Monthly Calendar

Course Content

30 minutes: Review of the increased need in ADL help, ability to move independently worsened, and Improvement in function measures and impact on 5-Star Rating

• Percent of residents with increased ADL help, mobility decline, and improved function
• Percent of residents with ability to move independently worsened
• How to calculate increased ADL help, mobility decline, and improved function in the 5-Star Rating system
• The importance of coding accuracy with late loss ADLs and communication of changes in ADL status

20 minutes: Best practices related to monitoring for resident changes in ADL status and appropriate action with decline

20 minutes: Developing a QAPI plan based on increased ADL help, mobility decline, and improved function data analysis

• PIP Team
• Establishing goals for implementation
• Identification of tools for evaluating and monitoring compliance
• Plan for monitoring compliance
• Implementation of changes that will result in 5-Star improvement

5 minutes: Closing Comments/ Q&A

Presented By: Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Director of Regulatory Services for Proactive Medical Review & Consulting, with over 15 years of leadership and consulting experience, Shelly has held positions as DON, NHA, Corporate Nurse Consultant, and Training Positions. Currently Shelly provides consultation on regulatory compliance to nursing facilities in multiple states. Her expertise includes developing clinical training tools, policies, procedures, protocols and training programs on systems, processes and best practices. Shelly is also a QAPI Certified Professional (QCP) through the American Association of Nurse Assessment Coordinators.

Contact Person: Shelly Maffia 812-719-0452 smaffia@proactivemedicalreview.com

Course Description:

This session will review the increase in ADL help, the ability to move independently worsened, and improvement in function quality measures that impact the Quality Measure component of the Nursing Home Compare Five-Star Quality Rating system. During the session, we will review how these measures are calculated and how they impact your overall Five-Star Quality Rating. The session will focus on best practices for reducing and preventing decline in ADL status and improving this quality measure using a QAPI framework with emphasis on reduction of common MDS coding errors and implementation of a facility specific Five Star road map action plan.

Target Audience: Director of Nursing, Assistant Director of Nursing, Nurse Managers, Nursing Home Administrators, Nursing staff and leaders, Quality Assurance Director, Social Services, Rehabilitation services

Learning Objectives

1. Describe how the increased need in ADL help, ability to move independently worsened, and improvement in function quality measures are calculated and impact the Five-Star Quality Rating score
2. Describe best practices for improving and monitoring your quality measures in the area of increased need for ADL help, ability to move independently worsened, and improvement in function and impacting Five-Star Quality Rating score
3. Describe a process for establishing priority QAPI goals and actions to improve communication of changes in ADL status

1.25 CEUs offered