Harmony Healthcare Blog

Antipsychotic Medications: Expectations, Regulations, and Strategies

Posted by Pam Duchene on Thu, Apr 18, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The Expectations 

In CMS’s latest blog, antipsychotic medications, again, are in the spotlight.  In her April 15th update, CMS Administrator Seema Verma mentioned antipsychotic medications five times: 

  • Updating Nursing Home Compare to make it easier for consumers to identify non-compliance related to inappropriate antipsychotic medication use.
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Topics: Antipsychotics

ICYMI: Five Strategies for Pain Management

Posted by Pam Duchene on Fri, Apr 12, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


A key area of concern within the IMPACT (Improving Medicare Post-Acute Transformation) act is that of preventing pain and alleviating suffering occurring in older adults in skilled nursing facilities.  The Nursing Home Quality Improvement Campaign provides ongoing reporting on state and national rates of Quality Measures, including the rate for residents self-reporting moderate to severe pain. 

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Topics: Pain Management

ICYMI: PEPPER Release Date: April 5th, 2019

Posted by Joyce Sadewicz on Tue, Apr 09, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The annual PEPPER report for SNF's will be released on or about 4/5/19.  To access your facility’s PEPPER data, you need to log on to the TMF website at: 

https://pepperresources.org/PEPPER/Distribution-Schedule-Get-Your-PEPPER

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Topics: PEPPER

PEPPER Release Dates: Access Your Facility's Data

Posted by Joyce Sadewicz on Tue, Apr 02, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The annual PEPPER report for SNF's will be released on or about 4/5/19.  To access your facility’s PEPPER data, you need to log on to the TMF website at: 

https://pepperresources.org/PEPPER/Distribution-Schedule-Get-Your-PEPPER

Read More

Topics: PEPPER

Requirements of Participation (RoP): Overview Phase III

Posted by Kris Mastrangelo on Thu, Mar 28, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


Phase III
Requirements of Participation (RoP)
Implemented by November 28, 2019 

Highlights 

  1. QAPI Plan/Program Governing Body
  2. Person-Centered Care Planning
  3. Trauma Informed Care / Behavioral Health Services for History of Trauma PTSD
  4. Infection Preventionist
  5. Compliance and Ethics Program
  6. Physical Environment
  7. Training Requirements Competencies of Staff
  8. Dietary 

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Topics: Requirements of Participation

Infection Prevention: Four Key Actions

Posted by Pam Duchene on Tue, Mar 26, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


Mom was Right - the Answer is in Your Hands

Septicemia and urinary tract infections are identified as the primary reasons for patients to require care in a skilled nursing facility after a hospitalization.[1]  In the report, Adverse Events in Skilled Nursing Facilities (Levinson, D, & General, I, 2014), 26% of the adverse events identified for individuals entering nursing facilities were infection related.  These two factors are key reasons why the changes to the Requirements of Participation focused on prevention and addressing infection control. 

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Topics: Infection Prevention

ICYMI: Skilled Nursing Facility Quality Reporting Program Data Collection & Final Submission Deadlines for FY 2021

Posted by The Harmony Team on Thu, Mar 21, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The ‘‘FY 2021 SNF QRP’’ refers to the fiscal year for which the SNF QRP requirements applicable to that fiscal year must be met for a SNF to receive the full annual update when calculating the payment rates applicable to it for that fiscal year

The below table provides the data collection time frames and final submission deadlines for the Fiscal Year (FY) 2021 Skilled Nursing Facility Quality Reporting Program (SNF QRP). 

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Topics: Quality Reporting Program

ICYMI: The National Database MDS Resident Matching Process

Posted by The Harmony Team on Tue, Mar 19, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The MDS 3.0 Missing OBRA Assessment Report affords the provider an opportunity to validate regulatory compliance with OBRA regulations in completing and submitting MDS Assessments.  

The MDS 3.0 Missing OBRA Assessment report lists the residents in select facilities for whom the target date of the most recent OBRA assessment (other than a discharge or death record) is more than 138 days prior to the report run date. The report also includes residents for whom no OBRA record was submitted for a current episode that began more than 60 days prior to the report run date. The information included in the report is only as current as the date of the last submission by the facility.  Ideally, the queried report should depict “no data returned,” indicating that there no residents identified as having a missed OBRA assessment, as of the last submission and run date. 

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Topics: MDS Assessments

Antipsychotic Medications: Risks and 5 Components to Consider for Minimized Usage

Posted by Pam Duchene on Thu, Mar 14, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


Antipsychotic medications pose tremendous risks for older adults, which is illustrated in the black box warnings issued by the U.S. Food and Drug Administration which identify increased risk of death in elderly patients with dementia [1].  

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Topics: Antipsychotics

ICYMI: QAPI Program for Falls

Posted by Kathy Monahan on Tue, Mar 12, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The objectives of developing a QAPI Program for Falls includes the following: 

  • Review the regulatory interpretive guidelines for accidents and injury investigation.
  • Discover the key components of completing an accident root cause analysis.
  • Apply the quality improvement components to the investigative process. 

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Topics: falls

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