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Expect the Unexpected: This week’s Top Newsmakers in Quality and Regulatory Affairs

?MHCA agrees with Maine State BON regarding 10-144 CMR Ch. 128 CNA and DCW Registry Rule
MHCA made public comment this week on new rulemaking 10-144 CMR Ch.128 regarding the CNA and DCW Registry. According to the Board of Nursing, it is in the final process of a rule change to CHAPTER 5  REGULATIONS RELATING TO TRAINING PROGRAMS AND DELEGATION BY REGISTERED PROFESSIONAL NURSES OF SELECTED NURSING TASKS TO CERTIFIED NURSING ASSISTANTS. The revision has been approved by the BON and has been turned over to the Attorney General's office. Once approved it will be filed as a rule change. This chapter 5 rule change will affect portions of the repeal and replacement of 10-144 CMR Ch. 128 Certified Nursing Assistant and Direct Care Worker Registry Rule, specifically the definition of Non-traditional CNA, which identifies those trained and evaluated outside the state of Maine or that have not worked as a CNA within the last 24 months. In addition, the chapter 5 revision from the BON will eliminate the bridge exam for those reciprocal workers. MHCA commented in support of this repeal and replacement to reflect the changes approved by the BON in chapter 5.
 
SAVE THE DATE: April 8, 2019 Joint Maine Hospital and Nursing Home Collaborative Session
 
On April 8th, 2019 from 9am-3pm, MHCA in partnership with Maine Hospital Association, Maine Rural Health & Primary Care Program and Healthcentric Advisors, the CMS contracted QIO provider in New England, is sponsoring a day-long working session to discuss opportunities to improve communication and collaboration as it applies to our residents' transitions of care. As you know, nursing home reimbursement is affected by the SNVBP modifier. IN FACT, 66 of our Maine homes received a REDUCTION in their reimbursement rates for the FY2019 due to 30 day all cause readmissions. This event is an effort to bring both care providers to the same table to discuss how we can work together on an issue that affects us financially as providers. This is a free event open to all nursing home staff which will be held at the Bangor Savings Bank at 5 Senator Way in Augusta. There will be registration information out soon with details regarding the topic sessions, presenters and agenda. Take advantage of this free opportunity to partner with your hospital teams.
 
Your Top-Line Publication is Ready for Review in Trend Tracker
 
The newest Your Top-Line publication was released on Thursday, January 3rd, including 2018 4th quarter Nursing Home Compare data specific to your individual center! Don't miss out on getting access to the following new data elements in this publication, which include:
· Quality Awards eligibility information;
· New Survey Score & Rank Prediction; and
· Assessment of your current status of your Quality Initiative progress.
 
PDPM Coming Soon: Will you be ready?
 
MHCA knows that our Maine nursing facilities provide the right care the resident needs at the appropriate time, but sometimes may struggle with communicating and recording the care on the MDS in order to trigger a higher case-mix level and corresponding reimbursement. PDPM must be implemented by October 1, 2019. This resource will help you prepare! According to HCPro, here are a few tips to ensure more accurate documentation:
 
DO:
· Document concisely and factually, using precise language
· Start each entry with the date and time
· Document only issues/information related to patient care
 
DON'T:
· Offer your opinions; instead, discuss observations (i.e., replace “resident slept poorly” with “resident was up walking in hall six times between 3 a.m. and 5 a.m.”)
· Repeat information that is stated elsewhere in the health record, such as on a flow sheet
· Discuss staff or departmental relationships in the document
 
Staff Contact: Danielle Watford
Director of Quality Improvement & Regulatory Affairs
dwatford@mehca.org