Mary Begley, Inspector GeneralOffice of Inspector General, Division of Health Care
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Long Term Care Provider Training

Minimum Data Set (MDS) 3.0
The Office of Inspector General, Division of Health Care Training Branch conducted two training classes for the new MDS 3.0 during September, 2010.  Almost 600 Long Term Care personnel attened this training.  We look forward to seeing you at the next OIG sponsored training. 


Want to Know Kentucky's Top 10  Citations for Nursing Homes?
Basic Chart
MDS - Section Q

Section Q of the Minimum Data Set (MDS) 3.0 includes criteria to ensure that a resident's desire to be discharged to the community, when medically feasible, has been fully considered.  The revisions to Section Q also requires state Medicaid agencies to designate a Local Contact Agency (LCA) to provide information concerning community-based options to residents expressing a desire to receive that information. 

The Department for Medicaid Services has contracted with...

Emergency Readiness and Response in Kentucky Long Term Care
Since 2003, the Universities of Kentucky and Louisville have received funds from the KY Department for Public Health to provide emergency preparedness training and resources for providers of long term care and other aging services for older persons. 
Cabinet for Health and Family Services, Office of Inspector General, Division of Health Care Leadership Team 
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Issue: # 2010-004September/2010
Welcome to the Office of Inspector General, Division of Health Care's September edition of the Long Term Care Provider Newsletter.  This newsletter is a valuable vehicle to update you on current events affecting Long Term Care.  
Please feel free to share this newsletter with anyone you think would benefit.  To continue receiving this newsletter, be sure to join our mailing list by clicking the link to the left of this article.  We look forward to serving you through this new exciting communication vehicle.
Find Information Direct from CMS
Recent Survey and Certification Letters
Below you'll find links to survey and certification letters issued by the Centers for Medicare and Medicaid Services (CMS) during the months of August and September,  2010.  Please take a look and determine how your facility may be impacted. 
  • Point of Care Devices and Infection Control in Nursing Homes - 10-28-NH Infection Control Standards for Nursing Homes at 483.65 - F441 -Determining Compliance: The following practices are deficiencies in infection control:
    • Reusing fingerstick devices (e.g., pen-like devices) for more than one resident;
    • Using a blood glucose meter (or other point-of-care device) for more than one resident without cleaning and disinfecting it after use.
      If a surveyor observes a facility doing either of the above, the surveyor should follow the interpretive guidelines, investigative protocol, and severity determination information at F441 to determine the severity of the deficiency.
Scope & Severity: CMS is revising the example in Appendix PP to make a distinction between (a) reuse of fingerstick devices for more than one resident (immediate jeopardy) and
(b) use of a blood glucose meter for more than one resident without proper cleaning and disinfection, so that scope and severity can be correctly assessed.
Scheduling Minimum Data Set (MDS) Assessments
The Minimum Data Set (MDS) changes to MDS 3.0 on October 1, 2010. With this implementation, changes will be required to the survey process. The Quality Indicators, now used for sample selection and to identify concerns, will not be available to the facilities or surveyors.
The survey team will conduct a detailed tour with facility staff and use the CMS 802 (Roster Matrix), to verify the information which has been observed or obtained from staff on tour. With this change in the process, the state agency is requesting facilities to have the CMS 802 up dated and available for the survey staff.  This will expedite the survey process.
If you have any questions about the changes in the survey process you may contact this office.  Thank you in advance.

See revised information below:
New System Security Requirement
Effective November 15, 2010, the Transport Layer Security (TLS) 1.0 must be active in your web browser in order to access QIES National Systems, including the new Minimum Data Set (MDS) 3.0 Submission System. This requirement applies to all parties that access QIES systems (MDS, OASIS, Swing Bed, IRF-PAI, etc.). This change can be made at any time with no effect on your current work.
For directions on how to activate,
MedWatch - Fingerstick Devices to Obtain Blood Specimens:
Risk of Transmitting Bloodborne Pathogens

Reusable fingerstick (blood lancing) devices and point of care (POC) blood testing devices (e.g., blood glucose meters, PT/INR anticoagulation meters, cholesterol testing devices)

AUDIENCE: Primary Care, Nursing, Laboratory

ISSUE: FDA and CDC have noted a progressive increase in the reports of bloodborne infection transmission over the past 10 to 15 years (primarily hepatitis B virus), resulting from the shared use of fingerstick and point-of-care [POC] blood testing devices.
Fingerstick and POC blood testing devices used on more than one patient may not be safe for several reasons. Improper use or device malfunction can lead to the use of the contaminated lancet blade on more than one patient. It is difficult for healthcare staff to ensure that all blood has been removed from POC blood testing devices and the reusable portions of the fingerstick device. If POC blood testing devices are used on multiple patients and are not cleaned and disinfected correctly and thoroughly between each patient, contaminated blood left on them could result in bloodborne pathogen transmission among patients.

Read On.....

The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care and long-term care facilities and child adoption/child-placing agencies in the commonwealth. 

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