Skilled Nursing Articles

Timely articles featuring expert insights are intended to help skilled nursing successfully navigate today’s challenges.

Strict new hazardous drug disposal rules now affect nursing homes

Strict new hazardous drug disposal rules now affect nursing homes

It’s been estimated by University of Chicago researchers and others that more than $2 billion a year in drugs are being wasted in nursing homes. That equates to roughly 2,300 tons of dangerous drugs, most of which have been literally tossed down the drain, according to Wade Scheel, director of governmental affairs for Stericycle Environmental Solutions.

Learn More

Navigating the minefields of regulation: Welcome to skilled nursing care

Navigating the minefields of regulation: Welcome to skilled nursing care

To understand the regulatory polypheme that is long-term care, consider the assessment of Jindou Lee, CEO of HappyCo, a San Francisco-based technology-driven property management company. HappyCo serves the long-term care sector and other industries like banking and military housing. Lee offers his views in this recent discussion about the value of electronic record keeping. “Few…

Learn More

Mega Rule: How a massive pharmacy regulation is shaping healthcare

Mega Rule: How a massive pharmacy regulation is shaping healthcare

The Mega Rule deconstructed. Find out the key issues for long-term care facilities and how PharMerica consultant pharmacists can aid in compliance. When the so-called “Mega Rule” was unveiled in early 2016, it was instantly referred to as the most comprehensive revision of Medicare and Medicaid rules of participation requirements for long-term care facilities in…

Learn More

Article 10 Monitor and Maintain

Article 10 Monitor and Maintain

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 9 Game Day Plan

Article 9 Game Day Plan

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 8 Test Your PDPM Readiness – It’s All About The Data

Article 8 Test Your PDPM Readiness – It’s All About The Data

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 7 Beyond Implementation: Enhancing Efficiencies

Article 7 Beyond Implementation: Enhancing Efficiencies

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 6 It’s Time to Pull in Partners

Article 6 It’s Time to Pull in Partners

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

The New Patient Driven Payment Model – An overview for nursing homes

The New Patient Driven Payment Model – An overview for nursing homes

There’s no topic garnering more buzz in SNF circles than the fast-approaching PDPM reimbursement system. What do SNFs need to know and do to be prepared? And among all the swirling news, which items are truths you can trust and which are myths that need to be busted? This article breaks down the issues and aims to provide guidance.

Learn More

Article 5 Documentation Demands and How to Meet Them

Article 5 Documentation Demands and How to Meet Them

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 4 It’s Time to Audit Your Coding Practices

Article 4 It’s Time to Audit Your Coding Practices

The Centers for Medicare & Medicaid Services’ (CMS) new Patient Driven Payment Model (PDPM) signals a total change in the payment process for Skilled Nursing Facilities (SNFs). While it uses the same regulations and MDS 3.0 database that you’re familiar with as its foundation, PDPM involves a more complex calculation and coding is key. If you don’t have a PDPM implementation strategy in place, your reimbursement is at risk.

Learn More

Article 3 Building Staff Competencies: Training Tips for Your Team

Article 3 Building Staff Competencies: Training Tips for Your Team

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a stepby-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 2 Preparing for the Patient Driven Payment Model In Five Steps

Article 2 Preparing for the Patient Driven Payment Model In Five Steps

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Article 1 The Impact of Patient Driven Payment Model on Your Business: What You Need to Know

Article 1 The Impact of Patient Driven Payment Model on Your Business: What You Need to Know

Get ready for the October implementation date of the Patient Driven Payment Model (PDPM) with our informative series of articles authored by Leah Klusch, RN, BSN, FACHCA, founder and director of The Alliance Training Center. We’ll prepare you for the new reimbursement model with detailed insights in a step-by-step guide to PDPM success. You’ll learn about everything from building staff competencies and improving your coding practices to the value of partners and how to enhance efficiencies. The series will conclude with a checklist to help you gauge your readiness.

Learn More

Preventing Adverse Drug Events with DNA

Preventing Adverse Drug Events with DNA

To maximize the value of drug treatments while preventing harm, some facilities are looking to a novel approach: pharmacogenomics. Since every individual has a unique combination of enzymes that break down or interact with medications in the body, pharmacogenomics analyzes a resident’s DNA – taken with a simple Buccal swab – to determine patient-specific drug metabolism characteristics. And the benefits of this minimally invasive analysis can be significant.

Learn More

Reducing Skilled Nursing Facility Rehospitalizations with Effective Pharmacy Intervention

Reducing Skilled Nursing Facility Rehospitalizations with Effective Pharmacy Intervention

With one in five Medicare beneficiaries readmitted to the hospital within 30 days of release, hospitals are increasingly looking to enhance their discharge management. But it is challenging when skilled nursing facilities, the most common setting for discharged patients, see one in four of them readmitted within 30 days. As a result, facility performance is more important than ever as hospitals seek to keep its patients as healthy as possible and avoid financial consequences. And one way to improve quality metrics is involving pharmacy to address the most common causes of readmission.

Learn More

Standing Up Against Medication Mismanagement to Prevent Falls

Standing Up Against Medication Mismanagement to Prevent Falls

Falls among the elderly can be particularly problematic, leading to reduced functioning, pain and even death. Yet they are incredibly common, especially in nursing homes: according to Industrial Safety and Hygiene News, a typical 100-bed facility reports at least 100 to 200 falls per year. And one of the biggest contributors is medications; with the risk increasing as the number of drugs a resident takes rises. To combat the problem, optimizing medication management should be a key prevention strategy.

Learn More

Reducing Medication Errors Starts at Admission

Reducing Medication Errors Starts at Admission

Errors during medication administration can pose as a significant risk for the elderly, with the risk being especially high during transitions between care settings where record discrepancies are common. In one study in the Journal of General Internal Medicine, at least one medication discrepancy was identified in over 70% of skilled nursing facility (SNF) admissions.

Learn More

Addressing Top Medication Safety Issues in Long-Term Care Facilities

Addressing Top Medication Safety Issues in Long-Term Care Facilities

There are numerous factors to consider when evaluating medication safety in long-term care facilities.

Learn More

Addressing Short-Stay Challenges with Effective Medication Management

Addressing Short-Stay Challenges with Effective Medication Management

About 40 percent of Medicare patients are admitted to a skilled nursing facility (SNF) or rehabilitation facility after being discharged from a hospital. Unfortunately, approximately 20 percent of those discharges ultimately result in readmissions. Effective management of residents’ medication is paramount to improving outcomes, particularly to preventing short-stay skilled nursing facility residents from being readmitted to a hospital within 30 days of arriving.

Learn More

Top Skilled Nursing Facility Trends for 2019

Top Skilled Nursing Facility Trends for 2019

Like recent eventful years, 2019 presents new challenges for skilled nursing facilities. And to succeed in this era of disruption, skilled nursing facilities need to transform their operations in response. Here are the top five trends to watch this year and tips to help LTC organizations prepare—and stay ahead.

Learn More

Five Things to Know About Transitional Patient Care

Five Things to Know About Transitional Patient Care

Changes in a patient’s care settings represent challenging adjustments. Here are five key things providers should remember about patient care transitions to improve the quality of care delivered.

Learn More

Communication is key to consultant pharmacist effectiveness – by T.J. Griffin, RPh., Chief Pharmacy Officer

Communication is key to consultant pharmacist effectiveness – by T.J. Griffin, RPh., Chief Pharmacy Officer

Consultant pharmacists bring extraordinary – and well-established – value to long-term care communities. As external pressure rises to contain the costly rehospitalizations that adverse drug events cause, consultant pharmacists provide an even more vital resource. Yet consultant pharmacists are often underutilized. Optimizing the guidance of these specially-trained experts can have a dramatic impact on the safe, effective and appropriate use of medications – positively influencing a community’s care, quality measures and bottom line.

Learn More

Improved patient discharge practices reduce fines

Improved patient discharge practices reduce fines

Recent data released by the Centers for Medicare & Medicaid Services (CMS) indicates that despite increased pressures to lower rehospitalizations, the overall Skilled Nursing Facility (SNF) rehospitalization rate rose to 19.4 percent in 2017, up from 19 percent just two years earlier. In many cases these incidences can be avoided and the associated costs reduced through the implementation of discharge planning.

Learn More

Reducing medication errors and improving patient outcomes

Reducing medication errors and improving patient outcomes

With Americans living longer, the average stay in a long-term care facility has increased up to 835 days, per the CDC. However, more important than the length of stay is the quality of health and care while patients are in residence. Patient outcomes are affected by several factors, but one of the biggest contributors to poor outcomes and readmission is errors with medication prescription and fulfillment.

Learn More

Leveraging Technology to Reduce Dose Omissions

Leveraging Technology to Reduce Dose Omissions

Care in long-term care environments is increasingly complex. And one of the most significant contributors to the challenges of resident care is medication administration, especially when complicated treatment regimens are required that increase the risk of errors.

Learn More

Combatting Polypharmacy at Discharge: Ensuring Appropriate Use of Complex Regimens

Combatting Polypharmacy at Discharge: Ensuring Appropriate Use of Complex Regimens

As population age and the number of individuals with long-term conditions increase, so does the incidence of polypharmacy. Today, thirty-nine percent of older adults in the US take five or more drugs simultaneously, according to Harvard researchers.

Learn More

Emergency Preparedness in Long Term Care Pharmacy

Emergency Preparedness in Long Term Care Pharmacy

Extreme weather, man-made threats and other emergencies can cause long-term care facilities to lose power, shelter in place or even evacuate. In advance of Hurricane Florence, for instance, South Carolina Governor Henry McMaster called for a mandatory evacuation of nursing homes, a response likely the result of previous storms like Hurricane Irma that caused power outages resulting in the deaths of more than ten nursing home residents in Florida.

Learn More

Improving Occupancy Through Improved Medication Management

Improving Occupancy Through Improved Medication Management

Residency numbers continue to decline in skilled nursing, with recent reports citing occupancy as low as 81.7 percent. Operators who want to thrive in this market are having to rethink their approach to virtually all aspects of their operation and innovate to create opportunities. One often overlooked area that can be instrumental in differentiating facilities is their approach to medication management at discharge.

Learn More

Addressing Staffing Challenges Organization-Wide

Addressing Staffing Challenges Organization-Wide

Staffing at skilled nursing facilities across the U.S. continues to be a challenge. In fact, recent payroll data analyzed by Kaiser Health News shows that most nursing homes had fewer nurses and caretaking staff than they reported to the government. And while there are many different reasons for variations in staffing levels, the bottom line is that the nursing shortage contributes to neglect – and liability.

Learn More