Issue: April 3, 2014

Published on April 3, 2014

Articles in this issue:

Tragedy Strike Employee of A Member Community in Washington State


A message from Dave Kyllo of NCAL

We have all watched the devastating mudslide in Oso, Washington on television. One of our members and our Washington affiliate notified us that an employee who works at two member assisted living communities has been devastated by the mudslide. Jonielle Spillers lost her home, her husband and three of her four children. The communication from our Washington affiliate explains it all.

This is an important time to show our support for Jonielle with our thoughts, prayers, and wallets. Jonielle is an employee at Cascade Valley, an assisted living community in Arlington, Wash. While caring for the residents she serves, Jonielle’s family was devastated by the mudslide. Her four-year old son was narrowly rescued, but her husband and three other children are missing, presumed dead, and her family home was destroyed. The heroic rescue of her son has been shown on CNN; you can watch the video here.

Cascade Valley is owned by Milestone Retirement Communities, and they have established a fund to support Jonielle and her son, Joshua, who are currently staying at a shelter. They have lost everything. We want to provide information to all of our contacts in the long term care community on how you can support Jonielle and Joshua as well. If you would like to make a contribution, you may do so at any US Bank. Simply drop into a branch near you and utilize the account name and number below or mail your contribution to the address provided:

“The Jonielle Spillers Family Fund”, the Account Number is 153564726179, US Bank, Fisher’s Landing Office, PD-WA-4577, 16415 Se McGillivray Blvd, Vancouver, WA 98683.

At times like these, we reflect on just how much people matter—how different life could be if we lose those we love. We encourage each of you, as a community, to surround this family and support them during this time of loss, uncertainty, and sadness. We, as a community, can be strength and help to this family. WHCA will be making a contribution to support this family—part of our long term care family—and we hope you will consider doing the same. Our thoughts and prayers are with Jonielle and Jacob and all of those touched by this tragic event

KHCA/KCAL Spring Quality Conference- April 22-23, 2014 in Manhattan- Featured Speaker: David Farrell of The Green House Project



KHCA/KCAL's Spring Quality Conference is coming up soon!  April 22-23, 2014 in Manhattan.  We have a full line up of amazing speakers that are leaders in the industry. 

Not only do we have great education and a full line up of vendors showing off their new products, we are also attending a K-State Baseball Game, brought to you by Key Rehab!

So come on out for great education, great vendors, and great fun at a baseball game!

This week's featured speaker is David Farrell, Director:

David Farrell holds a master's degree in social work with a concentration in business administration and gerontology from Boston College, a license in nursing home administration and an undergraduate degree from Stonehill College. He is co-author of the award-winning book "Meeting the Leadership Challenge in LTC: What You Do Matters," and has co-authored numerous journal articles on quality improvement and culture change.

Having worked at every level of long-term care, from cutting his teeth as a nurses' aide in his earliest days to turning around struggling inner-city nursing homes as a high-level executive, Farrell knows what it takes to put the visionary principles of a model like Green House into practice. As founder and first chair of the Rhode Island Culture Change Coalition and a board member of the national Pioneer Network, Farrell has traveled the country inspiring long-term care leaders to make meaningful changes to enhance quality.

David will speak to us about "Creating a Patient Safety Chain".  People matter most.  This session will present an approach to leadership that offers proven, practical strategies participants can immediately implement to engage the staff, retain top performers, and achieve high customer satisfaction.

David will also facilitate a breakfast learning circle discussing the journey through culture change.  This will be a poster session.  If your center has a journey to share, please contact Polly Berkley at 785-267-6003

Download Brochure

Register online

KHCA/KCAL Root Cause Analysis Webinar With Linda Farrar

Author: * Published in Webinar

Root Cause Analysis in the dissection of a situation or problem to prevent a recurrence of the problem.  This approach will get to the true root causes of problems.  This presentation will offer the steps of conducting a Root Cause Analysis to enable staff to determine causal factors and develop effective, individualized interventions to prevent recurrence of a problem situation.  

Join us April 9, 2014 at 10:30am for this informative webinar.

Register Online

ICD-10 Implementation Delayed- KHCA/KCAL Education Still Available



KHCA/KCAL will be holding an ICD-10 Training, May 20-21, 2014 in Topeka, KS Register Online Today

On Monday evening the Senate approved a bill H.R. 4302 "Protecting Access to Medicare Act of 2014" which included a delay for ICD-10 implementation until 2015. The bill was signed into law on Tuesday following a 64 to 35 vote in the Democratic-led Senate on Monday, after the Republican-led House had approved the bill late last week. 

The inclusion of the ICD-10 delay in the bill came as a surprise to the industry because CMS Administrator Marilyn Tavenner stated one month ago that there would be no extension. The ICD-10 delay was only one paragraph of a larger bill mostly focused on postponing cuts in Medicare reimbursement to doctors that would otherwise be required under the Sustainable Growth Rate (SGR) formula. 

A one-year delay provides welcome breathing room for some organizations to further prepare for the ICD-10 transition. Numerous provider associations are encouraging operators to continue with their current ICD 10 training plans as the transition to this far reaching initiative has significant financial, clinical, quality and operational effects.

Many providers are asking, what is next?

Continue to improve clinical documentation processes, while building a strong foundation for process improvement knowing that ICD-10 is a measure of quality and will be critical to the new quality measures included in the H.R. 4302 bill.

Mark You Calendars- 2014 Education Opportunties


We've added new education events to our calendar! Check out the KHCA/KCAL education at a glance!

KHCA/KCAL Education

Please contact our Education Director, Polly Berkley, at with any questions related to education events.

Kansas Partnership to Improve Dementia Care in Nursing Homes Meeting- May 6, 2014, Hays, KS


The Kansas Partnership to Improve Dementia Care in Nursing Homes is hosting an informational meeting to discuss dementia care in western Kansas and north central Kansas.  Dr. James Rider will present on improving dementia care with minimal use of antipsychotics.

Also attending and available to discuss the surveyors view of dementia care will be Audrey Sunderraj, Carol Scheffelbein, and Sue Hines from Kansas Department on Aging and Disability Services.

The meeting will focus on "best practice" in caring for elders with dementia.

The meeting will be held on May 6, 2014 from 10am to noon at Via Christi Villages of Hays, 2401 Canterbury Dr, Hays, KS 67601.  Following the meeting a light lunch will be provided during the question and answer session.

Please invite your Medical Director to attend with staff to gain information from the perspective of another physician and medical director, Dr. Rider.  Dr. Rider is also the current President of Kansas Medical Directors Association.

In order to get some idea of appropriate provision of lunch, please send an email reply to:  We want to ensure there is plenty of food for all attendees.

The Partnership looks forward to seeing all of you on May 6th in Hays.

Please RSVP to Linda Farrar at

DCF LTC Round Table Meeting in Wichita- April 29, 2014

Author: * Published in KHCA/KCAL NEWS

Attention:  Nursing Facility Administrators/Social Service Administrators/Business Office Managers

The Wichita Region Department for Children and Families cordially invites you to attend our Long Term Care Providers Round Table Discussion.  Our time together will be held at Central Plains ADRC(2622 W. Central, Wichita, KS  67203) on April 29th, 2014 from 9:00-12:00 pm.  Please feel free to bring others from your facility that you feel will benefit from this opportunity.

We will address frequent questions/challenges that arise while caring for Kansans in need.  Also, we have requested our MCO's bring billing staff to discuss various and common questions that you have shared.  Our preliminary line up of presenters is listed below:

Billing Staff and Representatives from each MCO(UHC, AmeriGroup, Sunflower)

Adult Protective Services(FAS Teams)

ADRC(CARE Assessments)

KDHE(Policy and Process)

KDADS(Level of Care Scores/Waivers)

DCF Staff(Orange Team and Central Office)

The structure and presenters for this opportunity have been carefully chosen as a response to many questions and challenges that you and your colleagues have shared.  I believe you will definitely enjoy this opportunity and take applicable beneficial information back to your facilities.  We look forward to seeing you and offering support to each of you.

Please RSVP to Cortni at

Any questions? Contact Tammy at DCF

Sunflower Health Plan- Deadline Change for Submitting New Version of CMS 1500 Form



Sunflower Snapshot: Update for Providers


Please note the deadline change for submitting the new version of the CMS 1500 form

Sunflower will be accepting the old version of the CMS 1500 form until October 1, 2014, instead of the original deadline of April 1, 2014.

- January 6 through September 30, 2014: Payers may continue to receive and process paper claims submitted on the old 1500 Claim Form (version 08/05). Payers are encouraged to bill on the new version of the CMS 1500 Form.

- October 1, 2014: Payers receive and process paper claims submitted only on the updated 1500 Claim Form (version 02/12).

National Nursing Home Week- May 11-17, 2014



Celebrate a Hawaiian Theme for  National Nursing Home Week 2014

In Hawaii, the word "aloha" has a deeper cultural significance than a simple greeting or farewell.  In Hawaiian culture it is important to treat yourself and others with aloha, to interact with love and respect and joyfully share life. By applying this spirit of aloha to daily life, the people of Hawaii are encouraged to treat others with deep care, respect and humility, leading to individuals creating a better world. Key concepts of aloha spirit include unity, kindness, truthfulness, humility and patience.

National Nursing Home Week theme for 2014 

"Living the Aloha Spirit"

AHCA/NCAL Congressional Briefing- Registration Open


On May 20th and 21st, AHCA/NCAL hosts the annual Congressional Briefing in Washington, D.C. providing you with an excellent opportunity to meet with your Members of Congress and their staff.  You'll get an update on what's happening on the hill and hear from multiple speakers including key Members of Congress. 


See the complete agenda and learn more at

AHCA/NCAL Quality Initiative Quarterly Update- One Month to Be Recognized


The AHCA/NCAL Quality Initiative deadlines are quickly approaching.  Have you submitted your data to receive recognition yet?

In this quarters update:

To read about all the above stories, click here

CMS Update- S&C-14-18-NH- Updates to Changes in Chapter 7, SOM


Please be aware and educated on changes to the State Operations Manual Chapter 7. 


The S&C includes a “Reminder Regarding Survey Process Timeframes” and emphasizes the importance of certain requirements when an immediate jeopardy is identified. (pp.2-3)


Updates to State Operations Manual

§7212.3 – Mandatory Elements of Informal Dispute Resolution (pp. 36 – 39)

            Provides specific instructions related to what must be noted on the CMS Form 2567 when facility is successful during the informal dispute resolution process.

            Specifies the time frame within which a deficiency pending IDR must be entered in the Automated Survey Processing Environment system (ASPEN).


§7213 – Independent Informal Dispute Resolution (Independent IDR) (pp. 39 – 52)

            Incorporates into the State Operations Manual (SOM) Independent IDR process that was issued as Interim Advance Guidance in S&C: 12-08-NH dated December 2, 2011. 

Modifications are made to the original interim advance guidance to incorporate a later change/update  that allows all civil monetary penalties (CMPs) to be subject to escrow (see S&C: 13-57-NH). 

Clarifies when an Independent IDR is considered to be “complete.”

Requires the final Independent IDR decision to the facility must contain the result for each deficiency challenged and a brief summary of the rationale for that result.

Provides additional elements for Federal Independent IDR process.


§7516.4 – Reduction of a Civil Money Penalty by 50 Percent for Self-Reporting and Prompt Correction of Noncompliance (p. 125)

            Incorporates language into the SOM related to the Affordable Care Act provision permitting a reduction of a CMP by up to 50 percent when the facility has self-reported noncompliance to CMS.


§7529.1 – When a Civil Money Penalty Subject to Being Collected and Placed in an Escrow Account in Imposed (p. 132)

            Outlines the process to be used when the Regional Office imposes a CMP that is subject to collection and escrow.


§7534 - §7535 – Disposition of Collected Civil Money Penalty (pp. 135 – 140)

            Incorporates into the SOM the process for states’ use of Federally imposed CMPs, which was outlined in  S&C – 12-13-NH.

            Incorporates into the SOM the process of collection and use of CMPs when held in escrow.


Exhibits Updated

            Exhibit 139: Model Letter to Provider (Send with CMS-2567) (IJ Does Not Exist)

            Exhibit 141: Model Letter Notifying Provider of Results of Revisit

            Exhibit 142: Model Letter to Provider (Imposition of Remedies) (IJ Does Not Exist)

            Exhibit 143: Model Letter to Provider (Imposition of Remedies)(IJ Exists)

            Exhibit 144: Notice of Imposition of a CMP (Insert to Formal Notice)

            Exhibit 147: Notice of Payment Amount Due and Payable

            Exhibit 147A: Notice of Payment Amount Due for Placement in Escrow (IIDR Complete or Not Timely Requested – Facility is Filing Formal Appeal)

            Exhibit 354 – Model Letter to Involved Resident, Resident Representative and/or State Ombudsman – Opportunity to Provide Written Comment (IIDR Has Been Requested)

CMS National Nursing Home Quality Care Collaborative Call- Apirl 17, 2014 at 1 pm


CMS and The Kansas Foundation for Medical Care invite you to participate and continue their conversation about The National Nursing Home Quality Care Collaborative.

This is the seventh in a series of webinars.  The topic(s) will be: 

Please join them for the National NH Quality Care Collaborative all Stakeholder Call on April 17, 2014 from 1:00- 2:00 pm.

To participate by phone, call 866-901-2585. No access code is needed.

To participate via webinar on your computer:

1) Click or Copy and Paste this to your web browser:
2) Locate the event you wish to join
3) Click on Join Now (located to the right of the event title)
4) Enter your name and email address as prompted
5) Enter the password: Stakeholder

6) Dial in to the teleconference. The number is 866-901-2585. No access code is needed.

You may access the webinar up to 15 minutes prior to the presentation; this will help to ensure the automatic system set-up has been properly established on your computer.  If you have any questions or problems accessing the meeting, please call the General Dynamics Information Technology WebEx Helpline at 540-347-7400 x390.