Recorded on November 7, 2017

You will recieve links to the recording and handouts via email upon successful registration.

Contact

Amie Martin, OTR/L, CHC, RAC-CT 
Proactive Medical Review & Consulting, LLC 
(812) 471-7777 
amartin@proactivemedicalreview.com 

 

 

Contact Hours: 1.25

Instrustional Level: Intermediate

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
Note: A single purchase allows for a single user to receive a CE certificate. A single purchase is good for a single participant to receive CE credit. Training material, including links to recorded webinars and handout material, is the exclusive property of Proactive Medical Review and may not be shared outside of the single facility purchasing the training.

Presented By:

Amie Martin, OTR/L, CHC, RAC-CT, Clinical Consultant
Amie Martin is an Occupational Therapist with twenty years of experience serving in long term care leadership and as a clinical program specialist. She is certified in healthcare compliance, and has successfully partnered with providers to improve clinical outcomes, compliance programs, medical record documentation, and to reduce error rates under medical review. Amie’s recent publications include articles for the American Occupational Therapy Association, American Association of Nurse Assessment Coordination, American College of Health Care Administrators, and the American Health Lawyers Association.

Shelly Maffia, MSN, MBA, RN, LNHA, QCP, Clinical Consultant
Shelly Maffia is a Registered Nurse and Nursing Home Administrator with over ten years of experience serving in long term care leadership and consulting positions, including positions as Director of Nursing, Administrator, and Corporate Nurse Consultant and Training Positions. She earned the QAPI Certified Professional (QCP) credential from the American Association of Nurse Assessment Coordination (AANAC), which was established to promote the highest standards for QAPI program implementation in the long-term care profession.

Discharge to Community, Hospital Readmissions, and Emergency Room Visits:

 Analyzing 5-Star Quality Measures and Applying QAPI Principles to Improve Quality Measure Performance and Ensure Compliance with RoP Discharge Planning Requirements

Course Description: This session reviews discharge to community, hospital readmissions, and emergency room visit quality measures that impact the Quality Measure component of the Nursing Home Compare Five-Star Quality Rating system. During the session, we review how these measures are calculated and how they impact your overall Five-Star Quality Rating. The session focuses on best practices for decreasing unplanned discharges, emergency room visits, and return to hospital visits in short-term stay residents and improve your quality measures 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. Sample tools are shared for driving and sustaining Five-Star Quality.

Learning Objectives:

  • Understand how the discharge to community, hospital readmissions, and emergency room visits quality measures are calculated and impact the Five-Star Quality Rating score.
  • Understand the Requirements of Participation related to Discharge Planning.
  • Describe best practices for improving discharge to community, hospital readmissions, and emergency room visits quality measures impacting Five-Star Quality Rating score.
  • Describe a process for establishing priority QAPI goals and actions to improve discharge to community, hospital readmissions, and emergency room visits quality measures.

Course Content:

Review of the discharge to community, hospital readmissions, and emergency room visits quality measures and impact on 5-Star Rating:

  • Percent of successful discharges to community, re-hospitalizations and ER visits
  • How to calculate discharge to community, hospital readmissions, and emergency room visits quality measure scores in the 5-Star Rating system

Review of the Discharge Planning Requirements of Participation

Best Practices Related to Preventing Unplanned Discharges and Return to Hospital Rates

Developing a QAPI plan based on discharge to community, hospital readmissions, and emergency room visits 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

    • Closing Comments/Q&A