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Cabinet for Health & Family Services
Office of Inspector General
Division of Health Care
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Long Term Care Provider Newsletter
December 2019
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The Holidays and Alzheimer's
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"The holidays are often filled with opportunities for togetherness, sharing, laughter and memories. But they can also bring stress, disappointment and sadness. A person living with Alzheimer’s may feel a special sense of loss during the holidays because of the changes he or she has experienced. At the same time, caregivers may feel overwhelmed maintaining traditions while providing care.
In the early stage, a person living with Alzheimer’s may experience minor changes. Some may withdraw and be less comfortable socializing, while others may relish seeing family and friends as before. The key is to check in with each other and discuss options. A simple “How are you doing?” or “How are you coping with everything?” may be appreciated. Plan the holidays together, focusing on the things that bring happiness and letting go of activities that seem overwhelming or stressful"...
You may continue reading this article
here. We thank the Alzheimer's Association for permission to share this information with our readers.
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ePOC Reminders
Kentucky providers that have enrolled in ePOC are reminded that all correspondence is handled in the ePOC system, including the plan of correction. Furthermore, if there is a change in administrator, it is incumbent upon the facility to update the system. If you have any questions, please contact:
Rhonda Littleton-Roe
Cabinet for Health and Family Services
Office of Inspector General, Division of Health Care
Quality Assurance and Training Branch
275 E. Main Street, 5E-A
Frankfort, KY 40621
502-564-7963 x.3300
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MDS 3.0 QM (Quality Measurement) Report Updates
The MDS QM reports will be updated to reflect measure updates identified in the MDS 3.0 QM User’s Manual v12.1 available on the
Quality Measures page
, effective October 1, 2019.
Additionally, the previous SNF QRP Percent of Residents with Pressure Ulcers That are New or Worsened (S002.02) has been added to the MDS QM reports and the MDS Provider Preview and Resident-level Preview Report to allow for continued tracking on this measure.
The MDS QM reports are available in the “MDS 3.0 QM Reports” category in the CASPER Reporting application. Please refer to Section 11-MDS 3.0 QM Reports in the CASPER Reporting MDS Provider User’s Guide for additional information about these reports.
While being updated, the following reports will not be available:
• MDS 3.0 Facility Level Quality Measure Report
• MDS 3.0 Resident Level Quality Measure Report
• MDS 3.0 Quality Measure Monthly Comparison Report
• MDS 3.0 Facility Characteristics Report (add CMS logo, update privacy statement)
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jRAVEN v1.7.2
The Resident Assessment Validation and Entry System (jRAVEN) was developed by the Centers for Medicare & Medicaid Services (CMS). jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain MDS Assessment data for subsequent submission to the appropriate state and/or national data repository. jRAVEN displays the MDS Item Sets similar to the paper version of the forms. Please consult the jRAVEN Installation and User Guides for additional information.
jRAVEN v1.7.2 is now available for download under the Downloads section at the bottom of the
MDS 3.0 Technical Information webpage
. Users do not need a previous version of jRAVEN to download, install or use jRAVEN v1.7.2.
jRAVEN v1.7.2 includes the following enhancements:
- A defect has been corrected that was causing the HIPPS score that is calculated in jRAVEN to not match the score calculated by the Submission System
- Changes in support of the MDS Data Specifications Errata V3.00.3
- The new MDS VUT, version 3.2.0, also updated in support of the Errata V3.00.3
- All enhancements included with jRAVEN v1.7.0 & v1.7.1:
- MDS Item Set Version V1.17
- MDS Data Specification Version V3.00
- The PDPM Grouper V1.0003
- Supports the Correction Policy update to not allow corrections if it causes the target date to cross over the 10/1/2019 date
- Supports the updated submission timeframe change from 3 years to 2 years
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2020 MDS Item Sets
A new DRAFT version of the 2020 MDS item sets (v1.18.0) was posted. This version is scheduled to become effective October 1, 2020. Please note that Section G has been removed from all Federal item sets. The files are located in the Downloads section of the
MDS 3.0 Technical Information site
. The MDS 3.0 Item Set Change History for October 2020 report will post to this webpage shortly.
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State Registered Nurse Aide Training Program
Upcoming 2020 Course Dates
Evening Class Dates:
- January 13th - February 13, 2020
- February 17 - March 19, 2020 ***Classes continue over Spring Break****
- March 23rd - April 23, 2020
Monday, Tuesday, Thursday 5:30 pm - 9:30 pm
403 College of Nursing Bldg.
751 Rose Street, Lexington, KY
SRNA Programs at Lexington VA
January 6 - March 23, 2020
Mondays 8:00am-5:00pm
Lexington VA Medical Center
2250 Leestown Rd
Class location for theory: Building 17, Room 125
Class location for supervised clinical practice: Building 17, Room 204
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Informal Appeal of Survey Findings
Interested in Serving on an IDR Panel?
Kentucky requires one member of the IDR panel to be "a person currently engaged in the provision of Long Term Care services who has no affiliation with the provider disputing a deficiency." Typically, a Long Term Care Administrator is on each IDR panel. There is no payment or travel reimbursement for an Administrator serving on a panel. Administrators will be rotated. If a Long Term Care Administrator is interested in serving on a panel, a confidentiality statement must be signed prior to the participation in the first IDR panel.
Chrystal Daugherty, IDR/IIDR Coordinator
Office of Inspector General
116 Commerce Ave.
London, KY 40744
Fax: (606) 330-2054
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Improve Quality Measures for
Pressure Ulcers and Other Wounds
and Earn FREE CE Credits for LTC Nurses, Social Workers, Dietitians/Nutritionists
Access the newest AMDA Clinical Practice Guideline on
Pressure Ulcers and Other Wounds as part of the Kentucky initiative to prevent pressure ulcers! Staff can earn FREE CE/CPE hours by completing the exam for nurses, social workers, and dietitians/nutritionists. Other staff can earn a Certificate of Completion!
Access the other
FREE training resources at the password-protected website
www.cpgltc.org
with the CMS Region IV Quality Improvement Initiative, a 6-state CMS CMP program.
- 20 CE Exams with 1-3 contact hours – up to 42 total hours for LTC Nurses
- 15 CE Exams with 1-3 contact hours – up to 29 NASW approved hours for LTC Social Work
- 14 CE Exams with 1-3 contact hours – up to 20.5 hours for LTC Dietitians/Nutritionists from Becky Dorner Associates
- CPG Implementation Series (Heart Failure, Pain Management, Urinary Incontinence) with accompanying training resources including narrated Power Points for nurses and nurse aides
- 4-part Disease Awareness Video Series (COPD, Diabetes, Pain Management, Moderate Alzheimer’s)
- Know-it-All™ Before You Call (for LTC staff) data collection tools for 70+ common health conditions
- Know-it-All™ When You’re Called (for physicians and practitioners) data collection tools for 70+ common health conditions
LTC administrators receive facility-specific passwords and usernames. Please share with staff for access to FREE training materials at
www.cpgltc.org. For facility username and password assistance, contact
[email protected].
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Kentucky's Top 10 Citations
for Nursing Homes
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MDS/RAI CONTACT INFORMATION
Chrystal Daugherty
MDS Assessment/Coding Issues
Rhonda Littleton-Roe
Transmission or Technical
502-564-7963 x.33
00 or
e-mail
Please note: Do not send any identifiable patient information through e-mail. This includes patient names, SSNs, dates of birth, or any other data items considered identifiers or Protected Health Information (PHI) under HIPAA. Please redact any PHI prior to sending.
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Is your certified nursing facility signed up for ePOC? If so, be diligent about keeping your account and password up to date.
Click here
for the CMS security rules.
If your facility is not signed up, see the
Account Setup
instructions.
Not sure if your facility has any ePOC accounts or have other questions?
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Have you notified your residents?
Click the link below to download and/or print the contact list for various agencies.
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Which Branch is Serving You?
To provide the highest level of service, the Division of Health Care operates through four regional offices. Knowing the appropriate Branch to contact with questions and concerns will ensure you receive maximum service in minimum time. Review links below for detailed information.
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CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.
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Transfer/Discharge Hearing Appeals
Please submit your requests for transfer/discharge hearing appeals to Acting Secretary Eric C. Friedlander, Cabinet for Health and Family Services, by emailing:
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LTC Facility Self-Reported
Incidents & Complaints
New email addresses have been established for communications regarding LTC Facility Self-Reported Incidents and for use by residents and the general public to report possible violations of regulatory requirements.
Click Here
for the email addresses and additional contact information.
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ISTW: Integrated Surveyor Training Website
This CMS website provides training information to include the preceptor manual, the State Operations Manual and other documents. As always, the survey and certification process is a collaborative effort between CMS and providers. This website will allow providers the opportunity to take the same courses as surveyors.
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Employment Opportunities
To search and apply for positions within the Office of Inspector General, please visit the Kentucky Personnel Cabinet's web page by clicking below.
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DHC Leadership Team:
Vacant
Inspector General
Vacant
Deputy Inspector General
Director
Assistant Director
Vacant
Assistant Director
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Commonwealth of Kentucky | Office of Inspector General | 275 East Main St., Frankfort, KY 40621
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The Office of Inspector General is the regulatory and licensing agency for all health care, day care and long-term care facilities and child adoption/child-placing agencies in the commonwealth.
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