Issue#07-2016July 2016
Office of Inspector General 
Division of Health Care
Registration Open:  MDS Online Module 5
See Training Opportunities Below for Details
 
OIG Banner
Office of Inspector General Home Page

Have a suggestion for a future topic?  Click the link below and submit your suggestion. 
 


KARES

Enroll Now!
 
To enroll in KARES voluntarily, please click the icon below and follow the self-directed enrollment process.
 
For additional information about the program, please contact the help desk at (502) 564-2159 or via email. 

 

NEW CONTACT INFO

KY Protection & Advocacy

5 Mill Creek Park

Frankfort, KY 40601


 

Phone: (502) 564-2967

Toll Free: (800) 372-2988

Fax: (502) 695-6764

 

 

NURSING HOME COMPARE

5stars
Click to Visit Website
 

 

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

 

Basic Chart

Health Care

 

Life Safety Code

 

 

Surveyor Training Website

 

Enter Here

 

*NEW* CMS has updated this website to provide additional training information, including the State Operations Manual, the preceptor manual, and other documents.

 

As always, 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.  

 

 

logo    


 

CMS Survey and Certification memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices.

 

Survey and Certification Letters  

 

 

 
Division of Health Care Leadership Team
 
Inspector General 

Deputy Inspector General 

Assistant Director
 
Assistant Director
 
Assistant Director
 
Pharmacy Consultant 

Long Term Care Provider Newsletter
July 2016
doctors-nurses.jpg  
 
OIG Welcomes New Inspector General

Bob Silverthorn, Jr. was appointed as the Inspector General, Office of Inspector General, Kentucky Cabinet for Health and Family Services, effective July 1, 2016.  He brings a wealth of experience to the position, having retired as a Major General, United States Army, where he commanded two divisions and served at the most senior levels of the U.S. Army.  In addition, as an attorney, he represented clients in large and complex litigation in both federal and state courts.  He also served on the board of directors of a continuing care facility, where he experienced first-hand the needs and concerns of the Long Term Care community.  General Silverthorn lives in Jefferson County, KY with his wife Rusti, originally of Hardin County, KY.  
 
 
Greetings,

This month I have an important topic to discuss that I hope will be helpful to you.  As you may know, we have had several instances of Immediate Jeopardy deficiencies in the past few months.  In many of these cases, if the facility had taken appropriate action prior to our entrance into the building for the complaint investigation or survey, these cases would still have been cited at a scope/severity of Jeopardy, but with a notation in the plan of correction column that it is past non-compliance with no plan of correction required.

In Past Jeopardy/Past Non-compliance cases, the civil money penalties (CMP's) imposed by CMS will often be a per instance penalty up to $10,000. This is generally significantly less than a per day CMP which starts back at the date the Immediate Jeopardy situation occurred. If the Immediate Jeopardy situation occurred several months prior to our visit to conduct the survey or complaint investigation, those CMP's can accrue to very high dollar amounts. 

Continue Reading
                                                                   
Sandra Houchen, Director, Division of Health Care 
 
DRUGS: 
A Significant Factor for Falls Risk in the Elderly
 
Falls are a leading cause of injury and injury-related deaths in the elderly nursing home population.  Falls and related complications have been reported to be the fifth leading cause of death in older adults.  Over 30% of elderly adults (i.e., over the age of 65) will fall at least once annually; the rate increases to 60 percent for residents in nursing homes.   Falls are also responsible for 85 percent of all injury-related hospital admissions and more than 40 percent of nursing home admissions.  While falls are a common occurrence among the elderly, they are not a part of the normal aging process.  Nevertheless, advanced age represents probably the most common risk factor for falls.  The majority of falls in the elderly, however, is typically multifactorial and involve more than a single underlying cause.

 
TB Regulation Updates

Kentucky's TB Prevention and Control Program's special edition newsletter highlights new requirements in 902 KAR 20:200, Tuberculosis (TB) testing for residents in long-term care settings and 902 KAR 20:205 Tuberculosis (TB) testing for health care workers.


Click Here to read the newsletter.
 
It's Not Too Late - Sign Up for ePOC!

Kentucky activated the ePOC process on 
June 1, 2016!  CMS and OIG continue to encourage 100% provider participation.  

If you are a certified nursing home and have not started the enrollment process, please click here for instructions and take a moment to review the FAQs below.
 
ePOC Quick Tip


Established your CMSNet and ePOC accounts?  


 

Please remember to notify the ePOC Support Team in order to receive access to the ePOC training webinar.  

 
A Message from Kentucky's QIN - QIO
 The Office of Inspector General is pleased to provide information from the CMS funded QSource and atom Alliance, the Quality Innovation Network (QIN) - Quality Improvement Organizations (QIOs) for Kentucky. 
 
Click Here to read a message from Kentucky's QIN-QIO: 
   
Clostridium Difficile (C. Difficile):
Why is it a Priority?


 
 

Participation Agreement
 
 

 
Training Opportunities
Register Now for MDS Online Training
Module 5 - RUG-III Medicaid Reimbursement Overview 

OIG - DHC is pleased to announce that
registration is now open for the fifth and final online MDS training module.  
 
Module 5, RUG-III Medicaid Reimbursement Overview describes the MDS items used in the RUG-III 34 grouper and the time-weighted methodology used in calculating Medicaid rates.  

The module is 50 minutes in length, includes a post-test, evaluation and one (1) CEU. Participants must complete the entire course in order to receive the CEU credit.  To view the module, register on the KY TRAIN website and search for Course ID 1064732.  Each attendee will need to have an account on the KY TRAIN website and register individually in order to receive credit for completing the module.
 
Please contact Jami Biggs via email for additional information.

All Advanced MDS online modules 
will be available until 
October 1, 2016.


Follow the registration instructions above and search for the appropriate Course ID:
  • Module 1: Interviewing Process - Course ID 1062764
  • Module 2: ADLs - Course ID 1063323
  • Module 3: MDS 3.0 - Course ID 1063692
  • Module 4: RAI Manual Ch. 5 & 6 - Course ID 1064229
Upcoming Training

Minimum Data Set (MDS) 3.0 Training

Tentatively scheduled for September 21-22, 2016 in Lexington, KY.    

More details will be provided in upcoming LTC Provider Newsletters.  

If you have any questions about either of these training opportunities, please contact Jessica Lowe at 502-564-7963 ext. 3310 or via email.

 
MDS/RAI UPDATES

Payroll-based Journal (PBJ) 
 

The Payroll-based Journal (PBJ) became mandatory as of July 1, 2016.  For questions or more information, please see the available resources below.
  • PBJ Policy Manual - Provides general background and information about the submission requirements, such as sample submission screens, submission deadlines, definitions of job categories and can be downloaded from this website.   
  • New section for PBJ information is available on the QTSO website.
  • Helpdesk Number:  (800) 339-9313
MDS/RAI CONTACT INFORMATION


MDS Assessment or Coding Issues
Jennifer Smith 
502-564-7963, x3301 or e-mail 
    
Transmission or Technical Issues
Rhonda Littleton-Roe 
502-564-7963, x3300 or 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.