The LTC NAC Chat is a podcast brought to you by the American Association of Nurse Assessment Coordination. Our experts and guest speakers cover the hottest topics and breaking news in long-term care.
American Association of Nurse Assessment Coordination (AANAC)
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the current staffing crisis in skilled nursing facilities across the country and the potential impact of using the nurse assessment coordinator (NAC) as a long-term staffing solution.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, and Carol Maher, RN-BC, RAC-MTA, RAC-MT, CPC, director of education for Hansen, Hunter & Co., P.C./Synergy Healthcare Resources/Axiom/HealthBridge, discuss some recent Medicare denials related to the use of unspecified diagnosis codes. Review the Definitions of Medicare Code Edits, ICD-10 Version - April 2022.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Mark Cifarelli, PT, a physical therapist and director of clinical content development for Legacy Healthcare Services discuss key considerations for developing fall prevention care plans.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist for AAPACN, discuss some of the differences between federal and state-specific regulations for MDS completion.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Jessie McGill, RN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN, discuss the recently released SNF PPS Proposed Rule for FY 2023 and three things that NACs need to know.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN talks with Jessie McGill, RN, RAC-MT, RAC-MTA and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialists with AAPACN about highlights from the 2022 AAPACN Conference that was held April 12 – 14 in Las Vegas.
In this podcast, Amy Stewart, vice president of education and certification strategy for AAPACN, and Carol Maher, director of education for Hansen, Hunter & Co., discuss ICD-10 diagnosis coding for skilled nursing facilities.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, and Joel VanEaton, BSN, RN, RAC-CT, RAC-CTA, executive vice president of PAC regulatory affairs and education for Broad River Rehab and an AAPACN Master Teacher, talk about health literacy and its importance in nursing homes today.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN is joined by AAPACN Master Teacher and Board Member, Maureen McCarthy, RN, BS RAC-MT, QCP-MT, DNS-MT, RAC-MTA to discuss how leadership can often find potential nurse assessment coordinators (NACs) among their own staff, some of the key skill sets to watch for, and how to best utilize nurse assistants to support the MDS process.
In this fun holiday podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, AAPACN curriculum development specialist, are joined by a special guest (hint: he lives in the North Pole), to discuss some informal interview questions that nurse assessment coordinators (NACs) need to know to facilitate resident centered care.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Erin DuPrae, OTR/L, clinical support specialist with AAPACN Diamond Partner, Synchrony Rehab, discuss how facilities can be proactive with Part B denials and how to prepare for appeals.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN talks with AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, about some of the highlights from AAPACN's 2021 Nurse Assessment Coordinator Work Time Study and Salary Report.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN talks with AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, about some of the highlights from AAPACN's 2021 Nurse Assessment Coordinator Work Time Study and Salary Report.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN talks with Rob Leffler, R.Ph., vice president for PCA Pharmacy, about using CBD oil with nursing home residents and how to include the use of this product in care planning.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN talks with Rob Leffler, R.Ph., vice president for PCA Pharmacy, about using CBD oil with nursing home residents and how to include the use of this product in care planning.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, AAPACN's newest curriculum development specialist, discuss some common missteps related to MDS coding and PDPM that nurse assessment coordinators (NACs) need to know.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Jennifer LaBay, RN, RAC-MT, RAC-MTA, CRC, AAPACN's newest curriculum development specialist, discuss some common missteps related to MDS coding and PDPM that nurse assessment coordinators (NACs) need to know.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, AAPACN vice president of education and certification strategy, and AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, talk about the Skilled Nursing Facility Prospective Payment System – (SNF PPS) Fiscal year 2022 Final Rule and what nurse assessment coordinators need to know for October 1 implementation.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, AAPACN vice president of education and certification strategy, and AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, talk about the Skilled Nursing Facility Prospective Payment System – (SNF PPS) Fiscal year 2022 Final Rule and what nurse assessment coordinators need to know for October 1 implementation.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy and Jessie McGill, RN, RAC-MT, RAC-MTA, discuss heat-related risks to residents, what to consider when care planning, as well as the impacts that heat- and exposure-related conditions have on MDS coding.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy and Jessie McGill, RN, RAC-MT, RAC-MTA, discuss heat-related risks to residents, what to consider when care planning, as well as the impacts that heat- and exposure-related conditions have on MDS coding.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, announces the retirement of Jane Belt, MS, RN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN and captures Jane's insights over 52 years of nursing experience.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN, announces the retirement of Jane Belt, MS, RN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN and captures Jane's insights over 52 years of nursing experience.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN discusses some of the highlights of the Skilled Nursing Facility Prospective Payment System Proposed Rule for fiscal year 2022 with Jessie McGill, RN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN discusses some of the highlights of the Skilled Nursing Facility Prospective Payment System Proposed Rule for fiscal year 2022 with Jessie McGill, RN, RAC-MT, RAC-MTA, curriculum development specialist for AAPACN.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN discusses the importance of PEPPER with Liz Barlow, RN, CRRN, RAC-CT, DNS-CT, AVP clinical innovation for Paragon Rehabilitation, and why NACs should make time to review this report.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN discusses the importance of PEPPER with Liz Barlow, RN, CRRN, RAC-CT, DNS-CT, AVP clinical innovation for Paragon Rehabilitation, and why NACs should make time to review this report.
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about quality assurance and performance improvement—specifically, in relation to how to improve our processes as we move to a continuum of care model, ways we can drive clinical quality management, and how we can effectively manage discharges during the public health emergency.
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about quality assurance and performance improvement—specifically, in relation to how to improve our processes as we move to a continuum of care model, ways we can drive clinical quality management, and how we can effectively manage discharges during the public health emergency.
In this eighth and final episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, discusses two long-stay measures, Percent of Residents Who were Physically Restrained and Prevalence of Behavior Symptoms Affecting Others. Don't miss this great information!
In this eighth and final episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, discusses two long-stay measures, Percent of Residents Who were Physically Restrained and Prevalence of Behavior Symptoms Affecting Others. Don't miss this great information!
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about the freeze on the Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measures, what facilities need to do now to prepare for when the freeze ends and reporting and audits resume, how section GG will become even more important, and how processes have changed with some states now collecting PDPM payment codes on OBRA assessments. Don't miss this podcast!
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about the freeze on the Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measures, what facilities need to do now to prepare for when the freeze ends and reporting and audits resume, how section GG will become even more important, and how processes have changed with some states now collecting PDPM payment codes on OBRA assessments. Don’t miss this podcast!
In this seventh episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses three measures – two long-stay measures, Percent of Residents Who Lose Too Much Weight and Percent of Residents Who Have Depressive Symptoms, and a short-stay measure, Percentage of Short-Stay Residents Who Improved in Their Ability to Move Around.
In this seventh episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses three measures – two long-stay measures, Percent of Residents Who Lose Too Much Weight and Percent of Residents Who Have Depressive Symptoms, and a short-stay measure, Percentage of Short-Stay Residents Who Improved in Their Ability to Move Around.
Updated Five-Star Users' Manual Highlights with Jane Belt
Deep Dive into MDS 3.0 Quality Measures Series: Episode 006 – UTI, Indwelling Catheter, and Lose Control of Bowel or Bladder
In this fifth episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses two long-stay antianxiety/hypnotic medication MDS 3.0 Quality Measures—the Prevalence of Antianxiety/Hypnotic Use and the Percent of Residents Who Used an Antianxiety or Hypnotic Medication.
In this podcast, AANAC curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, will discuss two antipsychotic medication-related measures, the short-stay measure—Percent of Residents Who Newly Received an Antipsychotic Medication, and the long-stay measure—Percent of Residents Who Received an Antipsychotic Medication. McGill will discuss the rationale, what is the numerator, denominator, the exclusions, covariates as well as a possible action plan for greater success.
Deep Dive into MDS 3.0 Quality Measures Series: Episode 003 - Help for Daily Activities Increased and Ability to Move Worsened
Deep Dive into MDS 3.0 Quality Measures: Episode 002 - Pressure Ulcers
Deep Dive into MDS 3.0 Quality Measures Podcast Series: Episode 001 - Falls with Major Injury and Prevalence of Falls
Personal protective equipment (PPE) is currently a topic of discussion on a global level. The COVID-19 pandemic has brought infection control procedures and the use of PPE under intense scrutiny, especially in long-term care. On a daily basis, we hear about the shortcomings of PPE supply and use, along with the lack of proper infection control in healthcare. Do not let the negative publicity paralyze you. As a leader, it is imperative to analyze what occurs in the facility and find ways to improve. By investigating competency and compliance, directors of nursing or other nurse leaders, such as infection preventionists, can improve PPE utilization in their facilities. History of PPE Since Leonardo DaVinci invented the first respirator to prevent contamination from chemical warfare in the 16th century, healthcare personnel (HCP) have been attempting to protect themselves from illness (Segal, 2016). As understanding of pathogens increased, PPE have evolved in response. PPE as we know it today originated in the 1970s when the Centers for Disease Control and Prevention (CDC) published the manual Isolation Techniques for Use in Hospitals. In the 1980s, PPE use intensified due to the human immunodeficiency virus (HIV) pathogen, which led to universal precautions being introduced in 1985 to prevent the transmission of infection. In addition to the gowns and gloves already being utilized, facemasks and eye shields were implemented to protect mucous membranes. In 1989, the Occupational Safety and Health Administration (OSHA) proposed a rule on occupational exposure to bloodborne pathogens. The rule on bloodborne pathogens was then finalized and published in 1991. The CDC issued an isolation guideline in 2007 which addressed PPE, including the donning and doffing procedures (Segal, 2016). Transmission-Based Precautions and PPE The route a pathogen spreads (air, droplets, contact, or a combination of these) dictates the transmission-based precautions that are appropriate. Once the type or types of transmission-based precaution have been selected, the PPE that will provide a barrier specific to that route of transmission is used to protect the HCP and resident. PPE may consist of face masks or respirators, gowns, gloves, face shields, and goggles. Due to the current pandemic, the CDC issued the Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings, which were updated on May 18, 2020. This guidance states facilities should use transmission-based precautions for residents with suspected COVID-19 or test-based positive results; it includes the use of gloves, gowns, face masks, goggles, and, in some cases, a N95 mask or respirator. PPE competency Merriam-Webster defines competency as the quality or state of having sufficient knowledge, judgment, skill, or strength. In other words, competence is based on performance and whether the HCP can properly complete the job or task. In order to achieve competency, the HCP must be educated regarding both the purpose and the procedures. OSHA requires that each HCP know the following regarding PPE: When it is necessary What kind is necessary How to properly put it on, adjust, wear, and take it off The limitations of the equipment Proper care, maintenance, useful life, and disposal of the equipment In general, when observing an HCP for PPE competency, the observer should make sure the staff member is performing hand hygiene correctly, correctly determining which type of PPE to use, and donning and doffing each type of PPE correctly and in the right sequence. Below is a breakdown of what the observer should look for regarding each type of PPE to determine competency. Type of PPE Competence Gloves · Don/doff in correct sequence · Doff inside of resident room · Doff gloves without touching clean hand · Discard correctly Gown
Isolation and Cohorting During the COVID-19 Pandemic
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