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
Tools & Electronic Monitoring Challenges
July 25, 2017 Holiday Inn Skokie
David v. Goliath - The New Normal in Appealing Civil Monetary Penalties
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
-- 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
– 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
more information and to register for our July Seminar, click here.
to Understand the Impact of Emergency Department Visits and Re-hospitalizations
on Your 5 Star Rating
2017 8:30 – 11:45 AM (Registration 8:00 AM)-
Skokie Holiday Inn
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.
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
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.
register for our August Seminar, click here.