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'Why' I Originally Chose to Work in Long-Term Care
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CMS QAPI Material Rollout for Nursing Homes
National Nursing Home Week - Team*Care - 10 Simple Ways to Work as a Team


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Has Your SNF Registered for the CMS National Provider Call to Improve Dementia Care?

Registration is now open for the National Provider Call: CMS National Partnership to Improve Dementia Care in Nursing Homes scheduled for January 31, 2013 - 1:30pm - 3:00pm.

Background - CMS developed a national partnership to improve the quality of care for those with dementia residing in nursing facilities.  The focus includes person-centered, comprehensive, and interdisciplinary care.  One of the goals of the partnership is to help reduce antipsychotic medication use in facilities, which CMS has already stated is a primary focus in 2013.  

During this particular call, CMS plans to discuss the mission of the partnership, along with goals, quality measures, and 'ongoing outreach efforts'.  As expected, there should be time for a question and answer session following their presentation.  CMS is listing the agenda as follows - 

  • Welcome and Opening Comments
  • National Partnership Mission
Goals for 2012 and Beyond
The Three R's: Rethink, Reconnect, Restore
Multidimensional Approach: 
public reporting
partnership and state-based coalitions
training for providers and surveyors
revised surveyor guidance
  • Next Steps:
Ongoing Outreach
  • Questions and Answers

Registration - You will need to register for the call on the CMS Upcoming National Provider Calls registration website.  CMS states that registration must be made by noon on the day of the call or before space has been filled.  

Miscellaneous - CMS plans to have the presentation for the call posted prior and is to be found on the FFS National Provider Calls page.  CMS is expected to email a slide presentation to all participants on the day of the call.  

Are you or your nursing facility planning to participate in the call?  Has your interdisciplinary team (including your pharmacist) developed a 'plan of attack' for psychoactive medication reductions in 2013?

Need assistance with your facility's Behavior Management program or Social Service documentation?   
Is your current Social Service consultant providing the results that your nursing facility needs?  Contact Simmons Healthcare Consulting, LLC (260-894-1417 or, and we'll begin discussing how SHC can assist you in achieving positive outcomes.

Have a great weekend! 

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What 20+ Items Caught SHC's Attention for the Week?

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Even during a busy holiday week, our world was filled with information, news, and inspiration as we wind-down 2012.

Simmons Healthcare Consulting, LLC Blog Posts - 

Other news, information, inspiration, and groups - 

As we close out 2012 and move into 2013, this is the perfect time to look at customer service trends. Customers are better educated about what good service looks like and their expectations are higher than ever. --Shep Hyken via Take a SmileRICK PHELP’S (Memory People) New Book Available Now! “While I Still Can” "The afternoon knows what the morning never suspected" by Robert FrostCute Elderly Couple
Choices, Chances, Changes You must make a Choice to take a Chance. Our your life will never Change.Hospice is one of those words that people say quietly, afraid that by saying it too loud, we might call forth its need. Yet hospice is nothing to be afraid of in the world of caregiving. In fact, hospice is an underutilized service that can bring comfort and compassion to your loved one and your whole family. It can be a source of emotional support during a very difficult time. via Senior Care SocietyDon't forget to contact Simmons Healthcare Consulting, LLC for your Social Service, Activities, QMRP nursing facility consulting needs in 2013!  www.simmonshc.comChristmas Eve Greetings from Simmons Healthcare Consulting, LLC

Need assistance with your Social Service or Activity department?  Is your nursing facility in compliance with QMRP visits?  Contact Simmons Healthcare Consulting, LLC at (260) 894-1417 or, and we'll schedule a visit to help continue improving Quality of Life services for your residents.

Have a great week everyone!

Recent ISDH and CMS Updates / Resources for Nursing Facilities

Several important pieces of information to pass on to our long-term care followers today - 

  • ISDH (Indiana State Department of Health) has recently increased the number of survey areas to 10. They have released an updated map and the roster of surveyor assignments / supervisors.  If you need assistance obtaining the new map and roster, send us an email ( and we'll get that information to you in the form of a Word document.

  • CMS (Centers for Medicare & Medicaid Services) has stated that under healthcare reform there must be regulations requiring nursing facilities to have an effective compliance and ethics program by March 23, 2013.  CMS is expected to publish a 'draft' regulation by December 31, 2012.  
  • The "Hand in Hand" training materials should be arriving to nursing facilities shortly from CMS.  If you're not familiar, the program focuses on person-centered care for residents with Dementia and abuse prevention.  All facilities are supposed to receive one free copy of the training program.  SHC would like to hear feedback from facilities once you review the toolkit.  Contact SHC if you need assistance with implementation of the program.  
  • The most recent information that SHC has on the top F-tag citations for Indiana - F441 (Infection Control), F323 (Supervision/Accidents), and F282 (Comprehensive Care Plans).
  • CMS has released a webinar (available via YouTube at this link) on the CMS National Partnership to Improve Dementia Care in Nursing Homes - formally referred to as the Initiative to Improve Behavioral Health and Reduce the Use of Antipsychotic Medications in Nursing Home Residents.  The webinar provides an overview of the national partnership, resources for technical assistance, and plans for upcoming educational offerings.
  • CMS has also released a "Discharge Planning" booklet (ICN 908184).  It is designed to provide education on Medicare discharge planning.  Again, email SHC if you need assistance obtaining a copy of the booklet and we'll send you the PDF version.  

Hope everyone stays safe and has provisions in place for staffing today & tomorrow with the pending winter storm!

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Behavioral Interventions, AP Med Reductions via LTL Mag

Quick Post - Click here to read Long-Term Living Magazine's recent article, "Reducing Anti-Psychotic Medications?  Try These Behavioral Interventions".

Alzheimer's Association Resource Guides

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The Alzheimer’s Association of Greater Indiana has Resource Guides available for many Indiana communities.  They are essentially to assist caregivers in finding community resources.  However, for Social Service staff, it can also be a quick go-to guide when you need to find information for your residents regarding local transportation, legal assistance, meal delivery, neurologists, etc.  Staff or family members can order them free or download a copy through the Alzheimer’s Association by following this link.  Consider sharing the link or a copy of the guide with residents’ family members who might be struggling with a new Alzheimer’s diagnosis or attempting to cope with the transition to facility placement.  Need assistance with easy organization of your Social Service department’s community resources list?  Contact SHC and we’ll schedule a visit to assist your facility with improving Quality of Life services.

Bathing and Behaviors

Those of us in long-term care know that bathing residents can be one of the most difficult aspects of the day.  Bathing cognitively-impaired residents is where we typically see the behavioral symptom of resisting care.  Unfortunately, these behavioral symptoms can then set a negative tone for the remainder of the day, not only with the resident, but also with the staff.  It doesn't have to be that way!  Do your newly-hired CNAs have the proper knowledge of why bathing time is so crucial and what interventions can be used to help it be successful?  Are your 'been-doing-this-forever' aides due for a refresher?  Even for the non-Dementia residents, there are numerous ways that the bathing routine can become more relaxing and less like an unwanted chore.  The following article has some interesting tips - "Dementia-friendly Bathing".  

Need assistance with training or simply an outside review of your system?  Contact SHC and we'll schedule a visit to help your facility continue improving Quality of Life services.

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