How the Dietitian Can Help the DNS Improve Quality Outcomes

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Anna Sherman, RD, LD, a registered dietitian at RD Nutrition Consultants, discuss the registered dietitian’s role as a key member of the interdisciplinary team and how the director of nursing services (DNS) can …

Lessons From TPE Audits: How the DNS Can Lead Toward Better Skilled Documentation

In May 2023—after the Comprehensive Error Rate Testing (CERT) program determined that skilled nursing facility (SNF) Medicare Part A services have been “a top driver” of the overall Medicare fee-for-service improper payment rate since the switch to the Patient-Driven Payment Model (PDPM) on Oct. 1, 2019—the Centers for Medicare & …

Part of the Essential DNS Toolbox: Effective Daily Clinical Rounds

The director of nursing services (DNS) has many issues to prioritize each day, such as resident falls, staffing, and grievances. Unfortunately, the DNS may be tempted to relegate clinical rounds to “later,” considering them a low priority due to time constraints, which can prove to be a costly mistake. Daily …

What the DNS Needs to Know About Drug Regimen Review

Over the past few years, the Centers for Medicare & Medicaid Services (CMS) has placed increasing emphasis on drug regimen review (DRR) aka medication regimen review (MRR). Since 2018, skilled nursing facilities have captured one type of DRR/MRR in item N2001 (Drug Regimen Review) on PPS 5-Day MDS assessments for …

Tips for a Comprehensive Post-Admission Medical Record Review

Admissions are vital to a facility. They may occur daily, or even multiple times a day, and should be a part of routine operations. However, the admission process can be cumbersome, and it is easy for staff to miss things, especially if the facility receives multiple admissions in a shift. …

Operationalizing Change in the Workplace

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Linda Winston, RN, MSN, BS, RAC-CT, RAC-CTA, DNS-MT, QCP-MT, independent nurse consultant and educator, discuss how to operationalize change in the workplace. This podcast is sponsored by AAPACN Diamond business partner, MDS Consultants. …

Medical Record Audit: New Admission/Readmission

The admission process can be lengthy, and staff can miss important details. Use the Medical Record Audit: New Admission/Readmission checklist to ensure the facility has obtained critical information from newly admitted and readmitted residents and appropriately documented it in the medical record. This AAPACN resource is copyright protected. AAPACN individual …

CMS QSO Memo: Civil Money Penalty Reinvestment Program Revisions

Memo # QSO-23-23-NHs Posting Date 2023-09-25 Fiscal Year 2023 Title Memorandum Summary CMS is committed to reinvesting civil money penalty (CMP) funds for projects to support the quality of care and life for nursing home residents in a consistent and equitable manner. Therefore, we are revising the structure of the …

Behavioral Health Education and Training: How to Ensure Staff Can Meet Resident Needs

The guidance to surveyors in Appendix PP of the State Operations Manual addresses behavioral health education, training, and competencies under two separate F-tags: Did the facility have sufficient staff who provide direct services and implement non-pharmacological interventions to meet the behavioral health care needs of the resident, as determined by …

Oct. 1, 2023 Will See Performance Period Data Collection for Five SNF VBP QMs

The key takeaway of the Fiscal Year (FY 2024) Skilled Nursing Facility Prospective Payment System (SNF PPS) final rule, published on Aug. 7, 2023, is that the director of nursing services (DNS) will need to hit the ground running on Oct. 1, 2023, with a systematic, comprehensive, and interdisciplinary approach …