Currently, Phase 1 and Phase 2 of the CMS Requirements of Participation are either fully or par-tially implemented. The new survey process has been in effect for a little over a year now, which means sur-veyors will have much more confidence and experi-ence in conducting their assessment of your facilities in 2019. (Odds are, surveys will become a little more difficult…) Additionally, we now have less than a year to get prepared for the final implementation of the new requirements: Phase 3! Facilities cannot afford to wait till the implementation date (November 28, 2019) to put operational process into play for those require-ments. Policies, process, training, staffing and ser-vice/care delivery MUST be assessed and implement-ed in advance of the effective date. This training will cover much of the information that you and your staff

1147 Kahite Trail

Vonore, TN 37885

CMS RoP: The Next Phase of

Regulatory Compliance

Educator. Motivator. Communicator. Consultant. Author…Catherine R. “Cat” Selman, BS, uses her dynamic personality and compelling pres-ence to spread the message of positive, realistic, and common-sense strate-gies for the aging services professional. She presently serves as President and Co-owner of The Cat Selman Company, a company specializing in continuing education for healthcare professionals. Ms. Selman received her degree from Trevecca Nazarene University, with continued graduate work at the University of Southern Mississippi. With over 30 years’ experience in management, edu-cation and consultation, Ms. Selman has trained provid-ers and surveyors in all 50 states. Since 1989, she has often been requested by the Centers for Medicare and Medicaid Services (CMS) to sit on stakeholder/expert panels responsible for the revision of surveyor guidance and compliance issues. In demand, and on topic, she is considered an authority in aging services.

FACULTY: Catherine R. “Cat” Selman, BS

Phone (601)497-9837

E-mail: catselman@aol.com

www.catselman.com

will need to make a successful transition into the final phase of implementation of the requirements. Survey trends, focused areas, and specific requirements will be discussed in depth, along with recommendations for operational practice. Cat Selman is well-known for breaking things down into an understandable, easy to follow, com-mon-sense manner. She will be providing sugges-tions/recommendations for systemic, operational pro-cess so that your team will be better prepared to meet the new survey demands and be ready for Phase 3. Register your interdisciplinary team today! Re-ceive 12 hours of continuing education credit first thing this year! Seating will be limited and awarded on a first-come, first-serve basis, so register EARLY!

Dates & Location

January 30-31, 2019 Holmes Community College D.P. “Pat” McGowan Workforce Training Center 412 West Ridgeland Avenue Ridgeland, MS (601)605-3370

Hotels in the Ridgeland area:

Drury Inn & Suites (601)956-6100

Embassy Suites (601)607-7112

Hilton Garden (601)420-0442

Hyatt Place (601)898-8815

Registration Form 1. Seminar: “CMS RoP: The Next Phase of Regula-

tory Compliance”

Both Days (January 30-31, 2019) Day 1 Only (Wednesday - January 30, 2019) Day 2 Only (Thursday - January 31, 2019) 2. Attendee(s) Name & Title (Please print or type.)

Method of Payment: Money Order Facility Check MasterCard Visa Today’s Date_________ Name as it appears on Credit Card: (Please print)

Credit Card Number Expiration Date 3-Digit Security Code

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If paying by credit card, address MUST match billing address on record. My signature authorizes The Cat Selman Company to make the above charge to my credit card. No personal checks will be accepted. Credit Card receipts will be provided to individuals by email.

Program Fees $190 per person - BOTH Days $100 per person - 1 day only

Payment must be received before date of session. Late Fee of $20 will be required for any payment received after date of seminar. Lunch is on your own.

Special Note: Participant substitutions must be approved directly by our office 24 hours prior to attended course session. Two separate individuals may not attend the course on separate days for the course price - individual fee for one day of $100 each would apply.

Register today on-line, by mail, or

e-mail!

Make check payable and mail to:

The Cat Selman Company

1147 Kahite Trail

Vonore, TN 37885

www.catselman.com

Call (601)

497-9837

with any

questions

Program Schedule

Registration: 8:00 a.m. - 8:30 a.m. Presentation: 8:30 a.m. - 4:00 p.m. Lunch: 11:45 a.m. - 12:45 p.m. (On your own)

Education Credit Applications for a total of 12 hours of education credit have been submitted to the appropriate approval bodies for the following disciplines: (6 hours each day)

Nursing Home Administrators (MS Board only)

Nurses (see statement below)

Social Workers - National Board (NASW)

Activity Professionals - National Board (NCCAP)

This activity has been submitted to the Mississippi Nurses Foundation, Inc. for approval to award contact hours. The Mississippi Nurses Foundation, Inc. is accredited as an approver of continuing education by the American Nurses Credentialing Center’s Commission on Accreditation.

3. Contact Information: (** REQUIRED) (Please type or print clearly.) **Name: **Phone: ( ) **E-mail:

4. Mailing Address: (Please print or type clearly.)

Facility Name: Address:

Notice: Beginning January 1, 2019, our company name will become “The Cat Selman Company.” Please make checks payable to that company if paying after Decem-ber 31, 2018. Please call for details.

Phase 3 of the CMS Requirements of Participation goes into effect November 28, 2019. This final phase will provide facilities with the most challenges to assure compliance. In this session, Cat will given an overview of the requirements that will be a part of Phase 3, and provide recommendations/suggestions regarding system-ic process and staff training that should be in place PRIOR to the effective date. Specifically, she will be providing an overview of person-centered care planning, trauma-informed care, infection control, sufficient and competent staffing, as well as staff training. You have several months to get everything “in place” for Phase 3...will you be ready?

CMS RoP: The Next Phase of Regulatory Compliance

Phase 3 of CMS RoP: What’s Coming!

Survey Trends for the New CMS Survey Process

The new survey process for the CMS Requirements of Participation (RoP) has now been in effect for a little over a year. We have heard “the stories”….surveys lasting two weeks and longer; Resident Council inter-views lasting 2 or more hours; care plans being cited heavily; and then there’s the deficiencies...IJs and Level G citations in many areas that had not been cited at this level in the past. The reports and “rumors” continue as survey findings mount. What is true and what is rumor? On which areas are surveyors actually focusing? Which requirements are causing the most concern? And what do facilities need to have in place? Come and learn as Cat shares the trends that we are seeing under the current survey process, as well as the “most-cited” deficiencies. She will be discussing facility systemic process, as well as offering suggestions and rec-ommendations for documentation, assessment, care planning, staff training/competencies and sufficiency.

One-to-One Programming: What Do Surveyors Look For?

With the emphasis on Activities, Dementia Care, Quality of Life, Reduction of Antipsychotic Drug Usage, and Psychosocial Well-Being, the programming that is provided to residents with special needs is being looked at with more scrutiny than ever before. Residents who have dementia have now been classified by CMS as being “vulnerable.” “Dementia Care” has become a major focus of the survey process and now has its own Critical Element Pathway. As a result, the programming that is being provided to these resi-dents has become a real issue during surveys. Studies show that one-to-one interventions are most suc-cessful meeting these type resident needs. How can programming be person-centered and individualized if the activity department/director are the only ones involved in the delivery of activity services? How do you capture (document) what others are providing to the resident in this area? And what is the best way to get ALL staff involved in the delivery of this very specific programming? What are the staff’s responsibili-ties and what is the surveyor focus? Cat will be covering the specific requirements, how surveyors are looking at this particular delivery of care, and what providers should have in place to be prepared for the next survey.

Successful Interventions for Challenging Behaviors

Day One Agenda - January 30, 2019

In Phase 3 of the CMS RoP, much more survey focus will be placed on facility interventions for behavioral challenges and dementia care, as well as utilization of non-pharmacologic interventions for the reduction of antipsychotics. Alleviating the symptoms of the behavior becomes an increasing challenge for facility staff, especially as the percentage of nursing home residents with dementia steadily increases. Added to those statistics is the fact that we are admitting more residents with emotional/behavioral diagnoses than ever before. Most times, staff will either totally ignore the behavior, or wait until it progresses to a cata-strophic outcome for both the resident and staff, before intervening, or “reacting” to the situation. This ses-sion will identify causal factors and provide valid, “tried and true” interventions for a variety of behaviors. Cat will also be addressing investigative techniques, tracking protocol, and documentation that needs to be in place.

CMS RoP: The Next Phase of Regulatory Compliance

CMS states “The facility must ensure that residents who are trauma survivors receive culturally competent, trauma-informed care in accordance with professional standards of practice and accounting for residents’ ex-periences and preferences in order to eliminate or mitigate triggers that may cause re-traumatization of the resident.” Every employee delivering care or service to any resident should have training and competency skills in this area. The requirement addresses much more than just PTSD! This session will address aspects of trauma-informed care as it relates to the CMS requirements: physical trauma, mental/emotional/psychosocial trauma, survey focus, documentation/care planning, as well as training issues.

Trauma-Informed Care: What Your Staff NEED to Know!

CMS Surveyor Guidance: Psychosocial Negative Outcomes

The Psychosocial Severity Outcomes Guide was released and implemented in 2006, by CMS. Not much has been said about this guide until the implementation of the new CMS Requirements of Participation (RoP). In fact, numerous professionals are not even aware of this specific guidance. Surveyors have now been in-structed to refer to this guidance when assessing issues regarding dignity, neglect, quality of life, medication regimen review, unnecessary drugs/antipsychotic usage, as well as a resident’s ability to “attain or maintain their highest practicable” level of care. CMS lists at least 6 major negative outcomes that surveyors are to give focus to during the survey process. CMS has also given surveyors numerous examples of deficient prac-tice at the IJ and Harm Level 3 Designations at this care area. In this session, Cat will provide an overview of surveyor protocol, facility practice, and their links to psychosocial harm. She will also be providing tips and recommendations as to programming, documentation, and systemic process that should be in place to help a resident maintain or attain their highest practicable level of psychosocial well-being.

Staff Sufficiency, Competencies, and TRAINING!

“The facility must have sufficient staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility’s resident population in accordance with the facility assessment.” What does this requirement mean for both the professional and direct-care staff within your organization? If someone is licensed, certified, or registered within their specific discipline, will that meet the requirement? Surprisingly, the answer to that question could be “No.” With the implementation of the CMS RoP Phase 3, surveyors will be focusing on staff competencies and training in specific areas of care and quality of life. What specific training should an employee possess, and how does a facility “prove” that an employee is skilled and competent? What documentation should be in place? In this session, Cat will be ad-dressing answers to all of these questions and much, much more.

Supportive Documentation for the Comprehensive Care Plan

More and more surveys contain the same wording in regard to documentation: facility “failed to document resident responses/outcomes to identified staff interventions;” facility “failed to provided documented evi-dence that the interdisciplinary care plan has been implemented…” Sound familiar? It seems that our profes-sional staff write so much now, that they rarely get to see the real, live individual for whom they are caring. The components of compliance are: assessment; development of an individualized, person-centered care plan; implementation of said care plan; monitoring of said care plan; and review and/or revision of said care plan. So we write, write, and then write some more...and still get the deficiency or finding. How can we turn this around to a better outcome? In this session, Cat will give common sense suggestions, recommendations, and guidance as to how we can write documentation that is both supportive of the plan that has been devel-oped, and reflective of actual delivery of services and care.

Day Two Agenda - January 31, 2019