Apr. 27-28, 2017, Leadership Seminar, 2-Day (The Great Eight: The Future of C.A.R.E.) Orlando, FL

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Apr. 27-28, 2017, Leadership Seminar, 2-Day (The Great Eight: The Future of C.A.R.E.) Orlando, FL

By Harmony Healthcare International, Inc. (HHI)

Date and time

April 27, 2017 · 9am - April 28, 2017 · 4:15pm EDT

Location

Westminster Towers Training Center

76 W. Lucerne Circle Orlando, FL 32801

Refund Policy

Contact the organizer to request a refund.

Description

Harmony Healthcare International (HHI)

Leadership Program

The Great Eight: The Future of C.A.R.E.

2-Day Seminar

April 27-28, 2017

9:00 a.m. to 4:15 p.m.

Join us for 1 module or all 4 at a special rate of $650...or choose modules at $199 each!

Earn up to 12 Contact Hours*

Day One

Module 1: The Great Eight: The Future of C.A.R.E.

9:00 a.m. - 12:15 p.m. (Registration: 8:30 a.m. - 9:00 a.m.)

The speaker will share an overview of the eight major areas of focus for every Skilled Nursing Facility Operator: Compliance, Audit, Analysis, Reimbursement, Regulatory, Rehabilitation, Education and Efficiency. The following topics will be covered: IMPACT Act, 5-Star Analysis, Quality Measures, SNF PPS Final Rule, PEPPER, Value-Based Purchasing, Bundled Payments and Antibiotic Stewardship. Learn about the changing landscape of compliance enforcement, and what penalties might look like with and without a compliance program. The Speaker will discuss the latest compliance risks, and data-driven strategies to help providers address risk.

Recommended Audience: CEO, CFO, Administrators, Nursing Management, Direct Care Nurses in a SNF, Therapy Management, Therapists, MDS Coordinators and Business Office Managers

Goal

This program will enable long-term care professionals to provide quality healthcare through an understanding of Changes in Regulatory expectations from CMS as well as Corporate Compliance in a skilled nursing facility.

Content

  • IMPACT Act
  • 5-Star Analysis
  • Proposed Rule
  • Pharmacy Proposed Regulations
  • Drug Regimen Review
  • QAPI
  • Compliance Program
  • PEPPER
  • Value-Based Purchasing
  • Bundled Payments
  • Antibiotic Stewardship

Module 2: The Future of Reimbursement: MDS & More for the Clinical Leader

1:00 p.m. - 4:15 p.m. (Registration: 12:45 p.m. - 1:00 p.m.)

Let Quality of Care Lead to Accurate and Appropriate Reimbursement: Skilled Nursing Facilities will see many changes as we approach Fiscal Year 2018 in order to ensure we are accurately and appropriately reimbursed for the care we provide. In addition, the Proposed Rule for Medicare and Medicaid will overhaul our regulatory requirements. The changes are cumbersome and complicated. What is the bottom line for clinicians? What do these changes mean for the Clinical Leaders? What do Clinical Leaders need to know? We need to become a higher quality Skilled Nursing Facility (SNF)! This course will detail the underlying clinical themes every clinical leader will need to address to ensure compliance with upcoming regulatory and reimbursement changes.

Recommended Audience

MDS Coordinators, Nurse Managers, Directors of Nursing, Nursing Staff, Administrators, Social Workers, Therapists, Discharge Planners and Admissions Directors.

Goal

This program will enable healthcare providers to establish clinical policies and procedures to meet changing regulatory and reimbursement requirements.

Content

  • What Will the Future Bring?
  • MDS Changes October 2016
  • Quality Measure Management
  • Medication Reduction
  • Antipsychotics
  • Antibiotic Use
  • Reducing Hospitalizations
  • Preventing Adverse Events
  • Pressure Ulcer Prevention and Management
  • Dementia Management
  • Discharge Planning
  • Patient Centered and Team Based Care
  • Impact of Rehabilitation Services
  • Why QAPI
  • Questions and Answers

Day Two

Module 3: Additional Documentation Request (ADRs) and Denial Management

9:00 a.m. - 12:15 p.m. (Registration: 8:30 a.m. - 9:00 a.m.)

In response to several OIG investigations and reports that Skilled Nursing Homes are overbilling Medicare, the Healthcare Industry is experiencing a surge of Probe Reviews per CMS mandates. Multiple contracted agencies are out in full force investigating Medicare and Medicaid billing practices of Nursing Home providers across the country. Skilled Nursing and Rehabilitation Documentation coupled with MDS 3.0 accuracy is critical to ensuring accurate reimbursement for Medicare claims under the scrutiny of review. The key to success is an understanding of the clinical and technical Medicare requirements. The speaker will explain the OIG Investigation and identify focus areas for educational development for SNF providers. Hear the intrinsic details of how the government approaches Medical Review and determines findings of fraud and denied claims. The attendees will hear detailed clinical and technical Medicare Coverage requirements for improving delivery of care. Current trends in nursing and the healthcare industry impacting the SNF will be presented for nursing and therapy leadership. The Harmony HealthCARE Specialist will disclose techniques for preparing for legal situations as well as strategies for appealing denied claims. The speaker will detail recommended tactics to manage and guide the interdisciplinary team toward absolute compliance.

Recommended Audience

CFO, CEO, Administrators, Nursing Management, MDS Coordinators, Business Office Managers, Rehabilitation Managers and Therapy Professionals

Goals

This program will enable healthcare providers working in the skilled nursing facility setting to understand the legal nursing and therapy ramifications behind the surge of Medical Record Reviews, how they are affecting care and impacting legal documentation. Healthcare providers will gain knowledge of current trends in nursing care and Compliance Reviews to preserve the daily operations of providing the highest quality care to the residents.

Content

  • OIG Report and CMS Comments
  • Medical Necessity; The Jimmo Settlement
  • Clinical Denial Reasons and Trends
  • Probe, RAC, Medical Review Survival Guide
  • Technical Requirements and Documentation Expectations
  • Medicare Skilled Qualifiers
  • Understanding the ADRs/Denial Process - HHI
  • RAC Audit; Legal Document Preparations
  • Guide to ALJ Hearings
  • Additional Documentation Request (ADR)
  • Appeal Rights and Process
  • Keys to Success

Module 4: Jumpstart Your QAPI & Compliance Programs

1:00 p.m. - 4:15 p.m. (Registration: 12:45 p.m. - 1:00 p.m.)

While the utilization of the Quality Assurance and Performance Improvement Plan is in its infancy stage within the Skilled Nursing Facility setting, other Medicare and Medicaid regulated organizations have been responsible for developing a QAPI annually as a standard of practice. Data-driven, quality- focused initiatives that align with the SNF's overall performance goals work in unison to ensure care delivery weaknesses are addressed, and performance improvement measures and data, plans and outcomes are available on request by SNF Boards of Directors as well as Surveyors. The QAPI builds on Quality activities and Compliance investigations to ensure each facility is working together to create a safe, effective, quality program.

Recommended Audience: MDS Coordinators, Case Managers, Nursing Management and Administrators and all other SNF team members.

Goal

This program will enable healthcare providers to engage in QAPI development and oversight activities to attain and maintain compliance with CMS QAPI regulations while improving quality healthcare delivery and improving resident quality of life.

Content

  • Industry Changes
  • IMPACT Act
  • Alignment of Proposed Goals with National Initiatives
  • SNF Rehospitalization Facts
  • Medicare SNF Final Rule
  • MDS Section GG
  • Five-Star QM's of the future
  • Current and Proposed Regulations
  • Letting QAPI Lead the Way
  • What is QAPI?
  • Are you ready for QAPI?
  • QAPI: The Five Elements
  • Practical Application of QAPI Process
  • QAPI 12 Action Steps
  • PDSA Model
  • QAPI and Compliance: A Hand in Hand Approach
  • Building Your Facility-Specific QAPI
  • RACI Matrix
  • The Ten Steps for QAPI Planning
  • QAPI Principles Summarized
  • Questions and Answers
  • Current and Future Initiatives

Each Session includes one 15-minute break.

Earn up to 12 Contact Hours!

3 Contact Hours for each module for:

  • Administrators, Registered Nurses, and Occupational Therapists
  • Speech Language Pathologists: 3 Contact Hours for module 1
  • Physical Therapists: State Specific: Please call 800.530.4413 to verify.

Contact Mary Moser, Director of Education for further information at 1.800.530.4413.

Refund Policy

Registrants requesting a refund must do so in writing within 7 business days of the seminar. Refunds are subject to a $50 processing fee. Refund requests received within 6 business days or less from the seminar date will not be accepted.

Cancellation Policy

Harmony Healthcare International (HHI) is not responsible for any fees incurred due to cancellations or postponements.

Disclosures

Harmony Healthcare International (HHI) does not endorse commercial products or services within the education program. No HHI Expert Trainer has any conflicts of interest to disclose.

Need hotel recommendations, or have further questions? We are here to help you. Please contact the Education and Training Department at 800.530.4413.

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