pace. This process fosters the Learner's confidence, abilities, and initiative to advance and try new things. Changes in Learners are often observed and range from being more engaged in daily activities and meals, more socially involved with caregivers and families, and more optimistic about daily living. Learners have also shown increased engagement and social interaction with others.

Learning Outcomes: 

  1. Gain insight into physical frailty as a predictor of cognitive impairment and dementia in later life.
  2. Learn about a unique nonpharmacological intervention offering cognitive exercises and enhanced individualized engagement and its impact on persons at all stages of the disease.
  3. Review case studies from participants in the dementia program and examine the effects on quality of life.
  4. Consider whether positive outcomes from a dementia intervention can begin to shift the stigma associated with the disease.



Achieving Holistic Person-Centered Care Planning Under PDPM SNF.jpg
Speakers: More information coming soon

Session Description: In the Fiscal Year 2019 Skilled Nursing Facility Prospective Payment System Final Rule and subsequent guidance, the Centers for Medicare and Medicaid Services (CMS) has discussed the need for “holistic care planning” under the Patient Driven Payment Model (PDPM).  Most research and policy on holistic care planning is associated with Medicaid-financed long-term care rather than Medicare-financed post-acute care (PAC).  Of note, in the final Skilled Nursing Facility Requirements for Participation, CMS discusses a “comprehensive, person-centered care plan.”  Such alignment continues CMS’ focus on aligning payment policy with quality.  During this session participants will learn about possible models for PAC Comprehensive, Person-Centered Care Planning which also align with CMS’ vision for “holistic care planning”.

Learning Outcomes: More information coming soon...








Tuesday, March 10, 2020

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


QAPI: It’s Not Just for SNFs Assisted Living.jpg
*Brought to you by the NCAL Quality Committee

Speakers: Gail Sheridan, RN, Chief Clinical Operations Officer, Tealwood Senior Living
Sara Silva, Division President of Community Based Care, Avamere Family of Companies

Session Description: Quality Assurance and Performance Improvement (QAPI) is not just for skilled nursing facilities, in fact, it is used in many industries and can be used in assisted living (AL). Providers must think of quality improvement holistically -how organizations are run impacts quality and improving quality can drastically improve your business. By operationalizing business systems, you can drive quality. These systems should support quality and acceptable business practices as well. In this session, attendees will learn how they can use QAPI and performance improvement projects (PIP) to improve quality in their AL. Attendees will understand the business case for quality This session will be a hands-on session, sharing QAPI templates and walking through them to understand the implementation. Attendees will also learn how to implement a PIP by going through examples of PIPs. Presenters will share how to use LTC Trend Tracker with QAPI and PIPs and how these can help you with your Quality Award journey. Learn about best practices for these quality improvement practices, including barriers to implementation and how to address them so you can start or continue your quality journey.​

Learning Outcomes: 
  1. Attendees will understand the business case for quality improvement including how systems should support quality. 
  2. Attendees will understand how operationalizing business systems can drive quality. 
  3. Attendees will understand how to implement QAPI in their assisted living.


Infection Prevention and Understanding the “Bugs” AL and SNF.jpg
*Brought to you by the Quality Cabinet Clinical Practice Committee

Speakers: Gail Polanski, RN, BSN, Senior Vice President of Clinical Services, Tara Cares; Pamela Truscott, Senior Manager, Clinical & Regulatory Services, AHCA/NCAL

Session Description: Infection prevention and control are becoming increasingly important as new “bugs” emerge.  Unfortunately, there are Multi-Drug Resistant Organisms that are fatal because there are few warning signs until it becomes too late.  It is crucial to consider what cleaning and disinfection products are used in addition to following proper precautions. This session will explore the “bugs” and how to prevent the spread of infection.
Learning Outcomes: 
  1. Describe an effective prevention program for preventing the spread of infection. 
  2. Discuss best practices for preventing the spread of infection. 
  3. Explain the importance of effectively cleaning the environment and what products are most effective.


Huddle Up! How Creating an Individualized Huddle Approach Drives Sustained Quality Improvement and Employee Engagement  AL and SNF.jpg
*Brought to you by the Quality Cabinet Quality Improvement Committee

Speakers: Jalene Carpenter, NHA, Director of Customer Success, NRC Health

Session Description: The need for better communication is a common concern we hear from team members, residents, and family members. We know that improvement in communication improves outcomes on all levels, yet we struggle to find a sustainable solution. Huddles are that solution! But what is a huddle? How does it work? There is no “one size fits all” approach—the answers lie in your data and in following the Baldrige approach for continual process improvement. Organizations that have implemented a sustained huddle process have seen improvement in quality outcomes and customer and employee satisfaction, which in turn increases revenue and reduces turnover. This presentation will walk through how to develop an individualized approach to using huddles in your community.

Learning Outcomes: 
  1. Explain how to review your community’s data (Customer/Employee satisfaction; Quality Measures, etc.) in order to lay out a plan to utilize huddles to drive improvement. 
  2. Describe how to run effective huddles that are meaningful for those involved. 
  3. Utilize data to drive huddle agenda, which is fluid, part of the ongoing QAPI process and is in sync with the steps of the quality award journey.
CMS is Watching PDPM for Appropriate Care and Quality Outcomes SNF.jpg
Speakers: More information coming soon...

Session Description: The implementation of the Patient Driven Payment Model (PDPM) as the new Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) has shifted the focus SNF compliance programs from therapy service delivery to an expectation for care plan development to be based upon a broad range of resident characteristics.  This session will provide an overview of the Centers for Medicare and Medicaid Services (CMS) perspective of why a “patient-driven” payment approach designed the way it is, CMS’ vision for “holistic care planning,” and how CMS intends to monitor for appropriate care including the use of assessment data and quality measures. 
 
Learning OutcomesMore information coming soon...


 Concurrent Sessions: 2:00pm – 3:30pm


Workforce Training and Advanced Roles: Essential Practices in Promoting Quality Care through Quality Jobs AL and SNF.jpg

Speakers: Emily Dieppa, Workforce Innovations Consultant, PHI; Renya Larson, Workforce Innovations Consultant, PHI

Session DescriptionResearch shows that high-quality training for direct care workers can improve both job satisfaction and care outcomes. With proper training and support, direct care workers can take on advanced roles and additional responsibilities that better support their clients, while improving health outcomes and avoiding high costs. Advanced roles can also improve job satisfaction, increase ​compensation, and reduce turnover. This workshop will present field-tested strategies and solutions for training and advanced role development for the direct care workforce.
 
Learning Outcomes:
  1. Attendees will increase their knowledge of strategies and solutions to improve training for the direct care workforce.
  2. Attendees will increase their knowledge of knowledge, skills, and attitudes associated with advanced roles.
  3. Attendees will increase their knowledge of key characteristics of advanced roles that support sustainability and impact care outcomes.
  4. Attendees will increase their knowledge of policy implications impacting advanced roles.     


Successful Practices for Managing Allegations of Abuse and Neglect   AL and SNF.jpg
*Brought to you by the Quality Cabinet Survey and Regulatory Committee​

Speakers: Sarah Schumann, Vice President of Operations, Brookside Inn
Paula G. Sanders, Partner, Post & Schell, P.C. 


Session Description: With an increasing focus on abuse and neglect issues, it is critical for providers to implement effective systems and strategies for prevention and mitigation. AHCA’s Survey/Regulatory Committee has developed tools to assist members in these efforts – the Nursing Center and Assisted Living Action Plans for Adverse Events, and Tools to Address and Prevent Resident to Resident Mistreatment. Building on these tools, AHCA’s Legal Committee is developing resources on how to conduct and document an effective investigation of an abuse/neglect allegation. Join member leaders from both committees to learn strategies to prevent, mitigate, and investigate abuse and neglect issues, learn about how to use available AHCA tools, and glean how to link these efforts to your QAPI process for continual improvement.​

Learning Outcomes:
  1. Identify strategies for mitigating and preventing abuse and neglect.  
  2. Explain the steps to conduct and document a good investigation. 
  3. Describe how to use the QAPI processes to improve systems for abuse/neglect prevention and mitigation.  ​


The Daily Managing of a Workplace where a Highly Motivated Team, Skilled in Customer Happiness, provides World Class Service SNF.jpg

Speakers: Greg Dowdy, Chief Operating Officer, American HealthCare, LLC

Session Description: Are you looking to lead a team that makes coming to work a joy (no really, not just in dreamland)? Tired of turnover, negativity, and disengaged team members? Does your team respond to customer service fires with gasoline? Are you the only one you trust to get things done? Wouldn’t it be nice to turn those nightmares into wins, the negative residents and families into your biggest supporters? Is Five Star service so far down your list that it doesn’t even make the first page?

Learning Outcomes:

  1. Attendees will be coached on the best way to arrive at work daily with methods to set the tone for good teamwork, positive interactions, and the DAILY goal of assembling a highly motivated team.
  2. Potential systems will be outlined that can be used to turn chronic complainers (residents, families, and staff alike) into the organization's biggest supporters.
  3. Each organization gets more of what it values and grows.  Methods will be shared to prevent organizations from planting corn and waiting for carrots to grow.
  4. Tactics will be reviewed that allow staff to be the ones resolving conflicts and disputes, not causing them.
  5. Important steps will be explored to help the leader build and maintain the workplace culture needed to support World Class customer service 


Host Sponsored Session bySNF.jpg  
Session details coming soon. Please check back.



High-Intensity Rehabilitation Application in PDPM – An Evidence-Based Approach to Improving Quality SNF.jpg

Speakers: More information coming soon...

The Patient Driven Payment Model (PDPM) incentivizes the effectiveness of therapy furnished rather than the amount.  High-quality providers will be those that are better able to identify residents that would benefit from high-intensity rehabilitation, and then are able to furnish such services safely and effectively.  During this presentation, the RESTORE team, a collaborative group of researchers, educators, and professionals within the University of Colorado Physical Therapy Program will share an approach for helping providers integrate the latest evidence-based rehabilitation strategies into routine practice.   RESTORE aims to help providers become leaders in quality care delivery by using personalized, progressive approaches to strength and balance training. At the core of this initiative is i-STRONGER—an interactive, customizable online educational platform for training rehabilitation staff in rehabilitation strategies that achieve quicker, more effective, and longer-lasting home discharges to drive higher quality care.  

Learning Outcomes: Morning information coming soon...


Concurrent Sessions : 4:00pm – 5:00pm 



Guiding Principles and Leadership by The Studer Group Assisted Living.jpg

Speakers: Mitch Hagins, BSc, Senior Director, Huron Studer Group

Session Description: The presenter will use the NCAL Mission and Vision to highlight the importance of such truths in thriving during periods of change. The session will delineate between Leadership and ​Management through the use of stories and personal examples. To highlight leadership, the presenter will review the NCAL Guiding Principles of Leadership using appreciative inquiry and audience participation to reinforce these truths.

Learning Outcomes:
  1. Explain how to differentiate between Leadership and Management, understand the importance of each and ways to activate both in their personal practice.
  2. Describe at least one of the NCAL Guiding Principles of Leadership and/or story regarding the same such that they can see a Principle in their personal practice.
  3. Discuss at least one of the NCAL Guiding Principles of Leadership and/or story regarding the same such that they can see an opportunity to embed that Principle into their personal practice.


A Focus on Person-Centered Environments; Interior Design Trends for Senior Living  AL and SNF.jpg

Speaker: Lilliana Alvarado, CHID, EDAC, IIDA, NCIDQ, LEED AP, Design Principal and Founder of UPHEALING

Session Description: Sometimes when we think of interior design trends, we think of what the color of the year may be or what style is “in” right now. This presentation will explore these three trends: the importance of biophilia (incorporating natural materials, natural light, vegetation, nature views and other experiences of the natural world into the modern built environment), types of interior design finishes and amenities, and learn about new technology available for senior living.

Learning Objectives:
  1. Understand the importance of incorporating biophilic design elements in senior living for residents’ wellbeing.
  2. Explore options for interior design finishes and amenities with a hospitality feel that can help reduce falls, help with acoustics, are durable, are easy to maintain and are budget-friendly.
  3. Learn how new technology, analytics, and data can assist senior living facilities by reducing liability, enhance safety, maximize staff utilization and attract new residents.


Practical Approaches to Managing Behaviors: Person-Centered Care Planning​ AL and SNF.jpg

Speaker: Amy Lee, RN, MSN, CRRN, QCP, President & CEO, Coretactics Inc. ​

Session Description: The best approach to ensure quality care and avoid inappropriate psychoactive medications is person-centered care planning. To meet federal quality and safety standards, skilled nursing facilities are required to assess each resident and develop an appropriate plan of care. CMS further mandates that medications may be considered for elderly residents with dementia only if non-pharmacological interventions are ineffective. 
The misuse of psychotropic drugs is one of the most common and longstanding, but preventable, practices causing harm to nursing home residents today. This session will focus on the negative regulatory impact poor behavior management can have on quality outcomes, help identify causes and early indicators of behaviors for proactive person-centered care planning, review approaches to meet the new requirements for Trauma-Informed Care and give providers practical approaches to enhance quality of life, improve resident/family/staff satisfaction and positively impact their CMS Five Star.


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


The Impact of Effective Care Transitions at Admission and Discharge Under PDPM on SNF Quality Measures SNF.jpg

Speakers: More information coming soon...

Session Description: The Patient Driven Payment Model (PDPM) requires more clinical coordination as well as evidence of clinical coordination via documentation transfer between the hospital and SNF at intake, and the SNF and subsequent care providers post-discharge.  All providers are now subject to some form of care transition quality measures.  Effective care transition strategies can aid SNFs, hospitals/health systems and downstream providers develop value-based payment structures and achieve clinical and financial success. Such efforts bring together clinicians' acute and PAC settings to develop effective care transition approaches which can also include social determinants of health.  Participants will hear from hospital discharge specialists, AHCA members, and home health intake specialists about their approaches to care transitions SNF.

Learning Outcomes: More information coming soon...







Wednesday, March 11, 2020
 
Closing General Session : 10:30am - 12:00pm


 Provider Magazine Curated  
(a bonus session for the Independent Owner Conference) 

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.




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