Issue: May 1, 2014

Published on May 1, 2014

Articles in this issue:

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.

Keep Up to Date with KanCare on the KHCA Website!


Want to stay up to date with information that we get from the three MCOs?  We display the information in one convenient location.

Visit to see the information.  Don't have a password?  Email Hayden to get one!

HCBS Providers Lunch with Commissioner Joe Ewert


Attention All HCBS Providers:

Commissioner Joe Ewert invites you to participate in a “Lunch & Learn” Monday, May 5, 2014 from 11:00 – 12:00. See his message below.

As you have likely heard by now, CMS issued new rules regarding the settings they will approve states to provide HCBS in.  The new rule will impact all adult care home providers participating in the HCBS program.  Information on the rule can be found here:

KDADS is requesting all adult care homes who participate in HCBS join the Lunch and Learn call for KanCare providers May 5 from 11:00- 12:00 to discuss the impacts of this rule and the activities CMS is requiring of states related to this rule.  Providers can access the call at 1-866-620-7326, access code 428 358 3031. 

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:

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

Board Application

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"

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.

Emergency Preparedness- Nursing Home Incident Command System Guidebook


Severe weather season is already here. Is your center ready? Use this great reason from AHCA to ensure you have a command system when any form of disaster strikes.

NHICS Guidebook

Tools to accompany guidebook


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

Dr. Ruby Payne Presentation


Back by Popular Demand! 


Dr. Ruby Payne 

"A Framework for Understanding Poverty"

June 12, 2014

9:00am to 3:00pm

Dr. Payne, founder of aha! Process, Inc., is a writer, publisher, speaker, and career educator. She is also an expert on the mindsets of economic classes and crossing socioeconomic lines in education, work, and in society. A Framework for Understanding Poverty explains how economic class differences can create "hidden rules" of behavior and mindsets which govern how people think and interact in society, presenting challenges to teaching and learning. It also offers practical guidelines for overcoming these educational obstacles. Dr. Payne has been sharing her strategies with professional educators world-wide for 15 years in more than 200 seminars per year.

A keynote speaker at the 2013 KAMU Annual Conference, Dr. Payne impressed participants so much, they asked us to bring her back for a full-day presentation!


Register Now!

I can't make it

DoubleTree Hotel Wichita Airport

2098 Airport Road

Wichita, Kansas

Call 316-945-5272 or Online Reservation Group Code KAM, to receive the group rate of $129, no later than May 28, 2014.