Issue#12-2014December 2014
Office of Inspector General 
Division of Health Care
 
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Office of Inspector General Home Page

 

National Background Check Program

 

Click above to sign up for the State and FBI background check program for new employees.

For additional information about the program, please contact the help desk at:

(502) 564-2159
or
[email protected]

 

5stars  

November Results

 

3 Year Report

Learn more about the 

5-STAR program by clicking the link below. 

 

Overview of CMS 5-STAR System  

 

 Nursing Home Compare Updates  

 

 

Want to Know Kentucky's Top 10 Citations for Nursing Homes?

 

Basic Chart

Health Care

 

Life Safety Code

 

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Survey and Certification Letters 

Are You a New Long Term Care Administrator?
Please ensure that the Division of Health Care has up to date information for your LTC facility's administrator.

Contact (502) 564-7963 to provide the following information:
  • Administrator's Name 
  • Administrator's Effective Date
  • Administrator's License Number
  • Administrator's E-mail Address
Thank you for your assistance.

CMS Survey and Certification Group

 

Surveyor Training Website

 

Enter Here

 

The survey and certification process is a collaborative effort between CMS and providers.  This website will allow providers the opportunity to take the same courses as surveyors. 

 

 

 

Division of Health Care Leadership Team

 

Connie Payne

Deputy Inspector General

 

Jackie Aitkin

Assistant Director 

 

Melanie Poynter

Assistant Director

 

Andrea Willhite

Assistant Director

 

Dudley Ellis

Pharmacy Consultant 

 

 

 

  

Long Term Care Provider Newsletter
doctors-nurses.jpg 
Welcome to the Office of Inspector General, Division of Health Care's December 2014 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.  They may continue receiving this newsletter by joining our mailing list using the link at the bottom. We look forward to serving you through this communication vehicle.
New Licensure Fees Effective January 5, 2015

 

In accordance with the recent adoption of 902 KAR 20:008, changes have been made to the licensure fees for long-term care and other health facilities.  The new licensure fees are effective January 5, 2015, and will be applied at the time of each facility's annual renewal. 


Click the links below to view the new fee schedule:

 

Long-Term Care License Types Only

 

All OIG Licensed Health Facility License Types


 

Prevent Dehydration

 

Maintain Correct Fluid Balance

 

Based on the regulation (42 CFR 483.25, F327 Hydration) the facility must provide each resident with sufficient fluid intake to maintain proper hydration and health.  The intent of the regulation is to assure that the resident receives sufficient amount of fluids based on individual needs to prevent dehydration.

 

During the survey process, surveyors will make observations, conduct interviews and complete record reviews to determine if the facility assessed the resident to identify current hydration status, potential risk factors and developed a plan of care with specific interventions to address identified risk factors.


If deficient practice is identified under F327, non-compliance may also be identified with related process and/or structure requirements.   Click here for list

 

QIN - QIO News

 

The Office of Inspector General is pleased to provide information from QSource on the CMS Quality Strategy of improving communication and the coordination of clinical decision making across health care settings.  QSource and atom Alliance are the Quality Innovation Network (QIN) Quality Improvement Organizations (QIOs) for Kentucky. 

 

Contracting with CMS as one of the newly created QIN-QIOs, QSource leads a five-state alliance (atom Alliance) for powerful change throughout Alabama, Indiana, Kentucky, Mississippi and Tennessee.  Composed of three nonprofit, healthcare quality improvement consulting companies, AQAF in Alabama, IQH in Mississippi and Qsource in Indiana, Kentucky and Tennessee they will carry out a strategic plan, with programs in place to convene, teach and inform healthcare providers, engage and empower patients, and inspire, share knowledge and spread best practices with communities across the entire healthcare continuum.  

 

Click Here to read a message from Kentucky's QIN-QIO regarding Care Coordination.

 
MDS/RAI Updates

 

MDS 3.0 Error Spot Light


3616a Warning:

Incorrect HIPPS/RUG Value: The submitted value of the HIPPS/RUG code does not match the value calculated by the QIES ASAP System.

 

Cause:

For items Z0100A, Z0100B, and Z0100C, and for items Z0150A and Z0150B, the QIES ASAP system recalculates the HIPPS code, the RUG version code, and the short stay indicator. A warning is issued if the recalculated values do not match the submitted values.


For items Z0200A, Z0200B, Z0250A, and Z0250B, the QIES ASAP system recalculates the submitted RUGs code and RUG version code if the State is using a CMS-supported RUG model. A warning is issued if the recalculated codes do not match the submitted codes.

 

Action:

Refer to the  data specifications  in effect for this record to identify the acceptable values for this item.  


 
 

jRAVEN Updates

 

Alert for jRAVEN Client/Server users!

All users who are utilizing the client/server option must upgrade ALL jRAVEN Client installations to the latest version before logging in.  Failure to do so will result in a corrupt database and loss of patient information.

jRAVEN 1.2.1
A production version of jRAVEN software (Version 1.2.1) is now available to download.

To install jRAVEN, read and follow the jRAVEN 1.2.1 Installation Guide.  Please refer to the jRAVEN User Guide for further information regarding using the application.

Note:  If jRAVEN has NOT been updgraded to at least 1.1.5, this must be done BEFORE installing version 1.2.1.  Please contact the QIES Help Desk at 1-800-339-9313 or [email protected]
for instructions on installing jRAVEN1.1.5.

Detailed information, software and manuals can be found on the QTSO jRAVEN Download website.


 

RAI Manual Clarification of A1700

 

Pages 2-7 and 2-13 which has the definitions for Admission and Reentry, respectively, were not updated when the coding instructions and definitions for admission and reentry were updated in item A1700. CMS will ensure that these definitions are rectified in the next release of the RAI Manual and that the statement, "and had an OBRA Admission assessment completed," are struck from the text.

 

The correct coding instructions for determining Admission and Reentry are found in Section A, Item 1700, and that is the instruction that providers (both nursing homes and swing bed facilities) need to follow to differentiate between an admission and a reentry.    

 

Click Here for examples.

 MDS/RAI Coordinator Contact Information

 

MDS Assessment or Coding Issues 

Jan Keeling at 502-564-7963, x3301 or via e-mail

  

Transmission or Technical Issues

Rhonda Littleton-Roe at 502-564-7963, x3300 or via e-mail

 

Unbridled Spirit  
The Office of Inspector General is Kentucky's regulatory agency for licensing all health care, day care, long-term care, and child adoption/placing facilities and agencies in the Commonwealth. 
  
If you would like more information, please visit our website
  
If you have an idea for a future article, please contact Jami Biggs.