Issue: April 24, 2014

Published on April 24, 2014

Articles in this issue:

2014 KHCA/KCAL Spring Quality Conference- A Major Success!


This year's Spring Quality Conference was a huge success and we are so thankful for each and every one of you who came out for the education, to honor our distinguished citizens, and even have a blast at the K-State Baseball game. 

The highlight of our conference was our Distinguished Citizen's Award Lunch.  We honored two very wonderful seniors. They shared their many years of wisdom with all of us in attendance.  Bill Grosser of Eaglecrest Retirement Community shared his insights on 58 years of marriage with his wife, Wanda.  Ruby Stevens of Peggy Kelly House 1 inspired all with her profound insights on life.  Special thanks to Steve Hatlestad for being our Master of Ceremonies, and to Secretary Shawn Sullivan for taking the time to honor these special citizens. 

Pictured left to right: Cindy Luxem, Bill Grosser, Steve Hatlestad, Ruby Stevens,

                                and Secretary Shawn Sullivan

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

The changes are still coming.  Will you be ready?

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.

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

Kansas Culture Change Coalition Board Nominations


The Kansas Culture Change Board is receiving nominations for new board members!!!!!

The Kansas Culture Change Coalition mission is to promote a culture that supports autonomy, dignity and diversity for Kansans as they age.
Kansas Culture Change Coalition is working to:
Advance person centered and person directed models of care in all settings

If you are interested in learning more about the board requirements, visit our website.  The application deadline is due May 9, 2014. 

Board Application

2014 SNF PEPPER Reports Available in May Via Electronic Portal


2014 SNF PEPPERs Available in May Via Electronic Portal

TMF Health Quality Institute, the Centers for Medicare & Medicaid Services (CMS) contractor responsible to produce and distribute the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for various professional groups, including skilled nursing facilities (SNFs), has just announced a WebEX entitled The SNF Program for Evaluating Payment Patterns Electronic Report (PEPPER) on May 8, 2014, at 2:00PM, Central Daylight Time.  The WebEX will focus on:  1) Updates for the new SNF PEPPER, summarizing statistics for FYs 2011-2013; and 2)  the new method for accessing the 2014 SNF PEPPER via the Secure PEPPER Access portal on  Registration is not required to join the event.  Simply click on about 15 minutes prior to the start time of the WebEX. The event number is: 924 457 628 and the event password is: flower.  AHCA has advocated strongly for this process and is pleased that CMS is making this change.

Currently, the SNF PEPPERs are scheduled for release on May 5, 2014; however, TMF will send an email to announce the formal release when the SNF PEPPERs are available to access. To receive this email, join the email list at  SNFs do not have to register to receive a PEPPER report; however, TMF has asked us to share the following specific information:

Note: If providers use only letters in both of these fields they must contact TMF to request assistance. Patient names cannot be entered due to patient privacy laws.

If you have individual or specific questions regarding the 2014 PEPPER reports, please visit to submit questions.

Sunflower Health Plan- Retro Eligibility Update


Sunflower Health Plan has released a provider bulletin regarding Retro Eligibility.

View Update

Sunflower Health Plan- Upcoming Provider Training Events


The following are upcoming provider training events brought to you by Sunflower Health Plan:

Come join us for the upcoming Sunflower Health Plan provider training to learn about our programs and policies and get your questions answered.

Please indicate the location city of the event you choose to attend and the number of attendees and email your reservation to the RSVP link provided below. The presentation will be posted to the link below by April 25 so you may print copies. A limited number of copies will be available at the event:

Please check back frequently as additional events may be scheduled.

Monday - April 28, 2014
Provider Seminar – Dodge City

9:30AM – 11:30AM
Dodge City Public Library
1001 Second, Dodge City, Kansas
Lois Flanagan Meeting Room
Please park in the self-parking lot to allow library patrons ample parking.
RSVP to:

Tuesday - April 29, 2014
Provider Seminar – Hays

10:00AM – 12:00PM
Fort Hays University Campus
Robbins Center, One Tiger Place, Hays Ks, 67601
Alumni Center, just west of Gross Memorial Coliseum off of US 183 bypass
RSVP to:

Wednesday - April 30, 2014
Provider Seminar – Liberal

1:00PM – 3:00PM
Seward County Community College
1801 N Kansas, Liberal, KS 67901
Room: SW229 D
RSVP to:

Thursday - May 1, 2014
Provider Seminar – Wichita

9:00AM -11:00AM
Sedgwick County Extension Office
7001 W 21st St, Wichita, Kansas 67212
Corner of 21st and Ridge Rd
Sunflower Room
RSVP to:

Friday - May 2, 2014
Provider Seminar -Topeka

9:00AM – 11:00AM
Ramada Inn West
605 SW Fairlawn Road, Topeka, Kansas 66606
Salon - A
RSVP to:

Monday - May 5, 2014
Provider Seminar – Parsons

Labette Health
1902 S. Hwy 59, Parsons, KS 67357
Conference Room 2
RSVP to:

Tuesday - May 6, 2014
Provider Seminar – Kansas City

9:00am – 11:00am
Holiday Inn & Suites
8787 Reeder Rd, Overland Park, KS 66214
Douglas Room
RSVP to:

Thursday - May 8, 2014
Provider Seminar – Salina

9:30AM -11:30AM
Salina Regional Health Center
400 S. Santa Fe, Salina, KS 67401
Conference Rooms 6 & 7
RSVP to:

CMS SC Long Term Care Provider Update 14-04



The following has been released by CMS Midwest Division of Survey and Certification Long Term Care Provider Update 14-04:


14-19: Interim report on the CMS National Partnership to Improve Dementia Care in Nursing Homes:   Q4 2011 – Q1 2014 (4/11/14)

CMS has released an interim report that discusses the history of the National Partnership to Improve Dementia Care, summarizes activities to date, provides reasons for early progress and outlines next steps for future Partnership efforts. View memo

14-20: Fiscal Year (FY) 2014 Post Sequester Adjustment for Special Focus Facility (SFF) Nursing Homes (4/18/14)


Effective April 2014, we have adjusted the number of designated slots and candidates so States can resume selecting and replacing nursing homes for SFF designation.   Pursuant to the FY2013 budget sequestration, we reduced the number of SFF slots.  We are now re-building the program by a gradual increase in the number of SFF slots from its reduced base.  Later, we will also introduce additional methods to address persistently poor quality in nursing homes.  States may have the option to start selecting SFFs immediately or phase in the total to meet the required number by July 2014. As outlined previously, CMS Regions and States will continue with the Programmatic and Operational Adjustment by conducting the 18 month “last chance” onsite survey and reviewing the progress of all facilities that have been on the SFF list for more than 12 months. View Memo

14-21: Publication of Notice of Proposed Rulemaking (NPRM) for Fire Safety Requirements – Informational Only (4/18/14)

CMS published a proposed rule that would amend the current fire safety standards for Medicare- and Medicaid-participating providers and suppliers.  This proposed rule would adopt the 2012 edition of the Life Safety Code (LSC), National Fire Protection Association, (NFPA) 101. Comments may be accepted until 5 pm EST June 16, 2014. View Memo

On  April 14, CMS released a fact sheet on the adoption of the 2012 edition of the LSC. The notice and fact sheet are attached after S&C 14-21 above.

14-22: Focused Minimum Data Set (MDS) and Dementia Care Surveys (4/18/14)

CMS is currently developing two distinct focused survey processes to assess dementia care and Minimum Data Set, Version 3.0 (MDS 3.0) coding practices in nursing homes.  CMS is planning to pilot these survey types beginning in 2014.  The intent of the dementia care focused survey is to document dementia care practices in nursing homes.  The intent of the MDS focused survey is to document MDS 3.0 coding practices and associated care planning in facilities.  CMS will provide training for those States participating in the focused reviews via webinar.  This training will be mandatory for those State Survey Agency (SA) staff conducting reviews as well as one manager or trainer within the SA.   Deficient practices noted during the survey will result in relevant citations. View Memo


14-08: Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only (Original date of release was 12/20/13; Revised 4/4/14 and 4/11/14)

The 4/4/14 revision changed the title of this memo to “QAPI Condition-Level Deficiency in Transplant Re-approval, Complaint and Focused Quality Assessment and Performance Improvement (F-QAPI) Surveys for Organ Transplant Programs – Informational Only” and revised the memo “to extend the prospective termination date for all §482.96 Condition:  Quality Assessment and Performance Improvement (QAPI), to 210 days.”  The 4/11/14 revision added information to reflect that the 90 and 210 day termination timeframes do not apply when there is immediate jeopardy. The 4/11/14 memo

           14-17: Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014 (Original date of release was 3/21/14; Revised 4/18/14)

The revision changed the title of this memo to “POSTPONED-Outcome and Assessment Information Set (OASIS)-C1 Webinar: April 30, 2014.”  The memo indicates that “The webinar is postponed due to the Centers for Medicare & Medicaid Services
(CMS) examining the implications of the ICD-10 provision in the recently enacted Protecting Access to Medicare Act of 2014 and will provide guidance to providers and other stakeholders soon on the implementation of OASIS-C1.”  The revised memo