Issue: December 19, 2013

Published on December 18, 2013

Articles in this issue:

KanCare Provider Experience Survey- Important



Attention: KanCare Providers!

The Kansas Department of Health and Environment, Division of Health Care Finance, is launching the first in a planned series of provider experience surveys related to the KanCare program. The brief surveys will be electronically captured and cover a variety of provider experience issues designed to help ensure that we are as responsive and provider-friendly as possible with the KanCare program.

We are asking that provider agency leadership staff complete the survey, which is expected to take between 5 and 10 minutes to complete. This survey is intended for CEOs, COOs, CFOs or senior leadership staff at provider organizations so we’re able to receive a broad view of experiences reported. Your feedback is important to the program’s success.

Access the survey here: survey will be open until Friday, December 20, 2013. 

Only one submission is allowed per user. Any duplicate entries will be discarded.

KHCA/KCAL Closed for the Holiday


KHCA/KCAL will be closed from noon on Christmas Eve until the 2nd of January.  We hope you have a great holiday, and will see you for the new year.

KHCA Facility Standards Call Reminder - This Friday.



The KHCA Facility Standards Committee is sponsoring an Association-wide call to discuss the findings from November's 2567s as reviewed by consultant Linda Farrar. The call will be hosted Friday, December 20, 2013 at 11:00am and will last from 45 to 60 minutes. Participants will be asked to download the attached documents in order to follow along with the discussion. There is no charge for this event and no continuing education credit will be offered. This call is for KHCA members only and is most beneficial for skilled nursing home providers. To participate, dial 1-888-450-5996 passcode 946659#.


Documents to download:

November Survey Review

November Survey Findings


KHCA Spring 2014 Education Events



As we usher in the end of 2013, we reflect on a great year of education opportunities.  Now, we look ahead to 2014, and are equally excited about this year's opportunities.  Below is a list of 2014 Spring education opportunities.

January 29-30 - Eden Associate Training- Register Now

February 5 - Legislative Conference

February 18 - Joint Provider Fire Marshal Training- Topeka

February 19 - Joint Provider Fire Marshal Training- Wichita

March 5-7 - AANAC RAC-CT - Topeka

March 19-26 - Adult Care Home Operator's Course- Topeka


Download a list of events

KCAL December Operator's Course



KCAL Operator Course—100% Pass Rate in December

All twenty- four participants in KCAL’s state licensed only operator class held in Topeka December 4-11, 2013 passed the test.  Several students received perfect scores. The class toured Autumn Home Plus with operator Betty Carswell  and Missy Creollo, McCrite Plaza Assisted Living with marketing director Connie Mchaelis and Fairlawn Heights with operator Claudia Alexander. Several students have forwarded their resumes to KCAL so if you are in the market for a freshly minted operator, please contact Hayden Parker at

The next operator course is scheduled for March 19-26 in Topeka at the KCAL office. The class is limited to 25 and registration is open here online. 

MDS Corner with Judy Bagby, RN

Author: Hayden Parker

MDS Corner: RAI Updates

Judith A Bagby BSN, RAC-CT, C-NE, LNHA


We are ending a busy 2013 year for the world of MDS.  One step that has not changed in the world of MDS is that the opening and completion dates move along without regard for holidays or power outages.  There were several revisions to the RAI this past year, please make sure you have the most up to date documents in your RAI Manual.  The October revisions did provide additional information in section G regarding ADLs and section O with Restorative Nursing.   Both these areas need to be accurately coded as they influence your payment rate.  Items in G and O identify both resident declines and improvements and are areas of focus during the survey process.  This month (December) CMS posted drafts of the MDS Item Sets for proposed implementation in October 2014.  These were posted for review and to encourage comments on the changes.

This past year has seen the MDS used by CMS and other payment sources to monitor hospital transfers.  It is our responsibility to implement and maintain systems for accurate coding on the MDS and to evaluate the reason for changes.  Quality Assurance and Performance Improvement (QAPI) is not an option it is the way to do business on a daily basis.  SNFs are being asked to manage sicker residents.  Our challenge is to provide a safe environment with quality care.  The assessment process helps to identify needs and risks which should be reflected by the MDS coding.  The CAA process is the root cause analysis to answer the question of why regarding the MDS coding.  Frequently, the area of the CAAs is overlooked or short cuts are taken.  When we do a detailed review of a CAA often key items are noted that will help in the delivery of services to the resident.  The Care Plan is that resident specific “recipe” for the delivery of their services.   The CAAs and Care Planning are steps of the RAI process that have ongoing review to assist with identifying needed changes for improvement of resident outcomes.  Early identification of changes and implementation of approaches may avoid a hospital transfer. 

KDADS/National Research Coporation Resident Satisfaction Survey Update



KDADS announced Tuesday that training is underway with the individuals who will be conducting interviews in your centers as part of the National Research Corporation (NRC) report card process. Centers are being contacted directly by National Research Corporation outlining the date interviewers plan to be at your center and the expectations of the center during the interview process.

KDADS Commissioner Joe Ewert reported that 90% of skilled nursing centers signed up for the program. Others who attempted to sign up after the deadline missed their opportunity to participate this year. PLEASE LET US KNOW IF YOU ARE ONE OF THOSE CENTERS.

National Research Corporation plans to have all of the interviews conducted in January with preliminary results available to providers in February. KDADS plans a preview of the data for Spring 2014. The individual questions lead to a final score on “overall satisfaction,” and “willingness to recommend” which will be relayed on the report card.  Additional detail on the individual domain scores will be available on the website for those seeking it.  Providers will have full access to all data collected during the process through their own portal with NRC. 

Below is a follow up from NRC which provides additional information and the link to the archived recording.

This is a follow up to last week’s KDADS webinars to prepare you for the upcoming Resident Survey in January. Thanks to all who attended the webinars. For those who were unable, or for your reference I have attached a link to a recording of one of our four session. During these calls a number of questions were asked and fielded, a few of which we consulted with KDADS to answer for you. Please find a spreadsheet with all commonly asked questions and responses attached. Please review these carefully and let me know if you need additional clarification.

As a reminder the next steps are as follows:

My InnerView will contact your facility with a schedule of when the interviewers will arrive between now and Dec 31

1.      You should assign a Survey Champion and plan your communication plan

2.      Create a list of resident eligible to complete a survey in preparation for the interviewers arrival

3.      Plan for where the surveys will take place

4.      You should begin communication that the survey is coming around Dec 20

5.      Surveys will ship via FedEx on Dec 31st

6.      The package of surveys will arrive between Jan 2-6

7.      Interviewers will arrive at your facility between Jan 6-27


When the Interviewer arrives at you facility:

1.      They will identify themselves as the KDADS interviewer

2.      The survey champion should give the interviewer the box of surveys

3.      Give the interviewer the list of residents to survey

4.      Provide the interviewer with instructions on where the surveys will take place

5.      Assist them with navigating your facility and be available for questions


Following these steps will ensure a successful survey.


ReadyTalk invites you to view a recorded conference. If you do not have Flash installed, you will be prompted to install Flash before viewing. Click the following link:

For additional instructions on playback, click here:

Thank you for using ReadyTalk.


A Message from The Office of The State Fire Marshal on Space Heaters in Centers


It's winter, and it is getting COLD.  Please read this short message from The KSFM Office reminding us about the importance of Life Safety Code and space heaters

Healthcare Space Heaters

Disaster Preparedness Seminar



Long Term and Residential Care Disaster Preparedness: Protection Our Most Vulnerable
Registration Now Open

April 15-16, 2014
Embassy Suites
Downtown Omaha, NE

Learn from those with real disaster stories from the field as well as experts that will help guide and refine your current disaster preparedness planning efforts. Back by popular demand, this one of a kind National conference will help guide you and your organization through the most important disaster preparedness concerns in Long Term and Residential Care facilities today. The conference will feature  key note speaker, Jocelyn Montgomery, RN, PHN, Director of Clinical Affairs from California Association of Health Facilities, and will  include speakers that have real disaster stories from the field and experts that will be able to help guide and refine your current planning efforts. This event will allow for expanded learning and networking for all participants.


Administrators, Emergency Preparedness Coordinators, RN’s, and all staff responsible for the care of vulnerable populations in residential facilities. 

Register online
Registration Fee: $195 for both days or $150 for one day


The Long Term/Residential Care Disaster Preparedness: Protecting Our Most Vulnerable is a Co-Sponsored program between the Center for Preparedness Education and Iowa Western. Continuing Education Hours pending approval through Iowa Western Community College, Iowa Board of Nursing Provider #6.
CME credits are pending approval.
Please feel free to contact us with any questions.

Kristine Sanger


A Message from CMS Regarding ICD-10


* Please note KHCA will be providing education on ICD-10 *

On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets.

The transition to ICD-10 is required for everyone covered by the Health Insurance Portability Accountability Act (HIPAA). Please note, the change to ICD-10 does not affect CPT coding for outpatient procedures and physician services.

Stay up to date on ICD-10!

Sign up for CMS ICD-10 Industry Email Updates and follow us on Twitter.

CMS Resources

·         View the ICD-10 Introduction fact sheet and FAQs to get a general overview on ICD-10.

·         See official resources designed to help providers, payers, vendors, and non-covered entities with the transition to ICD-10 on October 1, 2014.

·         Access two free Medscape Education modules that provide guidance to small practices making the transition to ICD-10: ICD-10: A Roadmap for Small Clinical Practices  and ICD-10: Small Practice Guide to a Smooth Transition. Continuing medical education (CME) and continuing education (CE) credits are available to physicians and nurses who complete the learning modules.

·         The attached toolkit includes ICD-10 resources and materials from CMS to help the health care industry with the transition to ICD-10. .


General Medicare Resources and Information:


Fact Sheet

Guidelines for Teaching Physicians, Interns, and Residents


Medicare Learning Network® (MLN) Guided Pathways (GP) to Medicare Resources

Senate Takes Action on Budget Compromise



Today, the Senate voted on a procedural move to begin wrapping up debate on the House-passed budget agreement that I reported to you last week.  That 60-vote cloture sets in motion a final vote as early as Friday on a measure that the President will likely sign into law.

Thanks to the countless Hill visits, in-district meetings, events and other outreach, there is a great deal of good news for our profession in this budget bill.  Nothing has changed regarding the agreement since the House passed it last week.  Highlights include:


As I shared last week, the negotiated deal increases discretionary spending. To recap, the pay-fors are:

This measure funds the government through the end of next year, ending the need to pass continuing resolutions every few months.


Included in the budget bill is a three-month doc fix that extends until March 31, 2014. Nothing has changed in the Senate today; we are not the pay-for in this short-term doc fix.  The pay-fors include:

Heading into the first several months of 2014, there is momentum for both House and Senate committees to finalize proposed language and begin discussing pay-fors to fund a permanent doc fix.   We are working on a strategy to ensure our interests are front and center on the minds of Hill staffs.  I'll say more about that below.


The three-month extension of the doc fix included in this budget bill also extends the therapy cap exceptions and manual medical review (MMR) processes for three months.

As I mentioned last week, a permanent repeal of therapy caps and significant relief in the MMR process could potentially be included in the permanent doc fix discussions in early 2014. We will continue to voice our support and offer solutions. 


As I write this, we are meeting internally to develop a comprehensive strategy for when Congress returns January 6th.  We will not let up in our push to see that the sector is not cut, and that we will be in a position to offer constructive alternatives to any proposals that threaten to harm our members.   Here's what you can expect soon after the New Year:

At the appropriate time, we are ready to deploy the resources you have entrusted to us here at AHCA. While we are pleased with the outcome today, there will be more challenges to tackle in the New Year. AHCA/NCAL will continue to focus on being a powerful voice for our profession in 2014.

On behalf of all of us at AHCA/NCAL, let me thank you for the opportunity to be part of this great cause. We know what is at stake and will use the energy from this result to fight even harder. Together we are the solution.

Have a great holiday.


Mark Parkinson
President & CEO