Policy

Complying with F-tag 248

At a glance… Complying with the “Activities” F-tag is a win-win for the facility and the surrounding community. Quality of life” is a term Read More »

Two views: The quality question

At a glance… Bob Gatty highlights two reports on the state of quality in long-term care. Industry lobbyists, intent on blocking proposed Medicare Read More »

QIS: An Update

The Quality Indicator Survey (QIS)-that intriguing potential substitute for the not-much-beloved OBRA nursing home survey process-is marching right Read More »

Start Now

Editor's note: This is part one of a two-part series. This month's discussion focuses on how to keep good records to avoid a RAC audit. If you are Read More »

Transition to MDS 3.0

Long-term care providers continue in a holding pattern awaiting the anticipated transition from MDS 2.0 to MDS 3.0. While exact specifications of Read More »

Researchers study Five-Star, resident satisfaction

Mountville, Penn.-Since last year's inception of the national Five-Star rating system of nursing homes, a new question has emerged for owners: Is my Read More »

Transparency in health reform or a ball-and-chain?

As lawmakers work to meet an October deadline imposed by President Obama for passing national healthcare reform legislation, options under Read More »

Associations bristle over Medicare cuts; offer an alternative

Representatives for the nursing home industry have strongly criticized a new plan by the Centers for Medicare & Medicaid Services (CMS) to slash Read More »

New Interpretive Guidance for quality of life, environment tags

The Center for Medicare & Medicaid Services (CMS) released new Interpretive Guidance for several quality of life and environment tags on April 10. Read More »

POC documentation benefits care, reimbursement

New technologies to document care at the point of care (POC) and to query results and schedules without leaving the resident's side to use a Read More »

New “Quality of Life” survey regs

Baltimore, Md.-Federal survey and certification regulations going into unprecedented detail and depth on resident quality of life will go into Read More »

CMS pilot attacks unnecessary rehospitalization

Noting that one in five Medicare patients are rehospitalized after discharge, and three-fourths of these cases could be avoided, the Centers for Read More »

No real healthcare reform without LTC financing discussion

Organizations representing various sectors of the nursing home and long-term care community have urged Congress to include improvements in long-term Read More »

Single-payer system is healthcare stimulus

An upgraded Medicare program to cover all Americans would create 2.6 million jobs and add $100 billion in wages and $317 billion in business and Read More »

Counterbalancing MedPAC’s funding cuts

Contending that America's skilled nursing facilities (SNFs) are raking in the dough and generating fat profits from Medicare patients, the Medicare Read More »

Are You Ready for the New Survey

There is a transformation under way of the long-term care (LTC) survey process, and it has significant implications for every LTC facility in the Read More »

Getting LTC reform’s foot in the D.C. door

With the general election looming, organ-izations representing the long-term care community are working to create a political climate in Washington Read More »

MDS 3.0 implementation strategies

Significant changes in assessment philosophy that reflect current clinical practice standards and a focus on resident-directed care are at the core Read More »

Twenty years of OBRA—Has it really been that long?

Healthcare has had a long history of self-improvement. One need look no further than the Flexner Report (published in 1910) and the dramatic changes Read More »

Where there’s smoking…

Accidents, including fires and skin injury, caused by cigarettes are a serious danger to residents in long-term care (LTC) facilities. Indeed, Read More »

Much ado about sex offenders

Signed into law by Oklahoma Governor Brad Henry in June, The Sex Offenders Long-Term Care Facility Bill has generated a fair amount of buzz from LTC Read More »

Getting ready for survey the fun way

A new and fun way to prepare your associates for the annual state survey is to hold a “skills fair” in your facility. The fair can be for one or two Read More »

MDS 3.0

“Leadership is not magnetic personality—that can just as well be a glib tongue. It is not “making friends and influencing people”—that is flattery. Read More »

Investigating abuse: When it’s one person’s word against another’s

One staff member reports another staff member for abusing a confused resident, but there are no other witnesses and no physical evidence of abuse. Read More »

Watch for a Quality Indicator Survey coming near you

This year will see the expansion of a federal demonstration program that could lead to greater consistency and, hopefully, improvement in the state Read More »

Questions & answers from the American Association of Nurse Assessment Coordinators (AANAC)

Q: Regarding coding of assistance with bathing: According to the RAI User's Manual, you code the highest level of assist given in the past seven Read More »

Benchmarking rehab for better care, more reimbursement

Benchmarking is a management tool used in many industries to answer the never-ending question: “How does my operation compare against those of my Read More »

The snapshot: Recording a thousand words’ worth of evidence

In the first part of this series in the October issue, we looked at the reasons to use photography in long-term care investigations and the tools Read More »

Survey Survival

Long-term care facilities are not strangers to regulation 483.25(h) Accidents as it historically represents and continues to make the Centers for Read More »

Loneliness, helplessness, and boredom

Bill Thomas, MD, founder of the Eden Alternative, has familiarized the hallmarks of institutionalization—loneliness, helplessness, and Read More »