Next SNF ODF May 24
The next SNF ODF will be held Thursday, May 24 at 2 p.m. EST.
The program’s agenda, which is subject to change, is available at www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/Downloads/AgendaSNFLTC052412.pdf.
Less than one week remains in ICD-10 delay comment period
Providers have less than one week to comment on the proposed rule that will delay the compliance date for ICD-10 from October 1, 2013 to October 1, 2014. The 30-day comment period concludes at 5 p.m. EST on Thursday, May 17. Providers are encouraged to submit comments to the Department of Health and Human Services (HHS), as the agency will take all feedback into consideration.
Providers can submit comments to HHS electronically by following the “Submit a comment” instructions on the regulations.gov website, or by sending regular mail to:
- Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-0040-P
P.O. Box 8013
Baltimore, MD 21244-8013
All HIPAA-covered entities must transition to ICD-10 in order to assure that there is a smooth transition between provider organizations and trading partners, which will help to avoid rejected claims and provider payment delays. In delaying the compliance date for ICD-10 by one year, as proposed by HHS, providers and other covered entities will have more time to prepare and fully test their systems to ensure a smooth and coordinated transition among all industry segments.
Friend requests for the MDSCentral forum
If you are having trouble viewing recent posts in the Activity section of the forum, it may be because you are not “forum friends” with the individuals who are posting comments.
To send friend requests so that you can view all forum activity, click on the Directory link once you are logged into the forum. This should provide you with a list of MDSCentral users. Click on “request friend” under each user name. At that time, a friend request will be sent to the individual. Once a friend request is recognized, forum posts will be viewable to all individuals who are friends with the poster.
Industry Has Responsibility for Helping with End of Life Planning
Editor’s note: This article was written by guest blogger Anthony Cirillo, FACHE, ABC, a healthcare marketing and experience management expert and expert guide in assisted living for about.com. He is also the National Health Care Channel Partner for CEO2. For more information about the author, please see our About page.
If California is reflective of the nation then the results of the 2011 Californians’ Attitudes and Experiences with Death and Dying survey are worth sharing. Compiled by the California Healthcare Foundation, here are some of the highlights (based on level of importance), which relate to people’s experiences concerning the death of a loved one, as well as their own preferences for end-of-life care:
- Making sure my family is not burdened financially by my care: 67%
- Being comfortable and without pain: 66%
- Being at peace spiritually: 61%
- Making sure my family is not burdened by tough decisions about my care: 60%
- Have loved ones around me: 60%
- Being able to pay for the care I need: 58%
- Making sure my wishes for medical care are followed: 57%
- Not feeling alone: 55%
- Having doctors and nurses respect my cultural beliefs and values: 44%
- Living as long as possible: 36%
- Being at home: 33%
- A close relationship with my doctor: 32%
Other key items worth noting include:
- Twenty-eight percent of Medicare spending occurs in the final year of life; 12% occurs during the final two months
- Thirty-eight states have obesity rates over 25%; 42 states have diabetes rates over 7%; one-in-five adults smoke cigarettes, which adds $100 billion in healthcare costs
Eighty-two percent of Californians thought it was somewhat or very important to put their wishes in writing but just 23% had done so. And 92% have never spoken to their physician about this issue.
I found it interesting that just 33% preferred dying at home. Probably based on my own personal beliefs, I thought it would be much higher. But what that means is that patients could very well be in your care, and often are, when the final moments of their life are upon them. As an industry that puts patients and residents first, it just makes sense to take responsibility in assuring that your residents die with dignity.
Last month, citing palliative care, I initiated this discussion as a kind of starter conversation into death and dying. While I alluded to available tools (Engage With Grace: The One Slide Project and Five Wishes), I don’t think I was emphatic enough in stating my belief that the industry must take a role. This California study took me to that level.
CMS releases updated RAI User’s Manual errata documents
CMS recently released two supplementary errata documents for the MDS 3.0 RAI User’s Manual, Version 1.08:
- MDS 3.0 RAI Manual (v1.08) Errata v3
- MDS 3.0 RAI Manual (v1.08) Errata v4
Neither errata document is meant to replace the other. Taken together, the two documents contain replacement pages for the RAI User’s Manual. Pages from “Errata v3” are marked with the footer “April 2012 (R2)”. Pages from “Errata v4” are marked with the footer “April 2012 (R3)”. The majority of the changes cited in each document are either corrections to typographical errors or the addition of coding clarifications.
If you purchased the revised RAI User’s Manual from HCPro (MDS 3.0 RAI User’s Manual, Version 3.5), these two errata documents can be found on the book’s Downloadable Content website, where the revised pages can be printed and added to your binder. The address for that website is provided on p. vii in your binder.
HCPro’s latest published edition contains pages from the original Errata v3; however, as the document has since been revised, you should replace the “April 2012 (R2)” pages found in your binder with those issued in the Errata v3 document located on the Downloadable Content website.
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The official study guide for NADONA certification
Make confident and correct decisions with the only Director of Nursing (DON) guide endorsed by the National Association of Directors of Nursing Administration in Long-Term Care (NADONA). Whether your goal is certification, recertification, or on-the-job training, The Long-Term Care Director of Nursing Field Guide, Second Edition, is a must-have resource to improve quality of care, cut costs, and sharpen your leadership and management skills. New and veteran DONs will benefit from this updated edition, which includes guidance on quality indicator surveys (QIS), MDS 3.0, new audit threats, and more.
Learn more... -
Billing Alert for Long-Term Care
When it comes to long-term care billing, the changes just never seem to stop. That’s why you need Billing Alert for Long-Term Care (BALTC).
Learn more... -
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