Issue: January 2, 2014

Published on January 2, 2014

Articles in this issue:

KCAL Members To Be Honored at AHCA/NCAL Quality Symposium



Congratulations to Vintage Park at Baldwin, Vintage Park at Paola, and Brandon Woods Assisted Living.  These three KCAL members will be recognized in New Orleans at the AHCA/NCAL Quality Symposium in February for their outstanding quality achievements.

The Quality Initiative Recognition Program is designed to recognize NCAL assisted living/residential care members that demonstrate the attainment and a commitment to one or more of the four NCAL Quality Initiative Goals:

·         Safely Reduce Hospital Readmissions by 15% *

·         Increase Staff Stability by maintaining nursing staff turnover below 30%

·         Increase Customer Satisfaction to 90%

·         Safely Reduce the Off-Label Use of Antipsychotics by 15% *


*Nationwide, publicly available data for hospital readmissions and antipsychotic medication use does not currently exist for assisted living/residential care providers.  The Patient Safety Organization (PSO) will collect information on these two goals, as well as other quality measures for assisted living communities that participate.  Commitment to safely reducing hospital readmissions and off-label use of antipsychotics for the NCAL Quality Initiative Recognition Program this year was achieved by member communities joining the National Patient Safety Organization for Assisted Living. 


KHCA/KCAL is pleased to announce that 3 of our communities from Kansas have achieved and made a commitment to the Quality Initiative goals!

A full breakdown is as follows





Nursing Staff Turnover

Customer Satisfaction

Joined PSO

Tier I

Tier II

Tier III

Vintage Park at Baldwin LLC

Baldwin City








Vintage Park at Paola









Brandon Woods Assisted Living










KanCare Provider Experience Survey- Last Chance



The deadline for completion of the provider survey on KanCare has been extended to January 10

Attention: KanCare Providers!

The Kansas Department of Health and Environment, Division of Health Care Finance, has launched 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.

Response rates to the first survey, started 12.6.13, are not yet enough for any valid assessment.  Therefore, we are extending the response time.  The survey will be open until Friday, January 10, 2014.

In addition, please note:  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.  Surveys received from other staff will not be included in our analysis. 

Your feedback is important to the program’s success.  Please respond to this survey by Friday, January 10, 2014.  You can access the survey here:

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

New Guidance for Consumers and Providers Related to Bed Rail Safety



In December, the FDA posted important new guidance for consumers and providers related to bed rail safety.  It includes descriptions of safety concerns, recommendations for providers, and suggestions for filing complaints. Here is the link:

There are no changes to the bed rail guidance for hospital bed rails that was released in 2000 and updated in 2010.  There is expanded information about adult portable bed rails.

According to the Administration for Community Living, this new guidance is a result of significant coordination by the FDA, the Consumer Product Safety Commission and the Administration for Community Living, as well as some committed consumer advocacy.

CMS Updates- S&C



CMS has released another set of Survey and Certification updates:

13-55: Enforcement Actions - Installation of Automatic Sprinkler Systems in Nursing Homes - August 13, 2013 Deadline (Released 8/16/13; Revised 11/15/13 (red); Revised 12/20/13 (green))

           The current revisions mostly relate to the imposition of civil money penalties and denial of payment for new admissions. In addition, Attachment One has been updated with December numbers to show the number of nursing homes without full sprinkler systems by State for those States with at least one such nursing home.    The revised memo is attached. The memo has the four attachments attached to it, with revisions as well.

Emergency Preparedness

On December 20, 2013, CMS released its Rollout of the Emergency Preparedness rule (CMS-3178-P). The  proposed rule was published today and comments are due February 25, 2014. The rule proposes to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters. In consultation with experts in emergency response and health care facilities, CMS has identified four specific areas that are central to an effective system. The proposed rule would require participating providers and suppliers to meet these four standards:

1. Emergency plan--Based on a risk assessment, develop an emergency plan using an all-hazards approach focusing on capacities and capabilities.

2. Policies and procedures—Develop and implement policies and procedures based on the plan and risk assessment.

3. Communication plan—Develop and maintain a communication plan that complies with both Federal and State law. Patient care must be well-coordinated within the facility, across health care providers, and with State and local public health departments and emergency systems.

4. Training and testing program—Develop and maintain training and testing programs, including initial and annual trainings, conducting drills and exercises or participating in an actual incident that tests the plan.
The proposed requirements are adjusted to reflect the characteristics of each type of provider and supplier. For example, Hospitals, Critical Access Hospitals and Long Term Care facilities will be required to implement emergency and standby power systems based on their emergency plan. Thanks to Steve Pelinski of Region V, the final rule can be found at:

Full Update
Fact Sheet

CMS Jimmo Settlement Clarification



Recently, the Centers for Medicare and Medicaid Services (CMS) released the long anticipated revised program manual guidance in accordance with the Jimmo v. Sebelius settlement agreement, and has initiated their outreach and education efforts.  Attached is a brief summary of the history of Jimmo and highlights from the recently released CMS program manual updates, educational materials, and recent National Provider Call.  In addition, we have provided web links to the pertinent court, CMS, and AHCA documents to-date related to Jimmo.  AHCA will provide a more detailed analysis of the updated CMS policy related to the Jimmo settlement in the near future.

Full Attachment


CMS Educational Opportunities- January



Please see below for Educational Opportunities from CMS for January:


The Philadelphia Regional Office of CMS will be hosting a new series of webinars in January to review activities that Medicare eligible providers will need to take in 2014 to earn incentives and avoid payment adjustments associated with the Physician Quality Reporting System (PQRS), Value Modifier, and Stage 2 of the EHR Meaningful Use program.  We will also conduct a webinar on the topic of ICD-10.  To accommodate different work schedules and time zones, we have scheduled for each of the four topics to be covered on two different webinars per week: one on Tuesdays at 12:00 Noon EST and another on Thursdays at 6:00 PM EST.  The schedule is as follows:



This series of calls is intended for eligible professionals, practice managers, office staff, and all other interested parties who deal with the programs listed above.  We are asking that you register for these calls by clicking on the link to the corresponding date and time below for each topic of interest so that we can easily disseminate additional information via email if it is needed.  The dial in number and link to the webinar will be given upon registration.  If we maximize attendance on these calls, there may be additional calls scheduled soon. Please share this meeting invitation with partners, members, and colleagues who would benefit from this information.  Thank you, and best wishes for a happy and safe holiday.  




Tuesday, January 7, 2014

12:00 Noon EST

Thursday, January 9, 2014

6:00 PM EST

Value Modifier

Tuesday, January 14, 2014

12:00 Noon EST

Thursday, January 16, 2014

6:00 PM EST


Tuesday, January 21, 2014

12:00 Noon EST

Thursday, January 23, 2014

6:00 PM EST

Stage 2 Meaningful Use

Tuesday, January 28, 2014

12:00 Noon EST

Thursday, January 30, 2014

6:00 PM EST


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