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Long-Term Care MDS Coordinator's Field Guide Carol Maher, RN-BC, RAC-CT The MDS impacts virtually every aspect of a SNF's operations, so MDS coordinators and other nursing home staff need to fully understand it for accurate form completion. The Long-Term Care MDS Coordinator's Field Guide gives coordinators step-by-step guidance on the various parts of the MDS form, helping them break down and look at trouble areas in an easy-to-use format. With quick access to needed information, coordinators can accurately fill out the MDS while ensuring they are addressing optimal care, resulting in good quality measures and, in turn, accurate reimbursement. This book will help you: Accurately complete the MDS 3.0 with section-by-section guidance Learn how to systematically interpret the MDS sections through care area assessments to develop individualized resident care plans Understand that optimal resident care should result in good quality measures and lead the way to positive survey outcomes as well as accurate reimbursement Identify and resolve MDS discrepancies prior to submission
194 pages and CD. Includes FREE 2019 MDS Assessment Scheduling Calendar. Current with all RAI Manual Updates, PDPM updates, Surveyor Guidelines and Federal Regulatory Changes. Comprehensive manual for the new or experienced Director of NursingAll the essential information on Staffing, Resident Care, Quality Assurance, MDS Essentials, Nursing Policy and Procedure, Long Term Care Regulations, Survey Protocols. Forms in the Director of Nursing book and on the CD for Nursing budget, Staffing, Scheduling, Employee records, Staff education, Quality assurance audits, Infection control. Includes 23 Skilled Charting Guidelines. This Director of Nursing book aims to give all of the basic information a long term care Director of Nursing needs today. For the experienced Director of Nursing it provides a good reference for long term care regulations, standards, and laws. The forms included in the Director of Nursing book can greatly expedite job performance. Information is given on organizing the job, managing resident care, staffing, and quality assurance issues.For the new Director of Nursing, or the nurse aspiring to that position, the book outlines all of the major responsibilities of the job. Applicable federal regulations are quoted in each chapter, and forms are throughout the book. Forms and care plans have been updated to ensure compliance with the change to MDS 3.0 and with all of the federal regulations and guidelines updated during the past year.All of the forms and nursing care plans in the Director of Nursing book are included on the CD so they can be saved to a computer whenever needed. By adding or deleting entries, the forms and care plans can be made resident specific.
Packed with essential and easy-to-use materials, this bookcovers issues such as quality assurance, finance and budgeting, reimbursement, and staffing concerns in simple, easy-to understand terms.
Looking to develop a more comprehensive plan of care while improving MDS 3.0 accuracy? MDS Care Plans: A Person-Centered, Interdisciplinary Approach to Care helps you navigate recent changes to the RAI and includes more than 100 customizable care plan templates. With many updated regulations already in effect, this timely book covers the IMPACT Act, QAPI, person-centered care, and survey changes, as well as the changes resulting from the ICD- 10 transition. Each care plan provides a framework for guiding the review of trigger areas and clarifying a resident's functional status and related causes of impairments. It also provides a basis for additional assessment of potential issues, including related risk factors. These thorough assessments provide the interdisciplinary team additional information to help them develop a comprehensive plan of care. By modifying the care plans provided in this resource, you'll fit the individual needs of your residents while satisfying the requirements of the new assessment process. This product will help facilities: - Save time developing person-centered care plans using more than 100 customizable templates - Evaluate and create valuable Care Area Assessments (CAA) and improve MDS 3.0 accuracy - Help customers navigate recent changes to the RAI - Integrate the voice of the resident, family, and staff in the development of the care plan - Be confident they're making use of proven tools and expert guidance
Author Debbie Ohl, RN, M, Msc., PhD, has developed more than 100 proven, person-centered care plans that you can modify to fit the individual needs of your residents. You ll be able to satisfy requirements of the assessment process while care planning more efficiently."
"The Long-Term Care Director of Nursing Field Guide, Second Edition" is packed with practical, need-to-know resident care information, essential policies and procedures, and vital regulatory and safety requirements specific to long-term care. This bestseller pays particular attention to hot-button issues such as pain, pressure ulcers, medication administration, infection control, hydration, and nutrition.
How to run a successful SNF Learn the nuts and bolts of how to be an effective SNF administrator. This book serves as your blueprint to managing staff, developing a budget, and navigating the ever-changing regulatory environment. Complete with an emphasis on high-focus survey targets such as Medicare reimbursement, quality care, and documentation, this book also contains more than 850 downloadable test questions to ensure SNF administrators are well prepared to improve operational efficiency. The Comprehensive Guide to Nursing Home Administration will help you: * Create a culture of communication and efficiency by clearly defining the roles and responsibilities of every staff member in the nursing home * Reduce nursing home staff turnover by hiring the most qualified employees and supporting them with effective training * Achieve regulatory compliance by being survey-ready at all times through implementation of appropriate policies and procedures * Gain a thorough understanding of the MDS 3.0, RUG-IV, and SNF reimbursement to maintain your facility's financial viability * Develop financial savvy and confidence to effectively manage budget responsibilities * Comply with CMS regulations and Medicare reimbursement guidelines through easy-to-understand descriptions and analysis
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program Amanda W. Berglund, MS, MBA; Elizabeth E. Lamkin, MHA Learn how to respond to RAC audits. And more importantly, how to prevent them. The RAC Toolkit for Hospitals and Health Systems: Manage Responses and Avoid Claims Under the Permanent Program is your answer to turning plans into proactive action for RAC success. Authors Elizabeth E. Lamkin, MHA, and Amanda W. Berglund, MS, MBA, describe how to establish and sustain an effective RAC-preparedness structure that can be adapted to fit any organization's system. They provide best practices for successful processes and outline each staff member's role in your RAC audit program. Whether you are responding to a Recovery Auditor or another government auditor, your program must operate as effectively as possible. You will use their tested, proven, and practical tools that will help you build a more effective billing compliance program. You'll learn how to bring finance, business office and clinical staff together for operational improvements that directly affect your bottom line. The RAC Toolkit for Hospitals and Health Systems will help you get the job done right. The RAC Toolkit for Hospitals and Health Systems will help you achieve the following goals: Take a systemic approach to RAC compliance Incorporate effective structure and processes to existing systems for measurable results Organize committees and facilitate information flow Appeal effectively and within deadlines Use proven tools and methods for an effective RAC program Table of Contents: Chapter 1: RAC Program Overview Chapter 2: Preparing for RAC Chapter 3: The Right Structure: Organizing the Committees Chapter 4: The Right People: Three Critical Roles for RAC Prevention Chapter 5: Additional RAC Stakeholders Chapter 6: Automated Reviews Chapter 7: Complex Review and Extrapolation Chapter 8 The Appeal Appendix (Acronyms and additional resources) Take advantage of these valuable tools included in your book: RAC appeal timeline RAC preparedness checklist RAC committee structure flowchart Organizational chart for RAC-related personnel Sample RAC committee meeting agenda Sample UR committee meeting agenda Complex case review worksheet Admission review continued stay and discharge review flowchart Patient status change letter template Automated review timeline Complex review timeline Appeal letter template for appeal level 1 redetermination CMS form 20027 CMS form 20034 CMS form DAB101