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PBJ Insights into Five-Star Success: Your Path to Excellence in Nursing Home Staffing
PBJ Insights into Five-Star Success: Your Path to Excellence in Nursing Home Staffing Achieving a five-star staffing rating is a critical measure of success for nursing homes. This rating not only reflects the quality of care provided but also impacts the facility's...
Ask Proactive – How does the activities CAA influence care planning?
Q: How does the activities CAA influence care planning? A: The Activities Critical Assessment Area (CAA) triggers when the MDS identifies that an individual’s activity preferences or needs require further evaluation. This process ensures that the care plan is...
Ask Proactive – What are the proper infection control measures for linen handling?
Q: What are the proper infection control measures for linen handling? A: To maintain infection control, follow these best practices: Wear Appropriate PPE: Always wear gloves, and additional personal protective equipment (PPE) as needed, when handling soiled...
Medication Reconciliation: Who, What, When, Why and How
Medication Reconciliation: Who, What, When, Why and How Medication reconciliation is a critical process designed to ensure the safe and effective use of medications. It involves a comprehensive review of a resident’s medication regimen to identify and address...
Dietary QA Essentials in Nursing Homes: Ensuring Excellence in Resident Nutrition
Dietary QA Essentials in Nursing Homes: Ensuring Excellence in Resident Nutrition In nursing homes, dietary services play a crucial role in maintaining residents’ health and well-being. A strong Quality Assurance (QA) program for the dietary department ensures...
Ask Proactive – Do beneficiary notices have to be issued for Medicare Advantage patients?
Q: Do beneficiary notices have to be issued for Medicare Advantage patients? A: The NOMNC is required to be issued to both Medicare Beneficiaries and Medicare Advantage Plan members. The SNF ABN is only required to be issued to Traditional Medicare...
Survey Alert! Revised LTC Surveyor Guidance: What You Need to Know
Survey Alert! Revised LTC Surveyor Guidance: What You Need to Know Long-term care facilities are about to undergo significant changes as CMS releases revised surveyor guidance aimed at elevating care quality and resident safety. On November 18, 2024, the Centers for...
Understanding Hospital QMs, Episodic Care & the Impact on Post-Acute Providers
Understanding Hospital QMs, Episodic Care & the Impact on Post-Acute Providers In post-acute care, providers are accustomed to monitoring Minimum Data Set (MDS) accuracy and focusing on clinical programs in quality measure target areas in order to drive...
Ask Proactive – What are the top priorities for an effective Infection Prevention Program in long-term care?
Q: What are the top priorities for an effective Infection Prevention Program in long-term care? A: An effective program should focus on: Conducting a facility-wide infection control risk assessment to identify vulnerabilities. Implementing robust surveillance...
The Landscape of Skilled Service Justification in Skilled Nursing Facilities – Part II
The Landscape of Skilled Service Justification in Skilled Nursing Facilities Compliance and accountability related to justifying skilled services is more important than ever. In Part 2 of this blog addressing justification of SNF Skilled Care, we’ll take a deeper look...
Ask Proactive – Are there specific requirements for notifying the MD of incidents?
Q: Are there specific requirements for notifying the MD of incidents? A: Yes, specific regulatory requirements apply to notifying the physician, as incidents may fall under various categories. These guidelines ensure that physicians are informed in a...
The Landscape of Skilled Service Justification in Skilled Nursing Facilities
Skilled Service Justification in SNFs In the ever-evolving landscape of skilled nursing facilities (SNFs), the stakes have never been higher. With constant advancements in data analytics, regulatory bodies are sharpening their focus on compliance and accountability...
Ask Proactive – Can we place the room/bed number for a semi-private room on the Enhanced Barrier Precaution sign located outside the resident’s room to notify staff which resident requires PPE for high contact activities or is this a HIPAA violation?
Q: Can we place the room/bed number for a semi-private room on the Enhanced Barrier Precaution sign located outside the resident’s room to notify staff which resident requires PPE for high contact activities or is this a HIPAA violation? A: CMS addresses...
Keys to Active Diagnosis Documentation and the Provider Query Process
Keys to Active Diagnosis Documentation and the Provider Query Process Supportive documentation of active diagnosis is crucial—supporting quality care as well as playing a vital role in regulatory compliance, reimbursement, and overall patient outcomes. This week,...
Ask Proactive – I have a resident that routinely receives an injection of fluphenazine decanoate every 4 weeks. The injection was not administered during the 7-day observation period, but its a long-lasting medication. Should I code it under N0415A?
Q: I have a resident that routinely receives an injection of fluphenazine decanoate every 4 weeks. The injection was not administered during the 7-day observation period, but its a long-lasting medication. Should I code it under N0415A? A: Page N-9 of...