Simmons Healthcare Consulting, LLC - Social Service consulting, QIDP reviews, & Activities oversight
RSS Follow Become a Fan

Delivered by FeedBurner

Recent Posts

Indiana FSSA Division of Aging Issues Updates to e450B Process
'Why' I Originally Chose to Work in Long-Term Care
ISDH Publishes Update to Advance Directives Brochure
CMS QAPI Material Rollout for Nursing Homes
National Nursing Home Week - Team*Care - 10 Simple Ways to Work as a Team


Advance Directives
Behavioral Symptoms
Care Conferences
Community Resources
Customer Service
Discharge Planning
MDS 3.0
Mental Health
Monthly Recap
Resident Rights
Specialty Providers
Younger Residents
powered by

SHC Blog

Discharge Planning

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!

Connect with Simmons Healthcare Consulting, LLC

Finding Transportation - A Not-So-Easy Task at Times

Connect with Simmons Healthcare Consulting, LLC

For the Social Service folks out there, especially ones new to the industry...You're going through your day, feeling pretty good about the issues you're helping with, tasks you've accomplished, and then it happens - someone comes to you for assistance with transportation.  Particularly during the holiday season an increase in out-of-the-ordinary transportation arrangements is not unusual.  For some communities, this isn't difficult.  There's lots of public transportation, a facility van, or special mobility providers.  In other areas, especially rural ones, trying to obtain transportation for a resident outside of the normal routine can turn into an all-day event.  

Some resources that might help include - 

  • -The link to Indiana transportation resources
  • APTA (American Public Transportation Association) - Indiana transit links.  This page has a fairly extensive list by county.  
  • Your local Council on Aging - especially for rural communities
  • Indiana Area Agencies on Aging link
  • Veterans - DAV transportation link, or your local American Legion

If you have residents who might be needing transportation in the future, the best thing you can do is to start checking on the process now.  Dates tend to fill quickly.  Many providers have forms that need to be completed and/or cards that will need to be issued. Does the resident need a physician's clearance? Ensure there are proper MD orders in place.  Is there a fee?  And is the resident aware of any charges prior to the trip?

Need assistance with establishing a workable community resource list?  Contact SHC and we'll schedule a visit to continue improving Quality of Life services for your residents.

Geriatrics, Extended Care, and the VA

Connect with Simmons Healthcare Consulting, LLC

The role of gatekeeper for discharge planning has become a crucial aspect for Social Service staff in LTC.  Ensuring that the resident has access to community resources will continue to be a priority.  For your Veterans, one of the easiest ways to coordinate their return to community living is to contact their VA social worker.  He/She can assist with determining eligibility for VA home benefits.  Most Veterans can meet the clinical criteria for home care assistance following LTC placement.  The following link outlines some of the available benefits - VA Geriatrics and Extended Care.  The programs can include a homemaker, HHA, skilled nursing, a SW, and potentially more as needed.  As with many areas of the VA, the important part is to start early in the discharge planning process.  Contact the local VA as soon as the initial admission assessment information is completed and it's determined that the resident is a Veteran and desires to eventually return home.  

Need assistance with streamlining your discharge planning process?  Contact SHC and we'll schedule a visit to help your facility continue improving Quality of Life services.