NEWSLETTER

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Regulatory Update

Endorsed Vendors

Trade Show &

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Calendar of Events

May, 2015 This Issue

Deficiency Free Survey

The Obama administration announced that it will expand its Pioneer accountable care organization (ACO) model nationwide after an independent review found that the ap-proach saved money while not sacrificing quality.

In a conference call with reporters that amounted to a 30-minute victory lap, Cen-ters for Medicare & Medicaid Services (CMS) executive Patrick Conway said that his agency’s independent Innovation Center had audited the Pioneer model and given it a broad thumbs up.

“The Pioneer ACO model is showing that CMS is capable of delivering better care, smarter spending, and healthier people,” Conway said.

His comments came barely an hour after the Journal of the American Medical Asso-ciation found that providers in the Pioneer system had saved nearly $183 million that would have been spent in more traditional Medicare fee-for-service models. More than that, satisfaction surveys and other quality measures showed that the Pioneer model was scrimping on dollars, not on quality of care, the JAMA team reported.

“Despite decreases in spending growth, results from this study and previously re-ported data on Pioneer ACOs’ performance on clinical quality measures suggest it is possible to reduce expenditure growth while maintaining or improving quality in a

[fee-for-service] environment,” the re-searchers wrote. “These results are encour-aging, given how historically challenging it has been for physicians to achieve spending reductions in Medicare demonstration pro-jects.”

Intriguingly, though, the JAMA study also found that the number of Medicare days spent either in a skilled nursing center or under home health visits showed “larger increases” in year one of the Pioneer study.

This jibes with forecasts from some experts who’ve argued that skilled nursing stands only to benefit as accountable care and oth-er methods of bundled payment take hold and spread through Medicare.

The Obama administration has already ap-proved expanding the Pioneer model be-yond its test phase to include other benefi-ciaries, CMS’ Conway said Monday. As it stands, nearly 7.8 million Americans are already enrolled in Medicare ACOs, “and we think that number will continue to grow,” he said.

“If you follow the trend line, we’ve been adding several million beneficiaries per year into ACO arrangements,” Conway added. “I think we can expect that to con-tinue.”

Source: Provider Magazine

CMS To Expand Pioneer ACO Model

2014 QUALITY INITIATIVE AWARDS

TheAHCAQualityInitiativeisaneffortthatbuildsupontheexistingworkofthelongtermandpost‐acutecareprofessionbysettingspeci ic,measurablegoalstofurtherimprovequalityofcareinAmerica’sskillednursingcentersandassistedlivingcommunities.Theprogramisdesignedtohonorindividualmembersfortheirachievementinreachingthesegoals.Theprogramismulti‐tieredwithincreasingrecognitionformemberskillednursingcentersthatachievemultiplegoals.CongratulationstoSCHCAmembersthatreachedthefollowingtiers.

TIER IV

Members who achieved all four goals.

Kingston Nursing Center Mullins Nursing Center

Tier III Members who reached three of the goals.

Agape Nursing & Rehab West Columbia

Heritage Healthcare at the Pines

NHC Charleston Lake Moultrie Nursing Center

Tier III Members who reached three of the goals.

Agape Nursing & Rehab Rock Hill

NHC Garden City

NHC Greenville Cherokee County LTC Facility

Tier III Members who reached three of the goals.

NHC Mauldin NHC North Augusta

NHC Clinton NHC Parklane

Tier III Members who reached three of the goals.

Unihealth Post Acute Care Aiken

White Oak Spartanburg

White Oak York NHC Lexington

Tier III Members who reached three of the goals.

Ridgeland Nursing Center

Additional Tier III Achievers Heartland of Columbia Rehab and Nursing Center

Lila Doyle at Oconee Medical Center Spartanburg Hospital for Restorative Care SNF

Tier II Members who reached two of the goals.

Abbeville Nursing Home, Inc.

Agape Rehabilitation of Conway

Bethea Baptist Healthcare Center

Brian Center Nursing Care– St. Andrews

Calhoun Convalescent Center

Cheraw Healthcare

Chesterfield Convalescent Center

Exalted Health and Rehab of Iva

Fairfield Healthcare Center

Fountain Inn Convalescent Center

Glorified Health and Rehab of Greenville

Healthcare Center of Wesley Commons

Heartland Health Care Center- Greenville East

Heartland Health Care Center- Greenville West

Heartland of Lexington Rehabilitation & Nursing Center

Heritage Healthcare of Pickens

Heritage Home of Florence

Inman Healthcare

J.F. Hawkins Nursing Home

Jolley Acers Healthcare Center

Kershawhealth Karesh Long Term Care

L.M.C. Extended Care

Lancaster Convalescent Center

Laurel Baye Healthcare Greenville

Life Care Center of Columbia

Life Care Center Hilton Head

Linville Court at The Cascades Verdae

Magnolia Manor– Greenwood

Magnolia Place– Spartanburg

Martha Franks Baptist Retirement Center

McCoy Memorial Nursing Center

Mountainview Nursing Home

NHC Healthcare– Anderson

NHC Healthcare– Bluffton

NHC Healthcare– Greenwood

NHC Healthcare– Laurens

NHC Healthcare– Sumter

Oakhaven Nursing Center

Petra Health & Rehab of McCormick

Seneca Health& Rehabilitation Center

Sumter East Health & Rehabilitation Center

Sumter Valley Nursing & Rehab Center

The Methodist Oaks

Unihealth Post-Acute Care– Low Country

UnihealthPost-Acute Care– Moncks Corner

Unihealth Post-Acute Care– Columbia

Unihealth Post-Acute Care– North Augusta

Unihealth Post-Acute Care– Rock Hill

Unihealth Post-Acute Care– Bamberg

White Oak Manor– Charleston

White Oak Manor– Newberry

Windsor Manor

2015 BEST TRADE SHOW BOOTH WINNER REGIONAL AMBULANCE

Christa Lollis Jennifer Feagin

Trade Show Grand Prize Winner

Trade Show 2nd Place Prize Winner

REGULATORY UPDATE

May, 2015

Pressure ulcer care continues to be cited on surveys specifically related to identification, tracking and implementing preventative measures I would en-courage facilities to review pressure ulcers in its QAPI program. The re are great resources available at The National Pressure Ulcer Advisory Panel (NPUAP) web site. They also have a great root cause analysis tool that you can utilize in QAPI program.

Failure to complete the 671 and 672 forms accurately. These forms can af-fect the direction of your survey and your 5 Star rating.

Expired medications. Please be sure that your staff is removing expired med-ications and storing them separately. Expired medications should never be left in/on the cart.

If your facility has electronic medical records, remember that you must have adequate access for the survey team.

Annual Surveys In an effort to as-sist our member-

ship, please send a copy of your 2567 survey results to

Kwilker-son@schca.org.

This information will help the associ-

ation identify trends with cited

deficiencies and as-sist us with plan-ning education that will benefit our membership.

Survey News

OSHA Releases New Update for Preventing Workplace Violence for Healthcare and Social Service Workers

OSHA recently released an update to its Guidelines for Preventing Work-place Violence for Healthcare and Social Service Workers. The publication includes industry best practices and provides some insight on how to reduce the risk of violence in various healthcare and social service settings. In the document, OSHA recommends that healthcare providers develop an effec-tive workplace violence prevention program that includes: (1) Management commitment and employee participation, (2) Worksite analysis/Tracking and Trending, (3) Hazard prevention and control, (4) Safety and health training, and (5) Recordkeeping and program evaluation.

https://www.osha.gov/Publications/osha3148.pdf�https://www.osha.gov/Publications/osha3148.pdf�https://www.osha.gov/Publications/osha3148.pdf�https://www.osha.gov/Publications/osha3148.pdf�

The new guidance is not necessarily groundbreaking in its approach but it does include helpful charts and guides related to the five key program components that provide additional guidance on how to implement these elements. Of particular note and worthy of checking out is the specific suggestions related to hazard prevention including engineering, administrative, and work practice controls that can be implemented (see pages 13-21). While some of these may be costly or difficult to implement, there are some suggestions that could easily be implemented. OSHA also recommends that all incidents of workplace violence be investigated that include determining the root cause, involving employees in the investigation, and identifying near misses too (see pages 23-24). In addition, there are a list of training topics that OSHA recommends should be covered with employees, supervisors, and security officials - some of them you may not be currently covering with your employees. (see pages 25-27). OSHA also provides a detailed program evaluation/risk assessment checklist that you may find useful (see pages 30-39). Reissuing updated guidance suggests to me that OSHA may devote more time and resources to investigating claims of workplace violence in the hospital and residential care environments. It may be a good time to look over your program and consider your risk.

This summary was prepared by Nickole Winnett, Attorney at Law with Jackson Lewis P.C.

Source:AHCA

DEFICIENCEY FREE LTC SURVEY RECOGNITION

NCH Greenville Kingston Nursing Homes

White Oak Manor Charleston NHC Anderson

DEFICIENCEY FREE LTC SURVEY RECOGNITION

NCH Garden City Chesterfield Convalescent Center

White Oak Manor Charleston

Please use SCHCA’s Endorsed Vendors. These companies are not only designed to save you money, they also support your association. Revenues generated from facility usage helps keep cost down on dues and educational seminars.

Southeastern Paper Group Carolina Nutrition Consultants PO Box 6220 4721 Sunset Blvd SuieD Spartanburg, SC 29304 Lexington, SC 29072 864-574-0440 803-996-0312 Jeff Parks and Chuck McGraw Edna Cox Rice Paper, Chemical and Janitorial Supplies Food Service MobilexUSA– Mobile Diagnostic Services Harbor Linen PO Box 1759 4912 Centerway Drive Clearwater, FL 33762 Durham, NC 27705 Frank Trenery (Midlands, Western SC, Horry) 919-493-2709 803-730-2155 Bob Montani Jean Craig (Upstate, Low Country & Pee Dee) Textiles 843-513-5661 X-Rays, Ultrasound, EKG, Pacemaker Battery Checks, Cardiac Telemetry, 24 hr. Holter Monitor Studies,

InPro Corporation 9115 Old Stateville Rd, Suite C Charlotte, NC 28269 Eric Ziegler 704-287-5522 or eziegler@inprocorp.com Chris Uridel 704-509-1214 Doors & Wall Protection, Handrails, Signage, Privacy Curtains/track & In-stallation

FSI Office 99 Vantage Point Dr. West Columbia, SC 29172 Customer Service Contact: Sherrell Ott 803-794-6759 or 800-794-6759 Ext. 201 Sherrell.ott@formsandsupply.com Sales Consultant: Larry Abrams 803-794-6759 or 800-794-6759 Ext. 207 Larry.abrams@formsandsupply.com

Covidien (Kendall Healthcare) 15 Hampshire Street Mansfield, MA 02048 864-221-3798 Jon Collins Jon.collins@covidien.com Incontinence Products & Wound Care

Carolina Filters, Inc P.O. Box 716 109 E. Newberry Ave. Sumter, SC 29151 *03-773-6842 Steve Stafforf, ASCA CVI Indoor, Quality Air Needs

2015 Convention & Showcase Sponsors

Regional Ambulance

Inpro

Covenant Dove

PruittHealth

Schmoyer & Company, CPAs

Covidien Nelson, Mullins, Riley & Scarborough

Healthcare Services Group Palmetto Ambulance

Heritage Healthcare Senior Living Guide

Geriatric Practitioner Solutions White Oak Pharmacy

Allied Health Resources MobileXUSA

Capstone Insurance QMX Mobile Health

Grove Medical TridentUSA Mobile Clinical Services

Medical Arts Pharmacy

NHC HealthCare

June May

2015 Events June 25

LTC Life Safety Code & Emergency Preparedness Essentials

“Everything You Want to Know About the Life Safety Code & Disaster Planning, but Are Afraid to

Ask” July 28

MDS Compliance August 10-12

Summer Retreat September 15

Activity Seminar September 16

Social Work Seminar October 25-27 Fall planning November 17

Quality Award Bronze Workshop

Memorial Day– Office Closed 25

LTC Life Safety Code & Emergency 25

Preparedness Essentials

Regulatory Update

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