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SDHCA Would Like

To Welcome

Waterford At All Saints,

Country Place SL,

Sunpointe Assisted Living,

Belle Fourche

Healthcare Center

&

David M. Dorsett Healthcare Center

As Our

Newest Members!


MDS 3.0 Updaets 
  
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SDHCA Staff:
 
 Mark B. Deak
Executive Director
markdeak@sdhca.org

Lori Tracy
Assistant Executive Director
loritracy@sdhca.org  
 
LuAnn Severson
Director of Public Affairs & Professional Development
luannseverson@sdhca.org

Sarah Ewing
Executive Assistant
sarahewing@sdhca.org 
 
 

 

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April 2011  

The Millie Award Recipient for April is John Roether. He is a CNA/Med Aide at the Golden LivingCenter in Pierre. John has worked in health care for over 35 years! He is an especially devoted and compassionate caregiver who is totally focused on the residents at the Center.

 

John has gone "above and beyond" by sharing his commitment for caring for the elderly with our legislators. He has testified before the legislature's appropriations committee - twice. John emphasized that taking care of the elderly has been his life's passion. On both occasions his testimony was so powerful it actually brought tears to the eyes of many at the committee hearing.

 

John refers to his residents as his "greatest treasures". It is no coincidence that the theme of this year's Spring Institute is "South Dakota Seniors - Our Greatest Treasure"! Congratulations John!

                             

                                         do dad

 

 

YOU SAVED HOMES

&

YOU SAVED LIVES

 

 

Although the 2011 Legislative Session is now history, your achievements were of historical proportion. The following is an extremely condensed timeline of the unprecedented 86th Legislative Session.

 

♦ In December 2010, outgoing Governor Rounds proposed 5% cuts in virtually every area of the budget - including Medicaid funding for LTC Providers. Although not unexpected, the proposed cuts were quite a shock. SDHCA was not going to wait and see what Governor-Elect Daugaard would propose. Before he was even sworn in, SDHCA launched a massive letter writing Campaign.

 

♦ In January 2011, Governor Daugaard proposed 10% cuts in nearly every area of the budget including Medicaid funding for long term care providers. Cuts of this magnitude would have certainly meant significant staff cuts and dramatic private pay increases. But most alarming would be the closing of many nursing homes and the almost inevitable harm and even possible death of some residents who would be displaced in that process.

 

♦ SDHCA then pulled out all the stops: Another massive letter and email onslaught, extensive face-to-face lobbying, and a record setting turnout for our Legislative Reception in Pierre. Billboards went up in Rapid City, Sioux Falls, and Pierre.  An ad campaign that included nearly every newspaper in the state and extensive radio and TV coverage became the norm. We further bolstered our case with results from an expansive statewide poll of over 800 registered South Dakota Voters.

 

♦ Testimony against the proposed cuts took center stage in the appropriations committee, which was followed by a private meeting with the Governor and SDHCA leadership.

 

♦ With only a few weeks left in the legislative session, we were finally beginning to see the results of your herculean efforts. A proposal to somewhat reduce the 10% cuts for those nursing facilities with over 67% of their residents on Medicaid, was followed by a proposal to reduce cuts to all nursing facilities to 8%.

 

♦ You continued to relentlessly lobby your legislators. Then in the final week of the Session, you succeed in significantly reducing cuts to assisted living facilities to 4.5% and nursing homes to 2.9% on average, with some as low as 1.8%. Others did not fare so well: Hospitals were actually cut 11%; K-12 was cut 6.6 %.

 

 

In a perfect world Medicaid funding for long term care would have increased.  However, with virtually every other area of the budget being severely slashed, the significant reductions in cuts that were achieved, would never have occurred, without the incredible efforts of the Members of the South Dakota Health Care Association. Bottom line: YOU SAVED HOMES & YOU SAVED LIVES.

 

Sincerely,

  marks sig

Mark B. Deak

Executive Director

 

 

SDHCA Board of Directors Meeting

 

The SDHCA Board of Directors will hold its Quarterly Board Meeting on April 11, 2011, at the Association Office Conference Room in Sioux Falls.  SDHCA, SDALA and SDSLA Members are welcome to the meeting.

 

Region Meetings

 

The SDHCA Region Meetings will be held in conjunction with the Annual Spring Institute.  The Region Meetings will be held on April 12, 2011, beginning at 12:00 PM.  Region I & III will hold elections.  The Region Meetings are for Administrators and the Council Disciplines.

 

Administrator Business Meeting

 

The Administrator Business Meeting will be held on April 12, 2011, at the Ramkota Hotel in Sioux Falls beginning at 2:00 pm.  Your facility should have registered your voting delegate with your online registration.  If you have not registered your voting delegate, please go to www.sdhca.org and click on the voting delegate icon on the Spring Institute booklet.  Each facility must indicate a voting delegate for each individual facility.

 

Council Meetings

 

The Councils Business Meetings (Activity, Dietary, Nursing and Social Services) will be meeting on April 12, 2011, at the Ramkota Hotel in Sioux Falls.  Their meetings will be held from 2:00 - 2:45 pm.

 

Future Educational Dates

 

April 12 - 14, 2011

Annual Spring Institute

Ramkota Hotel

Sioux Falls, SD

 

April 13, 2011

SDMDA Annual Seminar

Ramkota Hotel

Sioux Falls, SD

 

June 14 - 15, 2011

Annual Activity Coordinator, Social Services, Nursing & Dietary Workshop

Ramkota Hotel

Sioux Falls, SD

 

October 10 - 12, 2011

60th Annual Fall Convention

Sheraton Hotel and Convention Center

Sioux Falls, SD

 

Annual Spring Institute

 

The Annual Spring Institute will be held on April 12 - 14, 2011, at the Ramkota Hotel, Sioux Falls.  This year's theme is "Our Greatest Treasure - South Dakota Seniors."  To download the program and to register, go to www.sdhca.org and click on the Spring Institute booklet on the homepage. 

 

Annual Summer Workshop

 

The Annual Summer Workshop will be held June 14 - 15, 2011, at the Ramkota Hotel in Sioux Falls.  The complete mailing will be sent to your facility in April.  Please check this mailing for the timely and pertinent topics to the long term care disciplines dealing with MDS 3.0, documentation, charting, pain management, sanitation in dietary, etc.  The program will be available to download at www.sdhca.org and click on the Annual Summer Workshop icon.

 

Individual Council Awards

 

It is that time of the year to apply for the Individual Council Awards.  The application and guidelines for the Individual Council Awards are listed under the Individual Council Awards link on the left side of the newsletter.  Please take a moment to nominate an individual from your facility in activities, dietary, nursing and/or social services.

 

The nominees must be submitted to the SDHCA office by June 30th!  If you have any questions, please call the SDHCA office.

 

Administrator of the Year Award

 

It is that time of the year to complete an application for the Administrator of the Year Award.  Please take a moment to nominate your administrator or a colleague for this award.  The application form and guidelines are listed under the Administrator of the Year Award link on the left side of the newsletter

 

The application must be submitted to the SDHCA office by June 30th!  If you have any questions, please call the SDHCA office.

 

 

AHCA/NCAL's 2011 Volunteer of the Year Award Application

 

The application for the AHCA/NCAL 2011 Volunteer of the Year Award is now available by following the link on the left side of this newsletter under In This Issue.  Applications are due in the SDHCA office by Friday, May 6, 2011.

 

SDHCA Scholarship Application Now Available

 

SDHCA will award one $1000 scholarship to an individual who wishes to pursue his/her personal growth and development through higher education.  The application can be found by following the link on the left side of this newsletter under In This Issue.  The recipient will be selected from complete applications that are filed with the SDHCA office by June 30, 2011. 

 

National Nursing Home Week 2011

 

National Nursing Home Week in 2011 will be observed the week of May 8-14 with the theme of "Fulfilling the Promise." Mother's Day is May 8.

 

For your special events that week, AHCA is offering an array of themed-products to decorate with at various events and celebrations. Plan your National Nursing Home Week festivities as an opportunity to tell how your facility "Fulfills the Promise" as no other health care profession can by caring for the whole person.

 

To better involve military veterans at your facility it might be helpful to know that Armed Forces Day is May 21.

 

Visit www.sdhca.org and click on the National Nursing Home Week icon for further information.

 

 

National Assisted Living Week 2011

 

To be celebrated September 11-17, 2011 with the theme, "Forever Proud." 

 

Visit www.sdhca.orgto find more information on this event.

 

National Volunteer Week

 

National Volunteer Week is scheduled to be celebrated April 10 - 16, 2011.  To find more information, visit http://www.pointsoflight.org/.

 

The theme for 2011 is "Celebrating People in Action."

 

 

Newspaper Clippings

 

There are many articles published in Newspapers throughout South Dakota that are worth taking a look at!  Click Here to see if your facility made the news.  Not finding an article that made your local paper regarding your facility?  Send us a copy to review.

 

 

Caregiver Stress Significantly Reduced When Patients With Dementia Move Into A Nursing Home

AHCA

 

BioMed Central, an open access publisher, recently published a peer-reviewed article entitled Clinically significant changes in burden and depression among dementia caregivers following nursing home admission in its BMC Medicine.

 

Funded by that National Institute on Aging/National Institutes of Health this research found an important consideration in identifying the "right" time to make a placement decision for an individual with dementia may include the level of caregiver burden and depression.

 

This research is particularly important in light of the emphasis by state and federal government on in-home care. The authors suggest that their findings "can serve as an initial step in developing a screening process to identify families at-risk for burden or depression immediately prior and subsequent to" moving into a nursing home. 

 

 

Food Safety For People With Diabetes

USDA

 

Food safety is important for everyone - but it's especially important for people with diabetes. The U.S. Department of Agriculture's Food Safety and Inspection Service has prepared a special booklet to provide practical guidance on how people with diabetes can reduce risk of foodborne illness. Diabetes can affect various organs and systems of the body, causing them not to function properly, and making people with diabetes more susceptible to infection.

Access Free Food Safety Guide For People With Diabetes By Clicking Here

 

 

Long Term Care Improvement Guide

Becky Dorner & Associates

 

The Long Term Care Improvement Guide is a first of its kind compendium of innovations and approaches for transforming the culture of long term care communities to be more resident-directed and relationship-centered. The featured practices and processes for organizational change span all models of culture change and apply across the long term care continuum. The guide includes a section on Culinary Engagement.

 

Download Your Free Long Term Care Improvement Guide Here

 

 

Older Adults More Likely To Have Bad Reactions From Meds

My Health News Daily

 

Older Americans face a greater risk of harmful reactions to medications than younger individuals, a new study suggests. The study, conducted by the Substance Abuse and Mental Health Services Administration (SAMHSA), found adults ages 50 and older comprised 51.5 percent of all emergency department visits in 2008 that were due to reactions to medications. That's about 1.1 million visits. And of those visits, about 61 percent were made by people aged 65 or older, and 60.9 percent were made by women. Read More.

 

 

Daily Coffee Tied To Lower Stroke Risk In Women  

Associated Press

 

One or two cups a day is enough to do your heart some good, study shows. Women who enjoy a daily dose of coffee may like this perk: It might lower their risk of stroke. Women in a Swedish study who drank at least a cup of coffee everyday had a 22 to 25 percent lower risk of stroke, compared to those who drank less coffee or none at all. "Coffee drinkers should rejoice," said Dr. Sharonne N. Hayes, a cardiologist at Mayo Clinic in Rochester, Minn. "Coffee is often made out to be potentially bad for your heart. There really hasn't been any study that convincingly said coffee is bad."  Read More.  Watch a Video.

 

 

Feeding Assistants: Voice Command-Based Robot Feeding Arm Unveiled (W/Video)

Physorg.com

 

Eating a good meal is one of the few things in life that is both absolutely necessary and extremely pleasurable at the same time. But what would you do if you could not pick up the knife and fork to eat with? You would have to rely on a caregiver to help you feed yourself. Up until now that caregiver has been a human, but what if it could be a robot?

http://www.physorg.com/news/2011-03-voice-command-based-robot-arm-unveiled.html

  

Life Expectancy Rises And Death Rate Dips: CDC

LA Times

 

Babies born in the United States in 2009 have a record life expectancy of about 78 years and 2 months. That's the latest from preliminary figures released from the Centers for Disease Control and Prevention.


Life expectancy didn't rise all that much from 2008 -- just two-tenths of a year for men to 75.7 years and one-tenth of a year for women to 80.6 years. The National Vital Statistics Reports also show that white women have the highest life expectancy followed by black females, white males and black males.


Death rates also fell to an all-time low of 741 deaths per 100,000, with Hawaii with the lowest and West Virginia the highest.


Even more interesting is that rates have declined in the leading causes of death:

--Heart disease, 3.7%

--Cancer, 1.1%

--Chronic lower respiratory diseases, 4.1%

--Stroke, 4.2%

--Accident, unintentional injuries, 4.1%

--Alzheimer's disease, 4.1%

--diabetes, 4.1%

--influenza and pneumonia, 4.7%

--Septicemia, 1.8%

--Homicide, 6.8%

 

Calling Assisted Living Providers: Take Employee Vacancy Retention And Turnover Survey

NCAL Connections

 

NCAL is encouraging all assisted living providers to take the 2010 Assisted Living Employee Vacancy, Retention, and Turnover (VRT) Survey. The survey is open to any assisted living provider located in the United States. To complete the 2010 VRT, download either the pdf or excel file, then print out the form and instruction pages. Follow instructions and complete the survey. When finished, fax the completed survey to NCAL's main fax number: (202) 842-3860. Address the cover sheet to: 2010 Assisted Living Employee Vacancy, Retention, and Turnover/NCAL. If you have any questions, call Shelley Sabo at (202) 898-2848. Complete and return the survey by Friday, May 27, 2011.

 

States Actively Regulating Assisted Living, Report Finds

NCAL Connections

 

NCAL's recently released 2011 edition of the Assisted Living State Regulatory Review found that at least 18 states made changes to assisted living regulations, policies, and statutes from January 2010 through January 2011. NCAL released the report's findings to the public and is currently mailing these reports to its leadership, state regulators, policymakers, and other stakeholders.

 

Six states-Idaho, Kentucky, Oregon, Pennsylvania, South Carolina, and Texas-made major changes.  Of note, New Jersey and Washington made changes to policies regarding residents who received Medicaid services. Washington clarified its rule that boarding homes must fully inform residents about the home's policy on accepting Medicaid as a payment source. New Jersey recently passed a law requiring an assisted living provider that surrenders its license, and had made promises not to discharge residents receiving Medicaid benefits, to set aside funds to pay for their care in an alternative setting.

 

The report is published each March and is the only annual resource that summarizes state assisted living regulations across 21 categories. The regulatory review offers an easy-to-read summary of assisted living regulations in the 50 states and District of Columbia. The report is widely utilized by state policymakers and regulatory agencies as well as the financial community, consumers, media, and assisted living professionals.

 

To view the report, click here. NCAL has also developed a state by state summary of the findings. Copies can be downloaded or for a printed copy send an e-mail to Martece Yates.

 

News On Five Star And Nursing Home Compare!

AHCA

 

CMS recently issued a Survey & Certification Memorandum that describes four upcoming changes to Nursing Home Compare and one change is related to the Five Star Rating System.

 

·         On April 23, CMS will "freeze" quality measure data and each facility's quality measure star rating for six months. According to the S&C memo, CMS anticipates the new quality measure data from MDS 3.0 to be available in early 2012. When that data becomes available, it will be used in calculating the Five Star quality measure domain. It is important to note that the "frozen" quality measure data for each facility will be used in determining each facility's overall star rating.

 

·         On April 23, CMS will add information to the Nursing Home Compare website that will allow consumers to directly file complaints about nursing homes with state survey agencies.

 

·         On April 23, CMS will add a more visible consumer rights section to Nursing Home Compare that clearly spells out resident and consumer rights and what types of action consumers may take if they feel that their rights are being violated.

 

·         In July 2011, Nursing Home Compare will show the number of each facility's substantiated complaints, and the number of enforcement actions that have been levied. Specifically, any  civil money penalties or denials of payment for new admissions will be shown for each facility.

 

State Medicaid Funding Reduction Looms; Nursing Home Advocates Urge Caution On Medicaid Reforms

McKnights

 

The federal government will scale back the amount of Medicaid money it sends to states as one phase of a temporary increase to the federal medical assistance percentage (FMAP) comes to an end.

 

As part of the 2009 stimulus package, the federal government issued a temporary 6.2% increase in its contribution to state Medicaid programs, which was set to expire Dec. 31, 2010. As the economic crisis continued, however, Congress voted to extend the increase through the first six months of 2011, but at a lower and gradually diminishing rate. Between Jan. 1 and Mar. 31, the increase has been 3.2%. The increase will drop to 1.2% before fully expiring on July 1. (McKnight's, 8/5/10)

 

Faced with this looming reduction in funding, and still-unresolved budget crises, many states, as well as members of Congress, have been considering Medicaid cuts or reforms that would turn Medicaid funding into block grants. On Monday, American Health Care Association President and CEO Gov. Mark Parkinson fired back against these proposals, arguing that allowing such reforms "could jeopardize the care of many frail seniors and individuals with disabilities."

 

"While we understand that many states are facing looming budget challenges, these proposals fail to think of the long-term costs," according to Parkinson. "Cutting Medicaid services, including long-term care, translates into higher hospitalization rates and other costs on the health care system. Meanwhile, providing states with a fixed dollar without accounting for the growing number of seniors that will require long term care services will prove to be non-sustainable and fail to solve our budget crisis."

 

Overhauling Medicaid Could Threaten the Welfare of Greatest Generation

AHCA

 

- AHCA/NCAL President & CEO calls on Congress to rethink proposals on Medicaid block grants -

 

Governor Mark Parkinson, President & CEO of the American Health Care Association and National Center for Assisted Living (AHCA/NCAL) released the following statement in response to comments made by Members of Congress over the weekend to reform Medicaid in the FY2012 federal budget:

 

"As rumors swirl on Capitol Hill about overhauling the Medicaid system, it is our nation's elderly and most vulnerable citizens that stand to lose from these discussions. Allowing state governments to implement Medicaid block grants and eliminate requirements for specific types of care or eligibility could jeopardize the care of many frail seniors and individuals with disabilities.

 

"While we understand that many states are facing looming budget challenges, these proposals fail to think of the long-term costs. Cutting Medicaid services, including long term care, translates into higher hospitalization rates and other costs on the health care system. Meanwhile, providing states with a fixed dollar without accounting for the growing number of seniors that will require long term care services will prove to be non-sustainable and fail to solve our budget crisis.

 

"We all have a stake in finding a solution to our nation's growing deficit challenge, but solving those problems on the backs of those who are already struggling, as well as those who help provide for their care, is not the answer. AHCA/NCAL looks forward to working with Congress to help find ways to make the Medicaid program more cost-effective for the American taxpayer, while still continuing our commitment to the Greatest Generation."

 

BACKGROUND: A majority of the millions of Americans who require long term care depend on Medicaid to pay for their services, including 24-hour nursing care, housing and meals. This includes almost 64 percent of nursing home patients and almost all those with developmental disabilities, as well as approximately 13 percent of those in assisted living today. In 2010, Medicaid underfunded nursing facility care nationally by $5.6 billion, an average of $17 per patient, per day; a number only projected to grow with implementation of block granting programs.

 

Medicare Enrollment Application Fee

AHCA

 

The Medicare Enrollment Application Fee  application fee was imposed  by statute on institutional providers that are newly enrolling, re- enrolling/revalidating or adding a new practice location for applications received on or after Friday, March 25, 2011.

 

According to a CMS notice issued on March 23, 2011, at 76 Federal Register 16422, the application fee is $505 for Calendar Year (CY) 2011. Based upon provisions of the ACA, this fee will vary from year-to-year based on adjustments made pursuant to the Consumer Price Index - All Urban Consumers (CPI-U). The application fee is to be imposed on institutional providers that are newly enrolling, re- enrolling/revalidating or adding a new practice location for applications received on or after Friday, March 25, 2011.  READ MORE... 

 

Shrinking Medicaid funds pummel states

CNN.com

 

Strapped states are scrambling to address Medicaid's ballooning costs before the federal government cuts back a critical source of funding this week.

Medicaid is one of state's costliest burdens. And the weak economy swelled the rolls to record numbers. Nearly 49 million people -- or almost one in six Americans -- were covered by the safety net at the end of 2009, the latest figures available.  READ MORE... 

 

CMS Extends Delay On Clinical Lab Requisition Physician Signature Rule

AHCA

 

On March 31, CMS issued a notice stating since there was such difficulty with the physician signature requirement for clinical laboratory tests, it will change the regulation during the remainder of 2011. 

 

AHCA understands that until the rule can be officially rescinded, the current implementation delay will be extended so that the policy never goes into effect. We will continue to monitor this situation and keep you informed.

 

Safe Lift Programs Reduce Long-Term Care Worker Injuries: Study

Claimsjournal.com

 

An increased emphasis on safe lift programs at long-term care facilities works to reduce workplace injuries and lower workers compensation costs, according to a new industry report.

 

The National Council on Compensation Insurance Inc.'s (NCCI) study, conducted in collaboration with researchers at the University of Maryland School of Medicine, examined safe lifting programs at long-term care facilities and their impact on workers compensation costs. Results showed that an increased emphasis on safe lift programs at long-term care facilities is associated with fewer workplace injuries and lower workers compensation costs.

 

The U.S. Department of Labor's Bureau of Statistics data noted that injury rates at long-term care facilities are higher than those for all private industries and for other healthcare fields. Long term care facilities reported an injury rate of 8.4 injuries per 100 full-time employees in 2009 compared to 3.6 injuries per 100 employees in private industry.

 

The growth in long-term care facilities is a direct result of an aging population. Caring for patients in long-term facilities involves manual lifting, transferring from bed to chair, and repositioning residents. A nursing assistant was estimated to perform more than 20 lifts or transfers during an average 8 hour day shift, as reported in a related study.

 

Factors that contribute to a lifting hazard include the size and weight of the resident, the ability of the resident to bear weight, and the resident's cognitive ability to cooperate with the caregiver.

 

Previous research conducted by NCCI indicated that back injuries are a major contributor to workers compensation claims. To a large degree, these injuries are incurred by workers while lifting and moving patients. This exposure is likely to increase as this industry expands. Additional NCCI research identified the increased use of productivity-enhancing processes as a major source of improved workplace safety. The use of powered mechanical lifts in long-term care facilities supports these earlier studies regarding the importance of process innovation on workplace injuries.

 

The research objective was to assess the implications for workers compensation costs of safe lifting programs in long-term care facilities. The original intent was to compare facilities with and without safe lift programs, but the survey results indicate that by the end of the survey period, close to 95% of facilities had powered mechanical lifts and close to 80% routinely used them. Therefore, the focus shifted from whether or not facilities had safe lift programs to the implementation of the program.

 

SNF Role Critical To Success Of New ACOs

AHCA

 

AHCA is pleased that CMS has issued a Notice of Proposed Rulemaking (NPRM), which offers some insight into how the agency believes new Accountable Care Organizations (ACOs) can encourage a more cooperative approach from health care providers across care settings that focuses on care coordination to improve quality and the patient's care experience, while decreasing costs.

 

AHCA believes that, properly structured, ACOs have the potential to improve patients' health by delivering reliable access to quality care. Likewise, ACOs have the potential to at least control Medicare costs by reducing the number of unnecessary procedures or drug treatments; limiting, if not eliminating, dangerous drug interactions; facilitating access to needed care; and ensuring effective communication among all of the members of a patient's clinical team. In order to achieve such ambitious goals, AHCA believes that skilled nursing facilities (SNFs) must be allowed to participate in ACOs.

 

BACKGROUND:
The proposed rule has been placed on display, and is expected to be published in the Federal Register on April 7, 2011. AHCA will provide comments to CMS before the 60-day comment period ends on June 6, 2011.

 

 

SDHCA Members:
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