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Richter ShareSource Blog

Jennifer Leatherbarrow RN BSN, RAC-CT, QCP, Senior Clinical Consultant

Recent Posts

Understanding How to Skill Residents Under Medicare A in a Post-PDPM World


 

Here at Richter, our Clinical Consulting team has fielded an array of questions lately from skilled nursing facility (SNF) clients regarding what to skill residents for under Medicare A, and what the criteria is.

Based on our decades of experience in the industry, we’ve found that such questions aren’t out of the ordinary in “normal circumstances.” Indeed, under previous PPS payer rules, when a Medicare resident was discharged from an acute-care hospital, the general assumption was that they were eligible for skilled services through their need of therapy services. Accordingly, during this time, much of the documentation burden also lay with the therapist.

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Topics: Clinical Consulting, pdpm, clinical consulting services

Skilled Nursing Facility COVID-19 Infection Prevention and Control: Five Strategies for Improvement


In “normal” times, your skilled nursing facility staff should be taking all necessary steps to prevent and control infections throughout the facility. As the current COVID-19 pandemic continues to unfold, it’s safe to say these are anything but normal times.

Fortunately, skilled nursing facilities here in the U.S. up to now haven’t had to deal with major outbreaks beyond seasonal flu. Unfortunately, that has partly caused too many skilled nursing and senior care organizations to overlook basic steps that help prevent and control infections throughout a facility.

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Topics: skilled nursing facility consultants, clinical consulting services, Coronavirus, SNF Consultants, nursing home management consultants, COVID-19, infection prevention, infection control

6 Steps to Reduce Harm in Nursing Homes


In December 2018, the Centers for Medicare & Medicaid Services (CMS) and the Medicare Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs) released the All Cause Harm Prevention in Nursing Homes Change Package, which was developed as a means to help prevent harm (i.e., adverse events, abuse, and neglect) for nursing home residents. The intended audience of this piece includes nursing homes participating in the National Nursing Home Quality Care Collaborative and anyone interested in improving the quality of life and quality of care for those living in nursing homes.

The following includes answers to some frequently asked questions about the Change Package.

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Topics: Clinical Consulting, Financial Consulting

Understanding the CMS Requirements of Participation Past and Future


Note: This is the first blog in our multi-part blog series on the CMS Requirements of Participation.

Did you know that one in three long-term post-acute care (LTPAC) residents is harmed by an adverse event within 35 days of their stay? Indeed, it is true, and the statistics from the Office of Inspector General don’t stop there:

  • 59% of events are preventable
  • 37% of such events medication related (medication induced change in mental status, excessive bleeding)
  • 37% are resident related (fall, electrolyte imbalance, pressure injury)
  • 26% are infection related
  • 50% of those residents affected returned to the hospital
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Seeing the Connection Between Phase 3 Requirement of Participation and Quality Assurance and Performance Improvement (QAPI)


Note: This is the third blog in our multi-part blog series on the CMS Requirements of Participation.

Nov. 28, 2019 is quickly approaching, and with that will come Phase 3 of the Centers for Medicare and Medicaid Services’ (CMS’) Requirements of Participation. As part of this, a fully integrated QAPI program will be required on this date. This should come as no surprise since some of the QAPI components should have already been implemented by your long-term post-acute care (LTPAC) facility, as stated below. This requirement is not going away and should be implemented soon rather than later. 

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Topics: Qapi, QAPI Consulting

The Role of Trauma-Informed Care in Phase 3 Requirement of Participation


Note: This is the second blog in our multi-part blog series on the CMS Requirements of Participation.

Individual trauma is an experience (or series of circumstances, events or occurrences) that an individual considers emotionally, physically or socially threatening or harmful and that has a long-term negative impact on the individual’s emotional, physical and/or social well-being. An event becomes traumatic when the ability to cope is overwhelmed.

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CMS Phase 3 Requirement of Participation: Compliance and Ethics Program


Note: This is the fourth blog in our multi-part blog series on the CMS Requirements of Participation.

The Compliance and Ethics section of the Centers for Medicare and Medicaid Services’ (CMS’) Requirements of Participation is a new section developed in response to a mandate under the Affordable Care Act that requires the operating organizations of skilled nursing facilities to have a compliance and ethics program that is effective in preventing and detecting criminal, civil and administrative violations and in promoting quality of care consistent with current regulations.

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Topics: QAPI Consulting

Ready or Not, Here Comes RCS-1


The long-term post-acute care (LTPAC) industry is bracing itself for yet another major change in 2018: Resident Classification System-1 (RCS-1). This new Medicare payment model is only months away, with an estimated start date of October 1, 2018. RCS-1 has the potential to turn things upside down for providers that are not sufficiently prepared.

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Topics: Regulatory Changes, Clinical Consulting, Financial Consulting

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