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Keys to Effective Pre-Admission Screening
Keys to Effective Pre-Admission Screening Ensuring that your facility is a good fit for prospective residents (and they are a good fit for your facility) is critical for delivering high-quality care and maintaining operational efficiency. A thorough and structured...
Ask Proactive – Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from?
Q: Fall with major injury has triggered under my SNF QRP reports but no fall with major injury was coded on the 5-Day assessment or the PPS Discharge assessment that were submitted. Where did the information pull from? A: The SNF QRP measure for falls with...
OASIS E-1: Is Your Agency Ready for January 1st Updates?
OASIS E-1: Is Your Agency Ready for January 1st Updates? The transition from OASIS-E to OASIS E-1 is just around the corner. This blog will walk you through the upcoming changes to ensure your agency is prepared. Beginning January 1, 2025, home health agencies will...
Tips for Writing Effective Performance Improvement Plans (PIPs)
Tips for Writing Effective Performance Improvement Plans (PIPs) Performance Improvement Projects (PIPs) are critical to driving quality improvement and ensuring compliance in skilled nursing facilities. A well-structured PIP not only identifies areas for improvement,...
Ask Proactive – Many facilities have gone 3 years or more since their last standard survey. What are the best ways that the facility can communicate with the survey team to enhance the survey process and promote successful outcomes?
Q: Many facilities have gone 3 years or more since their last standard survey. What are the best ways that the facility can communicate with the survey team to enhance the survey process and promote successful outcomes? A: It is vital that the facility...
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...
Medical Necessity: The Key to Successful Home Health Documentation
Medical Necessity: The Key to Successful Home Health Documentation One of the top denial reasons for home health claims is “services were not medically necessary”. Many home health agencies face challenges related to documenting medical necessity for both...
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...