Tag: #AHCANCAL

OSHA Announces COVID-19 Focused Inspection Initiative in Health Care

The Occupational Health and Safety Agency (OSHA) announced a time-limited enforcement effort for focused inspections in hospitals, nursing facilities, and assisted living communities treating COVID-19 patients. The intent of this initiative is to magnify OSHA’s presence in health care facilities over a three-month period (March 9- June 9, 2022) to encourage employers in these industry sectors to take the necessary steps to protect their workers against the hazards of COVID-19.

Inspections will be limited to organizations with prior COVID-19-related citations or complaints. Inspections will focus on correction of prior citations and compliance with existing OSHA standards. More detailed information can be found on the OSHA website. ​​​

Vaccination Tracking and Reporting Tools for Nursing Homes

The Agency for Healthcare Research and Quality (AHRQ) wants to make it easy for nursing homes and skilled nursing facilities to track and report COVID-19 vaccination information. You can find free, one-page forms to record vaccinations and boosters for nursing home residents and staff along with a vaccination tracking tool and a user-guide with step-by-step instructions for using the tracking tool. Facilities reporting data to CDC’s National Healthcare Safety Network (NHSN) can use a pre-programmed Excel workbook. Detailed instructions explain how to enter the data electronically or as a paper tool at the time of injection. Use these tools to update your electronic medical records, respond to potential vaccine data requests from local health departments or other regulatory agencies, and plan based on the vaccination administration status and rates of both residents and staff. These tools are part of AHRQ’s ever-growing Nursing Home COVID-19 Resource Collection.

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National Skilled Nursing Care Week – May 8-14

​​​​​​​​​​​​As human beings we have a natural yearning to connect. Studies have linked people with strong social relationships to many aspects of positive health outcomes, especially among older adults.
Skilled nursing care centers and their staff provide a​ steadfast commitment to providing high-level of care for their residents. This has never been more evident than the last two years during the pandemic. In addition to protecting and caring for their residents around the clock during a time of limited visitation and social distancing, staff stepped in and served ​as family members and friends to ensure that residents had the essential social connections they needed.
The 2022 theme for NSNCW, held, May 8-14, will celebrate the essential role that skilled nursing care centers and staff play in Creating and Nurturing Connections for their residents.
Find a planning guide, promotional toolkit and more at https://www.ahcancal.org/Education-Events/Pages/NSNCW.aspx

Boost Your Geriatric RN Skills in 2022 with AHCA/NCAL’s Gero Nurse Prep

Specifically designed for registered nurses working in long term care, the American Health Care Association/National Center for Assisted Living’s Gero Nurse Prep course provides comprehensive online training that leads to board certification in gerontological nursing by the American Nurses Credentialing Center (ANCC) for RNs.
Research released by AHCA/NCAL in 2019 found compelling reasons to consider the AHCA/NCAL’s Gero Nurse Prep course and ANCC Board certification for RNs. Nursing facilities with at least one ANCC Board certified RN experienced:
  • Two fewer deficiencies on average (5.71 citations versus the 7.55 national average in last cycle)
  • Fewer Immediate Jeopardy (IJ) citations (1.60 versus the 2.27 national average)
  • More stars — nearly twice as likely to be a CMS 5-Star facility (50% versus the 28% national average)
  • Significantly lower re-hospitalization rates over the previous six years
  • Significantly lower rates of off-label use of antipsychotics over the previous five years
  • Significantly higher average SNF Value Based Purchasing scores (44.17 versus 34.42 for the nation). Higher SNF VBP Score = Higher Medicare Part A reimbursement rates.
Gero Nurse Prep makes a big difference even for those RNs who are not interested in pursuing ANCC Board certification. Nurses who complete Gero Nurse Prep show an average 24 percent increase between their pre- and post-course test scores. Quite simply, Gero Nurse Prep delivers smarter RNs who are better prepared to deliver quality geriatric nursing care in skilled nursing and assisted living settings. Both two-year RNs and BSNs can take the Gero Nurse Prep course and sit for the ANCC exam.
RNs have one year to complete Gero Nurse Prep and earn 30 quality nursing contact hours – enough to meet the criteria for taking the ANCC certification exam. Gero Nurse Prep grads who choose to sit for the ANCC gerontological nursing certification exam ($395 separate fee paid to ANCC) have a pass rate of 95% on their first try. RNs who pass the ANCC exam can then use the GERO-BC™ credential after their RN credential.
Watch this video or visit the website at geronurseprep.com to learn more about this online program designed to help RNs increase their geriatric nursing skills and to pass the ANCC exam. Remember to use the AHCAPAYLESS promo code when you register to save $100 off the regular $790 Gero Nurse Prep registration fee.

CMS Issues Letter on the Importance of COVID-19 Staff Vaccinations

​Today, the Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure issued a letter to health care facility administrators on the importance of COVID-19 staff vaccinations and the current CMS requirements. CMS recommends that facilities review the vaccine rule guidance released on December 28, 2021; January 14, 2022​; and January 20, ​2022 for additional information.

https://www.cms.gov/files/document/health-care-facility-administrator-covid-19-vaccine-letter.pdf

CMS Adds Staffing Measures to Five Star Rating System

The Centers for Medicare and Medicaid Services (CMS) posted QSO memo 22-08-NH last week indicating that it will begin posting staffing turnover and weekend staffing levels for each nursing home on the Medicare.gov Care Compare website​ in January and add the measures to staffing domain of Five Star Rating system in July 2022.
  • Weekend Staffing: The level of total nurse (RN, LPN & CNA) and registered nurse (RN) staffing on weekends provided by each nursing home over a quarter.  This will be reported as average hours worked per resident per day on weekends.
  • Staff Turnover:
    • ​The percent of RN staff that left the facility over the last year.
    • The percent of total nurse staff that have left the facility over the last year.
    • The number of administrators that have left the facility over the last year.
The technical specifications for weekend staffing and staff turnover measures will be included in the Five Star Rating System Technical Users’ Guide on January 14, 2022.

Find out more at https://bit.ly/3Ai2VLo

Facing COVID With Creativity,  Connections, and Resilience

​After a devastating storm, the signs of life—children going to school, lights coming on after days of power outages, neighbors talking and laughing—are powerful reminders of people’s resilience and the importance of their connections to each other. Even though the pandemic isn’t completely over, it has led to some changes, innovations, and inspiring stories that should be embraced and remembered moving forward.

One impact of COVID-19 has been a bit of a double-edged sword. The pandemic has shown a spotlight on nursing homes and other long term care facilities. While this has brought some negative and often unfair media coverage, it also presents opportunities.

As James Wright, MD, CMD, a multifacility medical director in Virginia, says, “For a brief period of time, the public was more interested than ever in what goes on in nursing homes, especially with staffing. If we take this interest and harness it into legislative and regulatory changes, we can translate this into better funding and staffing.”

Read more at https://bit.ly/3IUH1RY

Keep Safety and Compliance in Mind When Decorating for the Holiday

Celebrating the holidays in a healthcare organization can be an uplifting experience for both residents and staff. However, decorating can oftentimes lead to some unintended consequences. Here are some quick tips to help ensure your organization maintains a safe environment that is compliant with the Life Safety Code® this holiday season:
  • ​Combustible decorations are only permitted if they are flame retardant or when they are in limited quantities such that the hazard of fire development and spread is not present.  For example, a handful of holiday cards attached to a door can be considered a limited quantity. A door completely covered with holiday cards could be considered excessive. Section 19.7.5.6 of the 2012 edition of the Life Safety Code® outlines the combustible decorations requirements in detail.
  • ​Live Christmas trees are not permitted. Living trees in a balled condition with their roots protected in soil shall be permitted if they are maintained in a fresh condition and not allowed to become dry.
  • Artificial Christmas trees are only permitted if they are labeled or identified as “flame retardant” or “flame resistive”. There are products that can be applied to artificial trees to meet this requirement.
  • Use only UL listed holiday lights and wiring.
  • Do not visually block egress, exit signage or any fire safety equipment with decorations. This includes fire alarm pull stations, visual fire alarm notification devices and fire extinguishers.
  • Do not hang decorations from sprinkler heads.
  • Do not use flame producing decorations including candles.
  • Do not use extension cords to power decorations.
Finally, monitor decorations that are brought into the facility by residents, families and friends. Ensure anything electric is UL listed, is not heat producing and does not involve candles/flames. Otherwise, enjoy the decorations and the resulting holiday spirit!
Questions? Please contact lifesafety@ahca.org.

Booster Shots for Residents and Staff.

Making sure our residents and staff receive the booster dose against COVID-19 remains the best way to combat the continued spread of the Delta variant and protect one against the eventual spread of the Omicron variant. Each week, more scientific evidence becomes available showing vaccinated people experience waning immunity and we are see increasing breakthrough cases among our residents who have not received the booster. The vaccines and booster are shown to be safe and highly effective, as they dramatically decrease the risk of developing serious illness, hospitalization or death should you have a breakthrough case. ​​
Also, as reminder CMS QSO memo 21-19-NH requires that “all residents and staff be offered each resident and staff member is offered the COVID-19 vaccine unless the immunization is medically contraindicated or the resident or staff member has already been immunized” and before the end of the year will publicly post the rate of booster shots administered in each skilled nursing facility.
Resources to help with resident and staff boosters are available at AHCA/NCAL’s https://getvaccinated.us/