Membership Newsletters

The Illinois Council on Long Term Care offers educational opportunities for nursing home professionals and others interested in issues related to long term care in Illinois. The Council presents seminars ranging from clinical practice issues to regulatory and policy subject matters. Continuing education credits for licensed Illinois Nursing Home Administrators and Social Workers are available at all Council seminars.

Registration is Open for July and August Seminars!

Negotiating Tools & Electronic Monitoring Challenges
July 25, 2017 Holiday Inn Skokie

8:30 – 10:30AM
David v. Goliath - The New Normal in Appealing Civil Monetary Penalties and
Other CMS Sanctions

Speakers: Mark W. Bina, Partner and Randall R. Fearnow, Partner with Quarles & Brady LLP

This seminar is designed to help participants identify and understand the various challenges of appealing CMS civil monetary penalties and other sanctions issued to LTC providers. Presenters will review examples of prior appeal and settlement outcomes and help participants analyze best practices of dealing with CMS. Further, participants will learn about the various considerations when a facility is facing closure.

The presentation will address the following topics:
-- Discussion of the appeal process for providers subject to penalties by CMS
-- Avoiding and exiting Special focus lists
-- IDR and settlement
-- Appeal early and often
-- Must pre-pay the sanction into escrow while appeal is pending
-- Negotiating with CMS
-- Potential closure of a facility; discussion of requirements stemming from the Affordable Care Act, and other laws such as the WARN Act

10:45 – 11:45 AM
Don't Smile: Cameras in Long Term Care are Trouble

Speakers: Randall R. Fearnow, Partner; Jaya F. White, Associate; and William A. Walden, Associate with Quarles & Brady LLP

This seminar provides a review of the Illinois law permitting electronic/video surveillance in facilities, including its limitations and impact on resident rights. In addition, presenters will provide updates in the laws related to the use of resident images on social media.

The following issues will be discussed in the presentation:
-- “Granny Cams” or electronic/video surveillance employed by residents or families of residents
-- Overview of privacy concerns related to the recording and use of images of persons residing in facilities
-- Resident consent
-- Improper uses of video and photographic images of residents
-- CMS Memo: Protecting Resident Privacy and Prohibiting Mental Abuse Related to Photographs and Audio/Video Recordings by Nursing Home Staff


For more information and to register for our July Seminar, click here.

Strategies to Understand the Impact of Emergency Department Visits and Re-hospitalizations on Your 5 Star Rating

August 8, 2017 8:30 – 11:45 AM (Registration 8:00 AM)- Skokie Holiday Inn


Seminar Details:
This interactive session will discuss the issue of re-hospitalizations as a focus of CMS oversight and influence on 5 Star Ratings for skilled facilities. Strategies to identify re-admission rates as well as outcome evaluations of interventions prior to discharge will be discussed. The new quality measures focused in this area also include a large amount of co-variate data from the MDS database that will influence the readmission numbers. These new MDS data items will be discussed. Case examples of proactive pre-discharge education for elders and families as well as post discharge follow up contacts will be discussed. The impact of readmission claims based data will be increasingly important for operational and clinical managers and will be the focus of this high energy learning opportunity.


Specific Objectives:
Objective I – Identify the data source and calculations for the claims based Quality Measures.
I. Claims Based Quality
A. New data use
B. 5-Star Impact
C. 30 Day/100 day data collection periods
D. “Successful Discharge”
E. Emergency Department use.


Objective II – Review the data content and use of covariate coding on the MDS to impact claims based Quality Measures.
II. Co-Variate content and use to influence QM calculations.
A. Covariate data content in the MDS data base.
B. Many data items from numerous sections of the MDS.
C. Complexity of the calculation of the impact on final Quality Measure.


Objective III – Discuss strategies to reduce negative impact of claims based Quality Measure’s on 5-star rankings.
III. Strategies to reduce negative impact of re-hospitalization and Emergency Department use on 5 Star Rankings.
A. Know current re-hospitalization and Emergency Department rates.
B. Resident education and follow up after discharge to use alternative platforms.
C. Discharge planning – earlier – more specific.
D. Accuracy of MDS coding of co-variates.


Speaker: Leah Klusch, RN, BSN, FACHCA, a nationally recognized speaker and consultant on clinical and MDS issues, received her BSN from Capital University and continued graduate studies in curriculum at Ohio State University. She is the Executive Director of the The Alliance Training Center, a non-profit educational foundation, providing solutions in the healthcare industry since 1989. Leah is a speaker and trainer, consultant and author, travelling nationally. Recently she has also launched a series of MDS web based programs for skilled nursing, rehab, specialty, hospice and home health.

To register for our August Seminar, click here.

 


Phone: (773) 478-6613
Fax: (773) 478-0843
203 N. LaSalle St, Suite 2100
Chicago, IL 60601

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