Boyer and Associates Executive Development Center

-Seminar Schedule for November 2009-

2009-11-06T08:29:00.000-08:00

Sign up online at http://boyerandassociates.webex.com to view a webinar. If you sign up online please note that you will need a credit card.
If you would like to be invoiced for the class please call (262) 754-0525 and we will send out an invoice and get you set up for the class.
Webinars are also available on CD.

Wound Care Prevention: Basic for All Clinical Staff

November 5, 1-2pm
$99.00 online, $99.00 in-house training

Have you wanted to learn more about the wound care differentiation and wound care staging process. Look no further! This special one hour webinar is going to focus on the basics of wound care and pressure ulcers. We will also focus on proactive, and preventative measures.

Recommended Audience: Clinical staff that would like more information on wound care and pressure ulcer basics.
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Customer Service for All Staff

November 18, 1-3pm (CST)
$199.00 online, $99.00 for in-house training

In today’s nursing home environment, customer complaints can lead to multiple issues including significant citations, legal liability, and numerous other internal interpersonal relationship failures. The successful facility adopts customer service as an integral part of their day to day relationship with residents and families. This workshop is designed to help the participant with practical applications for dealing with complaints and creating a customer friendly culture.

Understanding the origins of complaints
Finding the best approach in dealing with complaints
Understanding the importance of teamwork in resolving issues
How to make good customer service a part of every day

Recommended Audience: Director’s of Social Services and staff, Admissions Coordinators, Marketing & Activity Directors
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Customer Satisfaction-
The Role of the Manager

November 19, All Day Training
$149.00 for in-house training

In today’s regulatory environment, it is critical that all staff practice good customer service as a part of their daily interaction with residents and families. This workshop is designed to promote correct responses to complaints through role playing
and group interaction at the manager level. Once the manager is comfortable as a role model, these techniques need to be passed along to all staff. This will support a culture change at all levels.

Identify why customers become dissatisfied
Learn how to appropriately handle concerns and complaints
Develop customer service standards for each department
Facilitate a team approach to delivering good customer service
Learn to use practical applications to assist in solving issues

Recommended Audience: All Management Staff (only 30 seats available)
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Trends in Skilled Nursing & Assisted Living Litigation's

1 NAB Credit
November 24, 1-3pm (CST)
$199 online, $99.00 in-house training

Come learn about all the newest trends in Skilled & Assisted living litigation's from Marilyn Carol, JD, MS, RN. Marilyn Carroll is a shareholder with Schott, Bublitz & Engel, s.c. She concentrates on her practice in health care law, focusing on healthcare litigation and regulator matters.
Ms. Carroll has substantial experience representing health care providers in legal actions.

Recommended Audience: Administration & Nurses

Medicare Skilled Documentation, 2 NAB Credits

2009-10-16T06:12:00.000-07:00

Tuesday, October 20, 2009
1-3pm (CST)
$199, call to receive a first time customer coupon

Summary:

Medical Review has significantly increased in recent months. One of the main issues driving denials is the lack of consistency in documentation between therapy and nursing. This presentation will review the five major areas of “skilling” criteria with a goal of improving daily skilled nursing documentation. This workshop is critical and timely in making sure that your staff is supporting the resident’s skilled stay in the facility. Attendees will be able to apply the nursing/facility process to quality improvement and improve skilled documentation. Now, the next step is the addition of the RAC (Recovery Audit Contractors) to assess the additional scrutiny to the reimbursement practices of the facility.

Objective:
-Participants will be able to define “Skilled Care”, “Skilled services” and who is Responsible

-Participants will review the “Hot spots of Medicare Denials”

-Participants will participate in methods to improve Medicare charting

Recommended Audience: Administration & Nurses

DON/Nurse Manager Series: Documentation

2009-10-16T06:08:00.001-07:00

Thursday, October 15, 2009
9-3:30pm
$149.00, coupon for new customers

Summary:
The medical record of a resident is a reflection of the care provided. As a member of the healthcare team, the DON wants the medical record to be a true representation of the quality of services the resident received. In order to accurately portray these services, your staff’s charting skills need to be continually fine-tuned. This session will provide the DON/Nurse Manager with tips and guidelines of charting. Documentation principles to support skilled nursing for Medicare PPS are discussed and risk factors for medical review. “Take aways” from this session include a variety of documentation resources including a streamlined interdisciplinary teaching record.

Objectives:
• Participants will be able to define “Skilled Care”, “Skilled services” and who is Responsible

 Participants will review the “Hot spots of Medicare Denials”

 Participants will participate in methods to improve Medicare charting

Recommended Audience: Administration & Nurses

-Plan of Correction-

2009-10-08T09:23:00.000-07:00

Tuesday, October13th from 1-2:30
2 NAB Credits

$149.00 online at http://boyerandassociates.webex.com
$99.00 for in-house training

The medical record of a resident is a reflection of the care provided. As a member of the health care team, the DON wants the medical record to be a true representation of the quality of services the resident received. In order to accurately portray these services, your staff’s charting skills need to be continually fine-tuned. This session will provide the DON/Nurse Manager with tips and guidelines of charting. Documentation principles to support skilled nursing for Medicare PPS are discussed and risk factors for medical review. “Take aways” from this session include a variety of documentation resources including a streamlined interdisciplinary teaching record.

Objectives:
Each participant will be able to:
Identify the rules of documentation.
Outline key characteristics of skilled documentation
Understand the implementation process with documentation with clinical staff

Presenter Information:
Joy Jordan, RN, MSN, SMQT Certified, Clinical and Educational Consultant of Boyer and Associates, LLC, has more than 30 years of professional health industry experience. Her areas of expertise include long-term care and subacute operations, state and federal compliance programs, educational programs and performance improvement process development.

Prior to joining Boyer and Associates, Joy was a Federal Surveyor for Aschellon Corporation (contract position to Center for Medicare and Medicaid Services, CMS). Her responsibilities there included comparative federal regulatory compliance surveys in long term care facilities. Joy also worked for an Upper Wisconsin Technical college as a Nursing Program Instructor were she taught both first and second year students in the classroom content and clinical settings. Joy has also been a corporate consultant for a national nursing home company, where her duties included regulatory compliance, training of nurse managers and implementing quality improvement systems.

Seminar Schedule for October 2009

2009-09-29T10:40:00.000-07:00

To sign up for a webinar on-line go to http://boyerandassociates.webex.com and click on the upcoming tab and then on the class that you would like to be part of to register. If you would like to be invoiced, please call 262.754.0525 and we will set that up for your facility.

Writing a Detailed Plan of Correction
2 NAB Credits
October 13, 1-2:30pm (CST)
$149.00 online, $99.00 in-house training

In today’s regulatory environment, it is sometimes difficult for providers to understand why the surveyor is citing a violation and how to respond to that concern. This webinar will focus on the required components of a plan of correction when a facility is identified to have regulatory deficiencies from a standard, complaint or federal survey. The session will give examples of plans for the frequently identified deficiencies. In addition, we will discuss how to utilize your facility Quality Assurance process to assist you will correction and ongoing monitoring techniques. The QA monitoring process will be explored and examples of monitoring tools will be highlighted.

Recommended Audience: Administration & Nurses
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DON/NURSE MANAGER SERIES: DOCUMENTATION
October 15, 9-3:30pm
$149 for all day training at the Boyer Executive Development Center

The medical record of a resident is a reflection of the care provided. As a member of the health care team, the DON wants the medical record to be a true representation of the quality of services the resident received. In order to accurately portray these services, your staff’s charting skills need to be continually fine-tuned. This session will provide the DON/Nurse Manager with tips and guidelines of charting. Documentation principles to support skilled nursing for Medicare PPS are discussed and risk factors for medical review. “Take aways” from this session include a variety of documentation resources including a streamlined interdisciplinary teaching record.
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Medicare Skilled Documentation
2 NAB Credits
October 20, 1-3pm (CST)
$199.00 online, $99.00 for in-house training

Medical Review has significantly increased in recent months. One of the main issues driving denials is the lack of consistency in documentation between therapy and nursing. This presentation will review the five major areas of “skilling” criteria with a goal of improving daily skilled nursing documentation. This workshop is critical and timely in making sure that your staff is supporting the resident’s skilled stay in the facility. Attendees will be able to apply the nursing/facility process to quality improvement and improve skilled documentation. Now, the next step is the addition of the RAC (Recovery Audit Contractors) to assess the additional scrutiny to the reimbursement practices of the facility.

Recommended Audience: Administration & Nurses
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Understanding Your Five Star Rating
2 NAB Credits
October 26, 1-3pm (CST)
$199 online, $99.00 in-house training

The Centers for Medicare & Medicaid Services (CMS) implemented the new Five-Star Quality Rating System on December 18, 2008. The process has caused confusion and anxiety for many facilities. It is difficult to understand the process by which CMS is calculating the number of Stars. In addition, the staffing calculation is now based on the acuity level of residents. This workshop will give you an overview of the program, provide specific examples of survey and staffing calculations and show you strategies you can put into place in your facility to improve your rating. This is a must see workshop for all of your management staff.

Recommended Audience: Administration & Nurses
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Regulatory Compliance
October 28, 1-3pm (CST)
$199.00 online, $99.00 for in-house training

In 2009, many providers have seen a great increase in the number and scope/severity of survey citations. In fact, Immediate Jeopardy citations have escalated. In addition, new interpretive guidelines have caused facilities to reevaluate their internal systems to ensure compliance and readiness for survey. This workshop will discuss what a facility needs to do to make sure they are “survey ready” whenever the survey team enters the facility. It will cover the “high risk” regulatory issues and how surveys interpret your facility practice. It will teach you how to become survey “experts” to better prepare you to meet the surveyors questions.

Recommended Audience: Administration & Nurses
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September Seminars 2009

2009-08-31T07:18:00.000-07:00

To sign up for a class online go to http://boyerandassociates.webex.com and click on the upcoming tab for a list of September seminars. If you would like to be invoiced for a class instead of paying with a credit card, call (262) 754-0525.
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F441-The Revised Guidelines & What You Need to Know
September 2, 1-3pm (CST) webinar & live

Course Objectives:
*Review of the revised Guidelines for F441 Infection Control
*Identify the components of an Infection Control Program: policies & procedures, reporting, surveillance, prevention, control of transmission, recognition and containment of outbreaks
*Review most common facility acquired illnesses; symptoms and transmission procedures
*Identify the proper isolation procedures for the top infectious diseases
*Explain the vaccination procedures and the facility's responsibilities

If you missed the class you can still view the recorded version.

RECOMMENDED AUDIENCE: Administrators & All Nurses
REGISTER NOW:
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Are You Ready? Litigation in Long Term Care
September 8, 1-3pm (CST) live and online

Before you can implement systems to prevent litigation, you must first have a clear understanding of why people sue. The answer may not be as simple as it seems. In the event of a lawsuit, how can you best defend yourself? How should the staff be documenting in the medical record? What strategies does the plaintiff attorney use to win the case? What happens if you are subpoenaed for a deposition? These are all questions that will will address in the seminar.

RECOMMENDED AUDIENCE: Any one involved in the care of a resident
REGISTER NOW
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DON/Nurse Manger Series: MDS Management
September 10, 9-3 In-house training only

Even though the MDS has been used for more than a decade, it poses unique challenges for the clinical departments of long term care facilities particularly the nursing department. Does the staff incorporate effective RAI systems and processes into daily practice? Is the staff knowledgeable and adhering to the State of Wisconsin and CMS regulatory requirements related to reimbursement and compliance? This session provides an overview for the Director of Nursing related to the practice supervision of MDS communication systems. The areas that will be addressed include: Standards+ RAI components for Medicare, Medicaid, CMI, assessment, RAPs, care plan, use of therapy, Medicare B, Restorative, ADL, ARD management and so many more key components from the MDS Manual. The most weighted aspect of success is that of communication. This presentation focuses also on the technological communication systems within the MDS system that are significantly under utilized. These technological systems provide beneficial additional support and time saving processes for a facility. Most providers have “avoidable” errors within their technology system that can add to their vulnerability and exposure that they may not be aware of. The systems reviewed in this presentation include: QI/QM, NH Compare, 5 Star Rating, MDS Submission reports, UB-04, Care Tracker and Point Right.(FREE MDS SUPPORT GROUP MEETS AGAIN OCTOBER 13th FROM 3-5:30PM)

Recommended Audience: DON & Nurse Managers
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Administrator Breakfast: CULTURE CHANGE - September 22, 7-9:30am
Facilitator-Gene Jordan
2 NAB Credits
Fee: $25, call (262) 754-0525 to be invoiced

Culture Change in Long Term Care – What is it, really? Can you measure it? Who has time for it? Some talking points and examples will be shared. Bring your examples, share your experiences.

Come with your examples of physical design changes and organizational design changes and your opinion on which is more important or should come first. My small, rural SNF gained a lot from ten years in our Wellspring Alliance and developed a whole campus of services, but we still recognize some things holding us back. We’d welcome your critique of our next planned organizational shift. Give us your opinion. Will it make a difference?

Presenter: Gene Jordan, Administrator of Northern Lights Services, Washburn, WI
Price: $25.00 (includes a light breakfast)
Bring your Assistant Administrators at no additional cost!
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Making Meals Memorable
September 29, 1-3pm (CST) Live an online

Meal time is the most important time of day for residents. It is imperative that meals be memorable to ensure customer satisfaction. This includes food quality and presentation. It also includes the physical environment as this sets the stage for the atmosphere of meal time. Most importantly, it includes the service provided by the staff.

This session will discuss ideas and methods to improve meal service as perceived by the customer without negatively impacting the food and labor budgets.

After the session, the participants will be able to:

Describe two ways to improve the food quality and/or plate presentation in
their facility

Describe three ways to improve the physical appearance

Describe three ways staff can improve the service to the residents

RECOMMENDED AUDIENCE: Dietary Team, Activity Director, Social Worker and Director of Nursing

REGISTER NOW

Successful Strategies for Managing Case Mix (including Part B & Respiratory)

2009-08-11T11:21:00.000-07:00

August 13, 2009
1:00PM – 3:00PM Central Time
Instructor: Patricia J. Boyer, MSM, RN, NHA
Course Summary:
Even after a few years of Medicaid Case Mix, we are still learning that accurate completion of this crucial tool is essential to a facility’s financial survival. This session will provide a targeted overview of the RUGs III 34 Group or 44 Grouper Classification System with Medicaid implications. In addition, critical areas including Part B therapy utilization, ADL/mood coding and timing of the assessments will be covered in this session.

Course Objectives:

At the completion of this session participants should be able to:

• Predict uses of the MDS data by the DOJ, OIG, FBI and MFU.
• Identify MDS items used to calculate RUGs III groups and how this affects Medicare and Medicaid reimbursement.
• Relate two ways to ensure appropriate reimbursement by improving accuracy of MDS coding.
• Select residents that would benefit from specialized therapy intervention through Medicare Part B.
• Indicate the RAI requirement for a restorative nursing program.
• Describe the link between case-mix classification and Medicaid payment.
• Explain potential documentation requirements for the reimbursement systems.

To register call (262) 754-0525 or go online to http://boyerandassociates.webex.com.

Price: Webinar - $140, In-house Training - $80.00

AUGUST - SUMMER BLOW OUT SALE

2009-08-05T08:47:00.000-07:00

Monday, August 10th, 10-12 Clinical Documentation: Doting Your I's & Crossing Your T's

Presentor: Patricia J. Boyer, MSM, RN, NHA and President

Price: Regularly $199 now and for this month only $140
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Tuesday, August 11th, 1-3 MDS Communnication

Presentor: Gail Robison, RN, RAC-CT, Clinical Operations Consultant

Price: Regularly $199 this month only $140

PLEASE NOTE THAT WE HOST A MDS COORDINATOR MEETING FROM 3:30-5pm ON THIS SAME DAY RIGHT AFTER THE PRESENTATION.
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Wednesday, August 12, 10-12 & 2-4 Hot Spots for CNAs: Documenting the Needs of Residents

Presentor:Patricia J. Boyer, MSM, RN, NHA and President

Price: Regularly $199 this month only $140

PLEASE NOTE THAT ALL ADL CARDS ARE 50% OFF THIS MONTH ONLY!!!
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Thursday, August 13, 1-3 Successful Strategies for Managing Case Mix (including Part B & Respiratory)

Presentor: Patricia J. Boyer, MSM, RN, NHA and President

Price: Regularly $199 for this month only $140
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Course Offerings for August

2009-07-30T09:03:00.000-07:00

If you are paying by Visa or Mastercard please register at http://boyerandassociates.webex.com to view and participate in our web casts for this month or call (262) 754-0525 to register for in-house training.

Clinical Documentation: Doting Your I's & Crossing Your T's
August 10, 10-12pm (CST) web & live

The medical record of a resident is a reflection of the care provided. As a member of the health care team, you want the medical record to be a true representation of the quality of services the resident received. In order to accurately portray these services, your charting skills need to be continually fine tuned.

Recommended Audience: All Nurses & IDT!!!

Price: In-House $99.00 or $199.00 for a webcast at http://boyerandassociates.webex.com
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Hot Spots for CNA's: Documenting the Needs of Residents
August 12 from 10-12 and 2-4pm (CST) web & live
View this presentation twice for one flat price of $99.00 in-house or $199.00 for a web cast at http://boyerandassociates.webex.com

Look back documentation is critical to a facility's financial success, if your CNAs are not documenting correctly that could mean your facility is loosing money. This workshop will teach CNAs how to accurately document ADLs, Restorative Nursing and Sad Mood indicators. We are offering this class to your AM and PM shifts all for the price of one class.

Recommended Audience: CNAs
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MDS Communication
August 11, 1-3pm (CST) web & live

The systems reviewed in this presentation include: QI/QM, NH Compare, 5 Star Rating, MDS Submission reports, UB-04, Care Tracker & Point Right. How comfortable are you with these systems, brush up with this web cast!

RIGHT AFTER THE SEMINAR THERE IS A FREE MDS COORDINATOR GROUP AT OUR LOCATION FROM 3:30-5PM

Price: In-house $99.00, online for $199.00 at http://boyerandassociates.webex.com
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Successful Strategies for Managing Case Mix (including part b & respiratory therapy)
August 13, 1-3pm (CST) web & live

Medicaid Case Mix systems continue to challenge providers. Is this the situation you are facing? This workshop will focus on key strategies for success with special emphasis on capturing Part B services and Respiratory Therapy.

Recommended Audience: Entire IDT!!!

Price: $99.00 for in-house, $199.00 for web casts at http://boyerandassociates.webex.com
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Behavior Management
August 18, 1-3pm (CST) web & live

This presentation will focus on the Standards of Practice related to F329: use of psychotropic medications and the process of monitoring behaviors. Is your facility in compliance with the provision of medications appropriate assessment, tracking of medication/behaviors and behavior management?

Recommended Audience: DON, Unit Manager, Administrator, Social Worker, MDS Coordinator, and ADON

Price: $99.00 in-house, $199.00 for web cast viewing at http://boyerandassociates.webex.com
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DON/Nurse Manager Series: Regulatory Compliance
August 20, 1-3pm (CST) web & live

This workshop focuses on how to identify your high-risk residents in relation to high risk regulatory compliance issues. Learn how to use investigative protocols the same way a surveyor would use to identify deficiencies in resident care. Also learn how to use your roster to guide your regulatory compliance process.

Price: $149.00 includes a light breakfast and a full lunch
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Care Planning
August 25, 1-3pm (CST) web & live

How to do care planning from the beginning of admission to discharge of the resident, how to get your whole team involved in care planning, and how to keep the care plan current and a usable document.

Recommended Audience: The Whole interdisciplinary Team!!!!

Price: In-house $99.00, online http://www.boyerandassociates.webex.com $199.00
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Infection Control-New CMS Guidelines for F441 September 2! Mark Your Calendars!!

Clinical Documentation: Doting Your I's & Crossing Your T's

2009-07-30T08:39:00.000-07:00

August 10, 10-12 (CST) web & live

The medical record of a resident is a reflection of the care provided. As a member of the health care team, you want the medical record to be a true representation fo the quality of services the resident received.; In order to accurately portray these services, your charting skills need to be continually fine tuned.

Recommended Audience: All Nurses & IDT!

June 9th Case Mix Series:Restorative Nursing - How good is the quality of your program? 10-11:30am (CST) (web & live)

2009-06-04T14:07:00.000-07:00

Course Summary:

Since the inception of PPS, many facilities have not been successful in operationalizing an interdisciplinary restorative nursing program. They view implementation of a restorative nursing program as cumbersome at best. This workshop provides an overview of an RAI compliant program and explains how restorative nursing fits into the continuum of care. It will assist the facility in learning how to implement an effective restorative nursing program.

Three Course Objectives:

At the completion of this session participants should be able to:

Define the requirements of an RAI compliant restorative nursing program.
Explain the integration of restorative nursing along the continuum of care.
Identify two options for restorative nursing documentation.

Presenter:
Evonne A. Fillinger, RN, BSN, WCC, RAC-CT and Clinical Operations Consultant at Boyer & Associates, LLC has more than 23 years of professional health industry experience. Her areas of expertise include long term care operations, legal consulting and wound care management. Among the health care positions she held include Director of Nursing Services, Nurse Manager, Legal Nurse Consultant, CBRF Consultant, and Manager of Clinical Services. Her primary professional goal is assisting facilities process to improve resident quality of life at the highest level of care. She has been instrumental in developing person centered clinical processes that have been integrated into facility culture change. Evonne’s direct responsibilities are implementing systems to improve reimbursement, measuring facility performance in evaluation processes including mock survey, implementing culture change, developing wound care systems, auditing and diligently focusing facilities to excel in a standard of practice that maintained continuous compliance. She has also trained and tested nursing assistants and provided educational workshops in multiple states.

webcast at http://boyerandassociates.webex.com

June 4th from 1-3pm (CST) F309 Pain Management Webcast & Live Training Seminar

2009-06-03T10:11:00.000-07:00

Course Summary:

Nationally accepted Standards of Clinical Practice include the new guidelines for F309 that was published in Advance with an implementation date of March 1, 2009. We will discuss the changes to F309 including pain management and the new Quality of Care investigative protocol with the use of foundational tools in assessing resident care. We will assist your facility with tools to help you “keep your arms” around your nursing practice as it relates to this critical practice. In addition, we will review additional components of F309 related to hospice, dialysis and non-pressure sore areas.

Three Course Objectives:

At the completion of this session, each participant should be able to:

Describe in detail the pain management component of F309
Determine what procedures need to be revised to meet the new guidance
Identify how new Quality of Care investigative protocol will be used

Presenter:
Patricia Boyer, RN, NHA, MSM, President/Operational Consultant

Well known throughout the United States and frequent speaker
on long-term care issues at local and state
associations including:

Performance Management
Restorative Nursing
MDS/PPS
State Case Mix systems
Medical Review

McKnight’s Long-Term Care News – Monthly “Ask the Payment Expert” Column Author

Courses for May 2009

2009-05-08T12:48:00.000-07:00

To apply for the webinars (if paying by Visa or Mastercard) please go to our Webex page at http://boyerandassociates.webex.com/ and fill out the registration form.

Questions? Please contact: Chris Kussman at ckussman@boyerandassociates.com or at 262-754-0525

May 12th: Investigations: How to maintain regulatory compliance
Webcast: 1:00pm – 3:00pm
$149.00
Presenter: Joy Jordan, MSN, RN, SMQT certified

During this session an emphasis will be placed on clinical application with each of the protocol. The session will included when to use, how to use and the clinical documentation to support the investigative process. Finally, the session will conclude a review of the investigative process in relation to abuse which will include all of the step necessary to maintain regulatory compliance.

May 19th: Administrators Breakfast Meeting (Dialysis)
Live at the training center 7:30am – 9:00am
$50.00 (includes 1 NAB credit)
Presenter: Joy Jordan, MSN, RN, SMQT certified
Barry Duncan, RN (Purity Dialysis)

This presentation will outline the regulatory requirements from CMS regarding residents in long term care facilities with dialysis. In conjunction with the regulatory requirements, application of resident care will be presented. Documentation suggestions will be provided and the communication process between the providers will be discussed. Finally the role of administration in maintaining a standard of care will be discussed.

May 20th: Behind the Scenes of the Five Star Quality Rating Program
Webcast: 1:00pm – 3:00pm
$199.00 (includes 2 NAB credits)
Presenter: Pat Boyer, MSM, RN, NHA

The Centers for Medicare and Medicaid Services (CMS) implemented the new Five-Star Quality Rating System on December 18, 2008. The process has caused confusion and anxiety for many facilities. It is difficult to understand the process by which CMS is calculating the number of stars. In addition, the staffing calculation is now based on the acuity level of residents. This workshop will give you an overview of the program, provide specific examples of survey and staffing calculations and show you strategies you can put into place in your facility to improve your rating. This is a must see workshop for all your management staff.

May 21st: Director of Nursing Training Series (Part 4): Resident Care
Live at the Training Center – 9:00am – 3:30pm
$149.00
Presenter: Joy Jordan, MSN, RN, SMQT certified

(Stay tuned for updates)

May 27th: Skilled Documentation: Are you RAC Ready?
Live and Webcast: 1:00pm – 3:00pm
$99.00 live and $149.00 Webcast (2 NAB credits included)
Presenter: Gail Robison, RN, RAC-CT

A national movement of Medicare Review including the SNF PPS Review specifically targeted prepayment and post payment review through the ADR (additional development requests) is affecting the long term care providers. This presentation will review the definition of skilled care and examine the 5 major areas of skilled service definitions with the goal to improve the Daily skilled nursing documentation. This new challenge is of critical importance and time sensitive to making clear the skilled elements of care provided by theclinical operational team in long term care facilities. Attendees will be able to apply the nursing facility proves to quality improvement of the facility skilled documentation. Now, the next step is the addition of the RAC (Recovery Audit Contractors) to assess additional scrutiny to the reimbursement practices of the facility.

April 2009course offerings

2009-04-08T06:24:00.000-07:00

To apply for the webinars (if paying by Visa or Mastercard) please go to our Webex page at http://boyerandassociates.webex.com/ and fill out the registration form.

To pay by check or money order fill out the registration form located to the left of this page

Questions? Please contact: Chris Kussman at ckussman@boyerandassociates.com or at 262-754-0525

April 7^th: F371 for the Dietitian and Staff

Webcast: 10:00am -12:00pm (noon)

$149.00

Presenter: Susan Farrell, MBA, RD, CD

It is important to understand the rationale behind F371. This session reviews the basic concepts of food safety, especially contamination and cross-contamination. F371 is reviewed and other aspects that may be challenging to meet are discussed. Practical approaches to following F371 in the kitchen, serving areas, dining rooms and resident rooms are discussed.

April 14^th: Case Mix

Webcast: 10:00am – 11:30am

$149.00

Presenter: Pat Boyer, MSM, RN, NHA

Even after a few years of Medicaid Case Mix, we are still learning that accurate completion of this crucial clinical tool is essential to a facility’s financial survival. This session will provide a targeted overview of the RUGs III Group Classification System with Medicaid implications. In addition, critical areas including Part B therapy utilization, ADL/mood coding and timing of the assessments will be covered in this session.

April 21^st: Administrator Breakfast Meeting (Hospice)

Live at the Training Center 7:30am – 9:00am

$50.00 (includes 1 NAB credit)

Presenter: Odyssey Hospice

In December 2008, new Conditions of Participation were published for Hospice providers. These new guidelines discussed the need for a collaborative relationship between Hospice and SNF caring for Hospice residents. In addition, new guidelines for F309 which went into effect March 31, 2009 provide clarification in this relationship. This impacts how you obtain orders, pain management strategies and how you create a collaborative care plan for the resident. This workshop will examine these changes and help the Nursing Home Administrator understand what needs to change in their processes to meet the new Hospice guidelines and the clarification of F309.

April 21^st: MDS Coordinator’s Support Group Meeting

Live at the Training Center 3:00pm – 4:30pm

Free

Hosted by: Boyer & Associates, LLC

Group Leaders: Pam Hajewski (Congregational Home) & Wendy Nevels (Lutheran Home)

MDS Coordinators this is your group. Come meet other MDS coordinators and share ideas. A Boyer & Associate representative will be on hand to answer questions.

April 22th: ABN

Live and Webcast: 2:00pm – 3:00pm

$89 Training Center $129 Webcast

Presenter: Pat Boyer, MSM, RN, NHA

To Use or Not To Use the ABN….and which one should I use?

Questions continue to arise in what Advanced Beneficiary Notice should I give to residents. New regulations have also impacted the confusion with a new ABN for Part B services. This workshop will demonstrate the ABN process for both Part A and Part B Skilled Nursing Facilities. We will also discuss whether the Quality Improvement Organization Expedited Review process takes the place of the ABN.

April 28^th: F329 Labs/Unnecessary Drugs

Live and Webcast: 1:00pm – 3:00pm

$89 Training Center $199 Webcast

Presenter: Joy Jordan, MSN, RN, SMQT certified

Course outline and description in progress

April 30^th: DON training Series (Part 3: Staffing/Employee Management)

Live at the Training Center: 9:00am – 3:30pm

$149

Presenter: Pat Boyer, MSM, RN, NHA

Course Offerings for March 2009

2009-03-05T10:48:00.000-08:00

To apply for the webinars (if paying by Visa or Mastercard) please go to our Webex page at http://boyerandassociates.webex.com/ and fill out the registration form.
To pay by check or money order fill out the registration form located to the left of this page
Questions? Please contact: Chris Kussman at ckussman@boyerandassociates.com or at 262-754-0525

March 5th: Solving the Dilemma of working the RAPs
Webcast and Training Center: 10:00am – 11:30am
$89 Training Center $199 Webcast
Presenter: Pat Boyer, RN, NHA, MSM

Although the MDS process has been in place for years, nurses still have difficulty with the concept of “working” the RAPs. This workshop will explain how the RAPs fit into the RAI process, how the RAPs are needed to develop the plan of care that should “drive” patient care. The importance of this critical component of the process will be explained. Participants will take away examples of RAPs that are properly written to meet regulatory compliance and that are useful in their facility.

March 10th: F-309 Pain Management & More
Webcast and Training Center 10:00am -12:00 (noon)
$89 Training Center $199 webcast
Presenter: Pay Boyer, RN, NHA, MSM

The foundation of nursing practice standards centers on a complex body of knowledge with impact from endless sources of change. Nationally accepted Standards of Clinical Practice include the new guidelines for F309 that was published in Advance copy with an implementation date of March 1, 2009. We will discuss the changes to F309 including pain management and the new Quality of Care investigative protocol with the use of foundational tools in assessing resident care. We will assist your facility with tools to help you “keep your arms” around your nursing practice as it relates to this critical practice. In addition, we will review additional components of F309 related to hospice, dialysis and non-pressure sore areas.

March 12th: MDS for Activities
Training Center 9:00am – 12:00(noon)
$99 Training Center
Presenter: Gail Robison, RN, RAC-CT

Even though the MDS 2.0 has been used for more than a decade, it poses unique challenges for the activity professionals of long term care facilities. Does the staff incorporate effective RAI systems and processes into daily practice? Is the activity staff knowledgeable and adhering to the CMS regulatory requirements? This session provides an overview of the Standards of Practice examining F248 and F249 with interpretive guidelines as well as explanation of key components from the MDS manual including the RAI components: assessments, RAP and care planning.

March 17th: Administrators/CEO Breakfast Meeting
Trends in Assisted Living Litigation
Training Center 7:30am – 9:00am
No charge but must register by March 16th
Presenter: Marilyn Carroll (Schott, Bublitz & Engel, Attorneys at Law)

In today's long term care environment, Assisted Living Facilities are coming under more scrutiny from families and attorneys and lawsuits are increasing. This workshop will assist the Assisted Living Administrator in identifying resident and family expectations, assessing their own risk factors, and how they can communicate more effectively with families. In addition, we will discuss how to be proactive if a lawsuit is filed against your facility.

March 19th: Therapy Documentation
Webcast/Training Center 10:00am – 12:00 (noon)
$89 Training Center $149 Webcast
Presenter: Mary Conroy, MS, CCC

Course description/outline is in progress

March 26th: DON Series: Standards of Clinical Practice
Training Center 9:00am – 3:30pm
$149.00
Presenter: Gail Robison, RN, RAC-CT

This workshop in the Director of Nursing series provides “mapping” of the hot spots in the Clinical Practice pathways. It provides clues to successful evaluation of the “true Standards of Clinical Practice”. Nationally accepted Standards of Clinical Practice will be discussed with the use of foundational tools, equipment and best practice examples in assessing resident care. WE will assist you in taking away the mystique and replacing it with strategies to help you develop and maintain compliance in your facility for which you direct the practice of nursing.

February 2009 Course Offerings

2009-02-03T12:34:00.000-08:00

February 2009 Schedule of Classes

To apply for the webinars (if paying by Visa or Mastercard) please go to our Webex page at http://boyerandassociates.webex.com/ and fill out the registration form.

To pay by check or money order fill out the registration form located to the left of this page

Questions? Please contact: Chris Kussman at ckussman@boyerandassociates.com or at 262-754-0525

February 5, 2009 10:00am – 12:00pm (Development Center & Webcast)

$150 (webcast) $89 (at the Center)

MDS for Social Workers

Course Summary:

Even though the MDS has been used for more than a decade, it poses unique challenges for the social service departments of long term care facilities. Does the staff incorporate effective RAI systems and processes into daily practice? Is the social worker staff knowledgeable and adhering to the State of Wisconsin and CMS regulatory requirements? This session provides an overview of the Standards of Practice, RAI components: including assessment, RAPs, care planning and testing tools available as well as an explanation of key components from the MDS manual.

February 10, 2009 1:00pm – 2:30pm (Webcast)

$199.00

F-309 Wound Webcast

Course Summary:

November, 2004 brought a ‘sweeping’ revision of pressure ulcer care and management in the long term care setting. CMS issued a revision of F-314 which started a change in how wounds were assessed and managed; it also increased the focus on prevention. The revised regulation put the expectation on nursing homes to adequately educate its’ staff on wound prevention, wound differentiation, assessment, documentation and wound management as never before. Almost four years later, according to CMS, the long-term care facilities still have not accomplished/met the intent of the regulation. Pressure ulcer prevention and management of pressure and non-pressure related wounds continue to be a “hot” topic, and the sixth most cited regulation in the nation. Beginning with an overview of F-314 and parts of F-309, this workshop will enhance the knowledge of participants by explaining pressure ulcer staging, differentiating between pressure and non-pressure related wounds, and reviewing successful assessment criteria.

February 12, 2009 9:00am – 3:30 (Development Center)

$149.00 per session at the center. Call for a special price for the 12 months!

Director of Nursing Series: The Role of the Director of Nursing

Course Summary:The Boyer Team is committed to education, networking, training and development for theDirector of Nursing through the series planned over the course of 2009. The first presentation in this series is focused on the role of the Director of Nursing: touching on various aspects of the responsibilities and areas of accountability. As the Director of the clinical operations team, the Director of Nursing has responsibility for the residents care outcomes in the nursing facility. The ability to share in experience and network through personal or professional “story-related” examples of these topics will enhance this learning opportunities.

February 17, 2009 7:30am – 9:00am

(Development Center)

No charge – Registration Required!

Administrator/CEO Breakfast Meeting

The CMS Guidelines related to the Medical Director Function and related Tag F501 changed in 11/2005. Does your facility Medical Director function in a manner to meet these requirements? Is the foundation of your resident care the practice of geriatric medicine or real geriatrics? Do you meet the Quality Improvement expectations? Or can your facility grow deeper and reach wider into quality improvements with direction from your Medical Director? Do you benefit from the Medical Staff and Practitioners as key resources of improvement? This workshop provides “mapping” of the key distinction of “Care”. So much of what we do is based on tradition which becomes almost “robot like” through typical scenarios and approaches. The “reach” for us all is the challenge of more efficient ways of medicine/clinical practice that meet resident needs.

February 19, 2009 10:00am – 12:00pm (Development Center and Webcast)

$99.00 @ the Center - $150 webcast

Team Communication between Therapy and Nursing: Effective MDS Management

Course Summary: Effectively ensuring that residents receive the benefits and services necessary for Medicare PPS and Medicaid is the objective of any SNF. To ensure this outcome, it is imperative that communication between Therapy and Nursing Staff is timely and effective to understand the complex and individual needs of each resident. This communication is essential to establish the correct Assessment Reference Date (ARD), to provide the needed care and services based on individualized resident assessments, to correctly document the skilled services being provided, and to have in place the needed equipment and education upon discharge to maximize resident success in the community.

2008-12-16T12:04:00.000-08:00

Boyer & Associates Executive Development Center Announces:
Course Offerings for January 2009

To attend any of these classes, please download the registration form located to the left.
To apply for the webinars (if paying by Visa or Mastercard) please go to our Webex page at http://boyerandassociates.webex.com/ and fill out the registration form.

Questions? Please contact: Chris Kussman at ckussman@boyerandassociates.com or at 262-754-0525

Special Addition to the Development Center January Schedule!!

Live & Webcast
Tuesday, January 27, 2009
10:00am -12:00pm or
2:00pm – 4:00pm

Live $99.00 per person
Webcast $250 per facility

The Centers for Medicare & Medicaid Services (CMS) implemented the new Five-Star Quality Rating System on December 18, 2008. The process has caused confusion and anxiety for many facilities. It is difficult to understand the process by which CMS is calculating the number of Stars. In addition, the staffing calculation is now based on the acuity level of residents. This workshop will give you an overview of the program, provide specific examples of survey and staffing calculations and show you strategies you can put into place in your facility to improve your rating. This is a must see workshop for all of your management staff.

At the completion of this workshop, each participation should be able to:

* Analysze the compononets of each "peformance measure" of the scoring system.

* Discuss the scoring rules for each area of health inspection, staffing and QMs.

* Determine how to calculate their staffing by acuity.

* Identify strategies to improve the facility's score

This workshop is essential for each facility. Our one price allows you to have all your managers in one room for one small price.

January 7th: Med Pass Update
8:30am – 3:30pm (At the Development Center)
Presenter: Terry Nelson
Cost: $119.00
Course Summary: The course will begin with a “refresher” to strengthen the knowledge base and understanding of medication administration. In the refresher, participants will learn about the various forms of medications, how to translate orders so that they are given at the correct time and by the correct route, along with the tasks involved in giving medications accurately. With the number of medications that are being ordered for proper healthcare management, the course will also review how drugs affect the major body systems. The participants will participate in a pre-test to identify current knowledge level and a post-test to determine satisfactory completion of the course objectives.

January 14th: Understanding the Power of the MDS Coordinator
9:00am – 12:00pm (At the Development Center)
Presenter: Gail Robison
Cost: $99.00

The skills and operational performance of an MDS Coordinator directly impacts the majority of income for your Long Term Care Facility. This presentation will identify the power of the MDS Coordinator related to financial, reimbursement, and compliance areas. Attendees will be able to gain insight into measurement of the MDS Coordinator being a leader able to strategically manage the RAI and OBRA systems while coordinating the practice standard of clinical operational. The standard of practice along with the many challenges of this key staff position will be defined with demonstrated ways of improvement.

January 20th: Administrator’s/CEO’s/CFO’s breakfast meeting
7:30am – 9:00am (At the Development Center)
Presenter: Ron Nunziato,

Corporate Compliance Officer, SIR Management, Chicago, IL
Cost: Free

We have set the time for this series from 7:30 am to 9:00 am to fit into the busy Executive’s schedule. A Continental Breakfast will be served. Each month we will sponsor a speaker who will share a 45 min to 1 hour educational session on topics of interest to you. Boyer & Associates will sponsor the first three sessions free of charge so that you can try it and see how this format meets your needs. We plan to file for NAB credits when possible.
Ron Nunziato is the Corporate Compliance Officer for SIR Management in the Chicago area. Ron has been instrumental in turning compliance challenges into excellent quality programs. Come and learn from Ron how a good Corporate Compliance program can benefit your organization.

January 22nd: DON Training and Development Series: Easy to use Audits
9:00am – 3:30pm (At the Development Center)
Presenter: Terry Nelson
Cost: $149.00

In today’s long term care and skilled care environment, well trained Director’s of Nursing are hard to find. This series is being developed to assist you in training your new DON, training a Nurse Manager or ADON for succession planning or enhancing the knowledge of your long term DON. The program will include topics that have been challenging for DONs, including management techniques, personnel management, financial management and those areas of management that can’t be taught in school. The series, beginning in January 2009 can be purchased as a single session if your DON or Manager just needs an update or enhancement in one or two areas. However, if you have a new DON/Nurse Manager that needs experience, it is suggested that you purchase the whole 12 month series. We will hold classes one time a month and you can begin the entire series at any time. Those involved in the series will have practical assignments that they will complete with their Administrator/DON between sessions.

January 23rd:: Therapy and Nursing: A Cooperative Focus
10:00am – 12:00pm or 2:00pm – 4:00pm (At the Development Center)
Presenter: Michele Peterson & Evonne Fillinger
Cost: $99.00

Effectively ensuring that residents receive the benefits and services necessary for Medicare PPS and Medicaid is the objective of any SNF. To ensure this outcome, it is imperative that communication between Therapy and Nursing Staff is timely and effective to understand the complex and individual needs of each resident, to establish the correct Assessment Reference Date (ARD), to provide the needed care and services based on individualized resident assessments, to correctly document the skilled services being provided, and to have in place the needed equipment and education upon discharge to maximize resident success in the community.

Webcast Training

January 8th: Solving the Dilemma of working the RAPs
10:00am – 12:00pm
Presenter: Pat Boyer
Cost: $250 per facility

Although the MDS process has been in place for years, nurses still have difficulty with the concept of “working” the RAPs. This workshop will explain how the RAPs fit into the RAI process, how the RAPs are needed to develop the plan of care that should “drive” patient care. The importance of this critical component of the process will be explained. Participants will take away examples of RAPs that are properly written to meet regulatory compliance and that are useful in their facility.

(Live & Webcast)
January 30th: Get Ready for the MDS 3.0! Part 1: Interviewing Skills
10:00am – 12:00pm
Presenters: Pat Boyer & Terry Nelson
Cost: $250.00 per facility for the webinar
$ 99.00 at the training center

The new MDS 3.0 is expected to be finalized in early 2009 and implemented October 1, 2009. One of the biggest changes in this new MDS is the emphasis on utilizing direct interview items to consistently elicit the resident voice. The interview process asks residents directly about how they feel and their preferences. Initial pilots have shown that even the dementia resident can respond adequately to most of the interview questions. This workshop will give participants interview techniques to help them be successful with this new tool. Participants will be able to take this information immediately back to their facilities for improved accuracy and validity of their MDSs.