Opening Keynote: Taking it to the Street - A 25,000-Mile Journey of Inspiration The perspective of senior living usually is driven from a 30,000-foot landscape. Vendors, operators, policymakers, staff, and the public-at-large can get caught up, understandably, in the macro issues that drive the “business” of senior living. But what about a different perspective, from the street level! This presentation will explore a 25,000-mile journey throughout the world of senior living. What started as a simple journey of gratitude evolved into a life-changing series of conversations and interactions with the people and the staff in communities every day. Stories of hope, determination, faith, inspiration, romance, possibilities, exuberance, loss…. they were told every day by the greatest generation and workers who love to serve those same people. The perspectives learned from the visits, which crisscrossed over 30 states and over 100 communities, provide valuable lessons of delivering care, of improving relationships, and frankly, of transforming how we view aging. The lessons learned throughout the 25,000-mile journey will allow communities to improve the experience for their residents. The importance of spontaneous activities, the importance of meaningful one-on-one engagement between leadership and residents, having a forum for residents to tell their own story, and getting out of a task-based mentality are just a few examples of what will be presented. Seeing is believing! Most people enter into a career of senior living because of the personal joy felt interacting with older adults. This session will remind attendees why they got into the field in the first place. Buckle up and enjoy the ride! Jack York, Co-founder, It’s Never 2 Late (iN2L), Silicon Valley, CA
101: It’s a Big Deal – Sanitation Starts with You F-tag 812, Sanitary Conditions, is one of the most cited deficiencies involving food and nutrition services due to the complexity of receiving/storing, food production, cleanliness of the kitchen, and employee hygiene. Not having a clean kitchen can impact every resident if they were to be infected from food borne illness. How do you narrow down what your focus areas for F-812 should be. Not only food prior to survey but more importantly EVERY day? This session will discuss how often sanitation checks should be done, how to identify any problems/weaknesses in the operation and help you develop audit tools for ongoing compliance. Recent Iowa surveys that sited F-812 will be reviewed and what steps could have been taken prior to the survey to have prevented the deficiency.
Define your role in performing sanitation checks for food and nutrition services.
Identify problems/weaknesses in food and nutrition services.
Develop audit tools to promote compliance in food and nutrition services.
Kathleen Niedert, Western Home Communities
103: Root Cause Analysis - Part of Daily Practice Root Cause Analysis (RCA) is a defined facilitated team process used to identify contributing factors and underlying causes of an event that resulted in an undesired outcome and develop sustainable corrective actions. The goal is to understand systems and processes that contributed to a significant safety event including what happened and why the event occurred.
Identify the steps involved in managing a serious safety event.
Describe the components of a credible root cause analysis including the involvement of frontline staff at the time of the event.
Review root cause analysis tools that support understanding contributing and causal factors involved in serious events.
Cyndi Siders, RN, MSN, CPHRM, DFASHRM, CPPS, CEO and Executive Consultant, Siders HealthCare Consulting, LLC, Grand Forks, ND
104: Navigating Family Member Challenges: POAs, Guardians, and Conservators This session will cover key legal issues and rights of family members of residents. By sharing real-life examples, we will discuss solutions to deal with the inevitable conflicts that arise between those family members and/or the facility. This session will include case studies, real-life examples, and practical takeaways for providers often caught in the middle of these challenging family dynamics.
Summarize key legal rights of family members as Power of Attorneys (POAs), conservators, and guardians.
Discuss practical strategies for addressing family conflict as a provider.
Assess potential risks for conflict and develop strategy for mitigation.
Drew Larson, Attorney, BrownWinick Law Firm, Des Moines Rebecca A. (Becki) Brommel, BrownWinick, Des Moines
105: Assisted Living Fire Safety/Fire Code Updates This session will focus on the fire safety regulations for assisted living programs. Frequently cited deficiencies will be reviewed as well as plans of correction. We will review the reports that are required that the fire marshal wants to see and discuss expectations for plans of corrections.
Identify the top cited deficiencies in assisted living programs.
Develop satisfactory plans of correction.
Jake Allspach, State Fire Inspector, State Fire Marshal Division - West Central Territory, Iowa Department of Public Safety, Denison
106: Once Upon a Time: Storytelling Essentials for Organizations All organizations have a story – from your humble beginnings to the important and life-changing work done on a daily basis. We need to be able to communicate our story to a wide audience including donors, volunteers, staff and board members, clients and the general public. We will explore stories and storytelling, how to tell your story and how to capture stories.
Describe why storytelling is an essential part of any organization.
Explore storytelling and its role with the media, staff and board as well as advocating and fundraising.
Develop strategies for collecting stories and practical applications for those stories.
Amy Knudsen, Manager of Grants and Prospect Research, Planned Parenthood North Central States, Co-Chair, Education Committee, Grant Professionals Association-Central Iowa Chapter, Des Moines Dustin Ross, Director of Development-Iowa, Planned Parenthood North Central States, Des Moines
201: Assuring a Wellness Culture for Elders and Team Members Research-based concepts support the wellness benefits of our team members and residents in our communities, beginning with seven dimensions of wellness. This dynamic session will share evidence-based initiatives to achieve a higher quality of life through wellness for all who live and work in our communities. Interactive strategies will be shared to improve each participant’s health and engagement; likewise, successful aging initiatives will be shared to minimize health risks and improve residents’ quality of life. Tools and resources will be included for immediate use in a variety of communities and accommodating for all course attendees.
List the seven key dimensions to improve a person’s quality of life when they are nurtured and prioritized.
Recall three examples of lifestyle changes that have been proven to increase quality of life and to decrease effects of disease and aging.
Discuss ways to engage your leadership team and team members to encourage an organization-wide culture of wellness.
Cite strategies to improve the dining experiences for elders with cognitive declines.
202: Senior Living Today and What the Future Holds Discuss the latest research and most pressing trends, catalysts and disruptors in the senior living marketplace including workforce challenges, the changing consumer, the highly dynamic post-acute space and growing competition. Get an overview of the current state of the senior living capital markets and how organizations are funding growth initiatives. Review case studies of provider organizations which are exemplifying innovative approaches to growth and remaining competitive.
Discuss macro trends in the senior living marketplace.
Recognize financing options for growth.
Review case studies outlining innovative approaches to growth and competitiveness.
Matthew Mule, Vice President, Ziegler, Chicago, IL William Carney, Managing Director, Ziegler, Chicago, IL
203: Developing the Charge Nurse Leader Are your charge nurses prepared to lead the way when faced with challenging events, residents, staff and family members? The ability to critically think, prioritize, thoughtfully delegate, effectively communicate and manage emergencies are core competencies of effective leadership. This presentation will address strategies for building a team of situationally aware supervisors, shift leaders and charge nurses. Topics will include resident and family “messaging” when faced with difficult questions and unplanned situations, mentoring a new team member, coaching the under-performing team member, critical thinking as a daily work practice, and communication strategies to optimize team performance and resident safety.
Define critical thinking and situational awareness as part of a culture of safety.
Describe the core competencies of effective charge nurse leaders that help preserve regulatory compliance, support optimal team performance, promote safety and minimize legal exposure.
Summarize communication and conflict resolution skills that support timely recognition, response and resolution for identified resident and family concerns.
Cyndi Siders, RN, MSN, CPHRM, DFASHRM, CPPS, CEO and Executive Consultant, Siders HealthCare Consulting, LLC, Grand Forks, ND
204: Getting Started With Just Culture Attendees will learn the fundamental concepts of Just Culture, a cornerstone for quality improvement, and how it is applicable to their work in all facets of aging services. Attendees will gain understanding of how a fair and just workplace can be achieved through shared values, learning, accountability, system design and the evaluation of an individual's behavioral choices, not the outcome of a particular event.
Understand the basic concepts that underpin the idea of Just Culture.
Describe the continuum of human behaviors and duties that provide the framework for the Just Culture Algorithms.
Apply practical strategies for incorporating basic Just Culture strategies in their organization
Anne Millman, MS, CPPS, Senior Advisor, The Just Culture Company, Denver, CO
205: Long Term Care Life Safety Code/Emergency Preparedness This session will focus on the fire and life safety regulations for nursing homes and the new emergency preparedness regulations. It will cover an overview of the Life Safety Code (LSC) including the top 10 LSC violations and trends related to citations for emergency preparedness. We will review the submittal of plans of correction. There will be time to ask questions during this session. This session will focus on nursing homes.
Identify the top 10 life safety code violations and trends for emergency preparedness citations.
Develop satisfactory plans of correction.
Jake Allspach, State Fire Inspector, State Fire Marshal Division - West Central Territory, Iowa Department of Public Safety, Denison
206: Feeling Antisocial on Social Media? Social media changes daily, and it’s hard to keep up. The good news is, you don’t have to. You may even be harming your brand and wasting your time by trying to be active on all social channels. Participants will walk away with a clear direction as to which social media platform is right for them, tips on navigating each, and post examples that will resonate well with their target audience. Participants will view examples of good and bad social media campaigns and hear case studies showcasing how, even with limited resources, you can effectively tackle social media.
Identify top social media platforms and audience demographics of each.
Distinguish which social media platforms you should utilize to effectively reach your target audiences.
Discover simple ways to create social media posts that coordinate with marketing efforts, engage employees and educate your target audience.
Mary Prevost, MBA, Founder, Prevost Partners, Golden Valley, MN
301: Making the Most of the Latest Trends in Senior Dining Trends in the industry can be a challenge for existing and/or small communities that do not have the ability to add physical space for additional dining venues. We will explore opportunities to be innovative and creative with existing space. Additionally, challenging for small communities, is the desire to successfully develop a farm-to-table program; how to manage it, market it and stay in budget. All communities have the ability to develop a farm-to-table program, the key is to keep it simple. The dining team must be willing to change the menu to match the availability, incorporate scratch cooking with fresh ingredients and tell your story. Without the story, your efforts will be under-appreciated. We'll discuss memory care dining and ways to create individual meal experiences in a care-centered environment by catering to the resident’s unique needs using fresh ingredients.
Identify specific ideas on creating multiple dining venues within your existing community, regardless of capital or layout.
Describe powerful tips for making the farm-to-table movement part of your story.
Recognize how you can begin the shift to real scratch production regardless of culinary talent.
David Koelling, President, Strategic Dining Services, Barrington, IL
302: Skilled Nursing Compliance and Ethics - What’s Happened? What’s Next? This session will review current required elements as set out in the Requirements of Participation’s (RoPs) proposed/final regulations for a skilled nursing facility compliance and ethics program. It will identify OIG and CMS stated key elements and practices to building and maintaining a highly effective compliance program, including the importance of a compliance program work plan and an annual review process. We will also discuss a facility risk assessment and how providers can tailor their compliance and ethics program to their circumstances and unique characteristics.
Review current required elements as set out in the RoPs proposed/final regulations for a skilled nursing facility compliance and ethics program.
Identify key features of a post-acute provider compliance risk assessment.
Summarize topics and elements for an annual review of the compliance and ethics program.
Sean Fahey, JD, Attorney, Hall Render, Indianapolis, IN
303: Charting Practices to Optimize Resident Safety Excellent clinical care, not documented, can be challenging to defend in legal and regulatory situations. Quality documentation supports resident centered care coordination, licensure requirements, and billing compliance. This presentation will illustrate documentation best practices including clinically pertinent documentation, documentation that aligns with facility policies and procedures, serious incident documentation, and documentation for challenging situations through case and story-based scenarios. Contributing factors for professional liability and licensure risk related to inaccurate, incomplete or missed clinical care and documentation and frequent risks identified in serious senior care events will be highlighted.
Review documentation trends noted in senior care professional liability risk exposure, including claims data, risk management data and legal trends.
Describe key elements of clinically pertinent documentation that supports daily care coordination and identification and management of resident risks.
Discuss important documentation elements for challenging situations including significant events, provider communication and transfer documentation.
Cyndi Siders, RN, MSN, CPHRM, DFASHRM, CPPS, CEO and Executive Consultant, Siders HealthCare Consulting, LLC, Grand Forks, ND
304: Part 1 of 2 - An Interprofessional Model to Assure Person Centered Care for Residents Living With Dementia This is part 1 of 2. You should plan to attend session 404 for part 2. Assuring quality of care and supportive environments can be challenging for community team members, family members and volunteers who want to meet the needs of residents living with dementia. This session will share resources with participants, to include the application of evidence-based research through day-to-day practical strategies. This will include an interprofessional communication system to assure resident preferences and the unique nonpharmacological strategies for each resident living with dementia. Participants will be able to engage in breakout group projects and then discuss collaborative strategies which can then be incorporated into practice in each of their respective communities.
Identify the respective deficits, abilities and strategies per stage of dementia.
Cite examples of how the most optimal nonpharmacological strategies are the result of first knowing the resident’s life story.
Discuss the role of each team member in an effective model to determine each resident’s optimal non-pharmacological strategy.
305: Emergency Preparedness - When It's No Longer a Drill! Emergency preparedness has been a hot-button issue. We’ve all worked through at least one or more of the necessary reviews by the Fire Marshal. But, now that you’ve checked those boxes, what really happens in an emergency? Kelly Hindman brings more than 28 years of experience from the State Patrol and nearly four years of other law enforcement experience to this discussion. From airplane crashes, missing person searches, tornadoes, floods, active shooter incidents…he’s stood on the front line and will offer real-world tips on how you…no matter your size…can and will survive an emergency without your checklist.
Develop a belief and understanding that, no matter your staffing size, you can and will survive an emergency.
Demonstrate how emergencies play out in real-life, relatable situations so that expectations are realistic.
Discuss the critical importance of developing expected and unexpected partners in your communities to best respond to an incident.
Kelly Hindman, Vice President, Campus Support Services, Friendship Haven, Fort Dodge
306: Unlock Massive Sales Success: Reverse Engineer Your Move-In Strategy In this senior care case study, hear how Immanuel is transforming its sales process to meet the needs of each individual buyer – and increasing move-ins as a result. Learn a framework to shift your sales process to be customer-centric – for any size organization – to create a personalized experience and differentiate your organization from the competition. Discover how this strategy has created substantial results while enhancing consumer engagement and how you can lead your teams to do the same.
Develop three sales strategies that will completely change your sales and marketing, no matter how fundamental or sophisticated your current strategy.
Review how senior care leaders are leveraging these insights to instantly connect with buyers to create real differentiation – and stay ahead of their competitors.
Implement three action steps immediately to transform your sales strategy and yield fast results.
Jennifer Knecht, Vice President, Marketing and Sales, Immanuel, Omaha, NE
401: Making Culinary Sense as Aging Changes Taste and Smell
Physiological changes in senses occur with aging. This session will cover the changes that occur with taste and smell and explain how it impacts the dining experience, and may lead to malnutrition and nutritional imbalance. Attendees will participate in exercises demonstrating the changes in smell and taste as well as a “Matter of Taste” exercise demonstrating the culinary importance of flavors such as sweet, sour, bitter and salty. Case studies addressing the three symptoms related to changes in taste and difficulty swallowing will also be reviewed.
Identify three changes that occur with taste and smell as we age and how it impacts the dining experience and may lead to malnutrition and nutritional imbalance.
Evaluate the importance of this sensory component and the need for culinary staff to taste test appropriately when developing and serving meals.
Identify and address three symptoms related to changes in taste and difficulty swallowing.
Julie Halfpop, RDN, LD, Director of Nutrition Services, Martin Bros. Distributing Inc., Cedar Falls
402: 2020 Legal Updates That Impact Your Organization Back by popular demand. This session will explore updates in federal and state laws as well as recent cases and enforcement activities that impact long term services and support services (LTSS) and their operations.
Discuss recent changes to select state and federal laws impacting long term care providers.
Describe recent cases and enforcement initiatives of state and federal authorities that impact long term care.
Analyze how new laws, cases and enforcement initiatives impact operations and strategic compliance activities.
Define “privileged documents” as it relates to a facility’s internal documents, and review laws related to “privileged” information to determine what to disclose to surveyors.
Ed McIntosh, Partner, Dorsey & Whitney, Des Moines Alissa Smith, Partner, Dorsey & Whitney, Des Moines Carson Lamb, Associate, Dorsey & Whitney, Des Moines
403: PDPM: An Interdisciplinary Team Approach Staying on top of regulatory change and identifying all of the items you need to capture for accurate and timely reimbursement can be overwhelming. This session will include a clinical and billing perspective on key challenges skilled nursing providers are faced with when it comes to compliance with their skilled program and the payment impact. We will discuss various methods and strategies for conducting inter disciplinary team (IDT) meetings including what items providers should focus on to monitor their performance under Patient Driven Payment Model (PDPM).
Discuss key changes to clinical and billing procedures under PDPM.
Identify warning signs that may indicate weaknesses in your skilled program.
Review best practices and forms for conducting IDT meetings and communicating with the billing office.
Summarize key metrics to help you monitor your performance under PDPM.
Sherri L. Robbins, RN, CLNC®, RAC-CT®, Senior Managing Consultant, BKD National Health Care Group, Springfield, MO Jennifer L. Barboa, Senior Consultant, BKD, National Health Care Group, Springfield, MO
404: Part 2 of 2 - An Interprofessional Model to Assure Person Centered Care for Residents Living with Dementia This is part 2 of 2. You should plan to attend session 304 for part 1. See session 304 for description and objectives. Lisa Milliken, MA, CCC-SLP, FNAP, CDP, Education Specialist, Select Rehabilitation, Humble, TX
405: OSHA for Long Term Care & Assisted Living Knowledge is power. Nowhere is that more evident than with workplace safety and health compliance. Occupational Safety and Health Administration (OSHA) enforcement inspections can result in citations that are time consuming and expensive. How can your organization avoid violations? During this session, we will discuss frequent citations in the industry. The focus will be on what OSHA cites and how to prevent citations. Appropriate for skilled nursing and assisted living communities.
Identify frequent citations in skilled nursing and assisted living communities.
Describe how your organization can prevent OSHA citations.
Christopher Downs, Safety Consultant, Iowa OSHA, Des Moines
406: Sharing Your Positive Story Amid Negative News Why do the negative stories get the biggest headlines? We know there is an abundance of heartwarming stories taking place each day among families, residents, employees and volunteers. Now’s the time to shout from the rooftops and tell your uplifting stories. But how do you start? We’ll discuss the elements of a good story and what is truly “newsworthy” so you can look for these inspirational interactions. We’ll review how to share these positive stories with the local media. Participants will also gain a greater understanding of how to utilize their own marketing tools effectively to share your positive stories.
Distinguish what makes a newsworthy story and how to look for these stories of positivity within your communities.
Identify ways to interact with the media to share your story.
Discover opportunities to use your own marketing tools to share your positive story among current and prospective residents and families.
Mary Prevost, MBA, Founder, Prevost Partners, Golden Valley, MN
General Session: All Hands on Deck You can hold people accountable for showing up on time, but you cannot hold them accountable for caring. Joe Tye will describe practical strategies for making your organization a great place to work and for creating a sustainable source of competitive advantage by building on the “Invisible Architecture” of core values, corporate culture, and emotional attitudes. He will describe eight essential characteristics of a culture of ownership and share real world examples of how organizations create such a culture. Joe will also cover practical strategies to manage anxiety, fear, and worry; to rescript negative self-talk and set aside painful emotional baggage; to develop self-belief at four levels; plus other strategies for personal success and happiness.
Joe Tye, CEO and Head Coach, Values Coach Inc., Solon
501: How Senior Living Communities Can Embrace Technology Solutions The senior services field faces many challenges including a staffing crisis, isolation among seniors, the need for engaging activities on a budget, communication with staff/residents/families, maintaining security and innovating to remain competitive. Through group discussion, attendees will be challenged to imagine the possibilities of new innovative solutions in their daily work. The presenter will outline a variety of technologies including practical solutions that will address many of our seniors’ and their families’ needs. Hear real world examples of easily implemented and cost-effective technology solutions that can increase peace of mind, engagement, and happiness; and won’t break the budget.
Recognize the key times for embracing new technological and innovative solutions.
Identify trends and opportunities in technology.
Implement new technologies successfully.
Joel Prevost, Founder, MBA, Licensed Nursing Home Administrator, Health Services Executive, Prevost Partners, Golden Valley, MN
502: Medicare Advantage and Special Needs Plans: Learning to Play a New Payment Game Enrollment in and availability of Medicare Advantage (MA) and special needs plans (SNPs) are growing, making it important for providers to understand what they are, how they work and how they fit into the big picture of delivering services to older adults. This session will examine key trends and potential strategies for how providers can participate in these models, address the challenges MA/SNP plans can pose and take advantage of new opportunities.
Describe Medicare Advantage plans, including special needs plans and how they have evolved (e.g. CHRONIC Care Act supplemental benefits).
Summarize the current trends and federal policies that create new challenges and opportunities for providers through these models.
Identify what these plans want from providers and how can providers respond.
Nicole O. Fallon, Vice President, Health Policy & Integrated Services, Director, Center for Managed Care Solutions & Innovations, LeadingAge, Washington, DC
503: Caring for Residents with Mental and Psychosocial Disorders This session will provide information about the aging brain and common psychosocial issues. Dr. Bender will give details about optimizing mental health care in geriatrics, an anticipated focus of the Centers for Medicare and Medicaid Services (CMS) with the Phase III Requirements of Participation (RoPs). There are many challenges, but also great opportunity to deliver cutting edge care.
Describe the current challenges and opportunities in geriatric behavioral health.
Examine state of the art concepts and their practical application.
Summarize current major challenges in delivering care to our aging populations.
Dr. Robert Bender, MD, Healthy Aging International, Clive
504: Ethics in Aging Services This session will share practical information about ethics as applicable to the aging services perspective. Such significant components will include the principles of ethics, fraud and abuse, HIPAA, resident rights, legal and ethical issues, factors related to the nursing code of ethics, case studies and dispute resolution. The Rest Four Component Model will be shared, to include how it can assist the health care practitioner to analyze roles from the initial recognition of the ethical dilemma, to the implementation of the best plan of action for resolution.
State basic principles of ethics and their application to legal responsibilities in health care.
Describe common ethical issues in health care, including that which is considered unethical and/or unlawful by credentialing boards.
Discuss the application of the Rest Four Component Model for analyzing and resolving ethical dilemmas in health care.
505: DIA Updates for Assisted Living This session will provide information on recent updates as well as commonly cited deficiencies for assisted living programs. Attendees will have the opportunity to ask questions during this session.
Identify the most commonly cited deficiencies for assisted living programs.
Discuss the trends that DIA is seeing in assisted living program inspections.
Linda Kellen, RN, MS, Bureau Chief, Adult Services/Special Services Bureaus, Department of Inspections and Appeals, Des Moines
506: Good Governance – Board Duties and Risks and the Attorney General’s Role in Nonprofit Oversight Recent cases highlight the duties, risks, and challenges facing nonprofit post-acute provider boards and their members. This session will review cases to illustrate lessons to be learned and examples. We will review F-Tag compliance issues related to the Governing Board. The session will include a discussion of Iowa’s approach to oversight of nonprofit entities by the Iowa Attorney General.
Explore expected duties, risks, and current challenges for nonprofit board members and governing their organizations.
Review recent cases for examples for board oversight and governance and identify best practices to minimize risk.
Discuss Iowa’s approach to oversight of nonprofit entities by the Iowa Attorney General.
Sean Fahey, JD, Attorney, Hall Render, Indianapolis, IN Chantelle Smith, Iowa Attorney General Office, Des Moines
601: Virtual Reality Technology Creates a Better Reality for Seniors Learn how a community increased resident wellness by embracing virtual reality to reduce anxiety, increase happiness and promote relaxation. This award-winning pilot program was implemented in an inner-city campus consisting of subsidized independent housing, assisted living, adult day, skilled nursing and memory care. Hear emotional, first-hand accounts about the seniors who participated in this breakthrough program that allowed them to virtually visit international and local landmarks, musical performances and many more relaxing experiences. Learn the full results of the pilot program’s continued success, as well as a roadmap to implement this affordable and powerful tool for any setting.
Explain how virtual reality technology can create better wellness for seniors.
Implement a new technology safely and effectively to improve quality of life for seniors in any setting.
Recognize virtual reality's effect on the brain.
Joel Prevost, Founder, MBA, Licensed Nursing Home Administrator, Health Services Executive, Prevost Partners, Golden Valley, MN
602: Serving Like a Nonprofit, Performing Like a Business
This session will explore the importance of dynamic, proactive, and agile governance in successfully and safely navigating today's senior living nonprofit organizations. Sufficient connection and alignment must be achieved and maintained across board governance, strategy, risk management, operations, ethical culture, and performance to address today's complexities and realities: The speed of doing business, the fast pace of change, industry disruption, new and more challenging risks, and higher levels of cultural stress. In short, how can we maintain our nonprofit values, mission orientation and service mentality, yet be able to perform and compete at levels that will keep us relevant and thriving as a long term player in the industry?
Identify the necessity of "Next Gen Governance for a Next Gen World".
Describe the concept of Enterprise (Strategic) Risk Management.
Recognize the board's critical and heightened oversight role in today's environment.
Bill Bojan, Director, Business Risk Services, CLA (CliftonLarsonAllen), Minneapolis, MN
603: Creating Passionate PIP Teams Phase III of Requirements of Participation (ROPs) demands nursing home communities adopt a robust Quality Assurance and Performance Improvement (QAPI) program which includes utilization of Performance Improvement Project (PIP) teams. Join us to gain a better understanding of the QAPI process and how it can be implemented to effectively facilitate quality improvement. We will take a deeper dive into Friendship Haven’s PIP team focusing on falls as we navigate through data collection and analysis, use of QAPI tools, communication processes, and implementing tests of change. Participants will leave this session with a better understanding of a PIP team’s functions from beginning to end.
Explain how to initiate and lead a PIP team.
Incorporate PIP team tools as a part of the QAPI process.
Recognize how the PIP team works in relationship to the QAPI steering committee and the entire organization.
Tori Johnson,MS, CCC-SLP, Speech-Language Pathologist, Friendship Haven, Fort Dodge Molly Schaeffer, BS, Director of Social Services, Friendship Haven, Fort Dodge
605: Unraveling the Mystery of the New USP Hazardous Drug Standards The United States Pharmacopoeia (USP) recently updated their standards, USP <800>, for handling of hazardous drugs in all health care facilities where hazardous drugs are stored, prepared, transported or administered. These new standards became effective December 1, 2019, and apply to all health care workers who may be potentially exposed to hazardous drugs, including employees outside of pharmacies. The standards cover the complete end-to-end process of hazardous drugs, which would include common drugs like Warfarin, Phenytoin and Spironolactone in aging services provider settings. This session will review how USP will apply to health care providers such as home health, assisted living, long term care, and skilled nursing who are not compounding pharmacies but routinely store; prepare through cutting, crushing or dissolving; and administer hazardous drugs.
Discuss the USP requirements that are applicable for a facility that does not compound.
Identify the common drugs for older adults in assisted living, long term care and skilled nursing settings which are considered hazardous.
Outline next steps and resources for a USP <800> compliance strategy.
Christie Carlson, RPh, Compliance Officer, Iowa Board of Pharmacy, Des Moines
606: AL & IL Admissions and Compliance Checkup This session will provide participants with practical and immediately usable information regarding their independent living (IL) and assisted living (AL) Admissions Agreements and process. Specific topics will include the application process, legal fee provisions, termination provisions, amendments, incorporating facility rules, pet policies, weapon policies, CCRC compliance, Housing for Older Persons Act (HOPA) compliance, and the key differences between IL and AL.
Explain the importance of having a good resident application process.
Review existing Admissions Agreements for gaps and risks.
Implement a strategy for complying with the Fair Housing Act and HOPA.
Drew Larson, Attorney, BrownWinick Law Firm, Des Moines Katie McKain, Associate Attorney, BrownWinick Law Firm, Des Moines
702: Medicare Advantage ISNPs: Considerations for a Provider-Led Frontier This session will walk participants through key aspects of evaluating the risk-reward for providers pursuing the Institutional Special Needs Plan (ISNP) model by: examining why providers are pursuing special needs plans; identifying key questions organizations should ask in evaluating the opportunity; reviewing the work that must be done; and learning from the experiences of those who have already forged that path.
Build upon the knowledge from the previous session (MA and SNPs: Learning to Play a New Payment Game).
Outline the risks and opportunities of becoming not only a provider of services, but also the payer.
Summarize the key decision points, investment costs, resource needs and culture changes required to successfully lead a SNP model.
Nicole O. Fallon, Vice President, Health Policy & Integrated Services, Director, Center for Managed Care Solutions & Innovations, LeadingAge, Washington, DC
703: HCBS Onsite Periodic Review Process This session will review the HCBS Annual Self Assessment and specific policies and processes required for Elderly Waiver providers. Attendees will have a better understanding of CMS Settings Rule requirements and expectations related to fee schedule, staffing, tenant rights/rights restriction, service documentation, incident reporting, billing, and monitoring process.
Examine Annual Provider Self Assessment and understand requirements.
Recognize CMS Settings Rule Requirements.
Discuss importance of service documentation.
Stacy Hejda, Vice President Regulatory Compliance, Assisted Living Partners, Cedar Rapids Theresa Hogenson, BSW, ALM, Consultant, Assisted Living Partners, Cedar Rapids
705: DIA Updates for Long Term Care DIA will share updates and regulatory trends for long term care providers with an emphasis on survey trends and information and trends that are pertinent to our industry. Insights as to what Centers for Medicare and Medicaid Services (CMS) and the department wants providers to focus on will be reviewed. A discussion of the new communication system that will be implemented in 2020 will be included.
Identify frequently cited deficiencies in long term care organizations.
Discuss the new survey process and current trends in the survey process.
Patrice Fagen, RN, BSN, Assistant Division Administrator & Bureau Chief, Health Facilities Division, Iowa Department of Inspections and Appeals, Des Moines Mindla White, RN, BSN. Bureau Chief, Department of Inspections and Appeals, Des Moines
706: Governance of Long Term Care Quality This session presents a new approach to quality improvement in long term care. Information about enhancing governance of quality with changes to board structure, education and ongoing assessment of board practices will be presented. Corresponding information and processes from a staff perspective will address operationalizing board quality goals, creating a structure of accountability and adapting Quality Assurance and Performance Improvement (QAPI) principles to all levels of care. Results and advice for other providers will be shared from the board member and employee perspective.
Identify the importance of governing quality, utilize a tool to assess core board process and identify the benefits of improving core board processes.
Describe the process of building a quality-focused board of directors and expanding QAPI principles to all levels of care.
Summarize results to date and offer recommendations for other providers.
Carol Sipfle, MPA, Interim CEO, Luther Park Community, Des Moines Gail Nielsen, Chair, Board of Directors, Luther Park Community, Des Moines
