Spring Extended Care Conference and Vendor Fair

Sessions

X1 Home Health Circle
Wednesday
11:30 am - 1:00 pm
Kick off the conference with a casual lunch and opportunity to share ideas and talk about the hot topics in the industry.
MENUS WILL BE AVAILABLE FOR THOSE THAT WOULD LIKE TO ORDER LUNCH.

A1 ICD-9 Coding, Part 1: Save Yourself From Going Nuts!
Jodie Thole, RN, HCS-D
With the host of complex new changes that have taken effect as of January 2008 to the home health prospective payment system, it will be the most challenging year yet for home health coders.
Join Ms. Thole for a session that will help you understand these sweeping changes, ensure you code correctly and your agency receives all of the Medicare reimbursement to which it is legally entitled. Please be sure to bring your coding manual. 
Home Health

A2 MDS 2.0: Strategies to Enhance Assessment Accuracy, Part 1
Patricia J. Boyer, MSM, RN, NHA
Even though the MDS has been used for more than a decade, it still poses a unique challenge for facilities. Starting with the basics, this workshop provides an overview of the RAI components. At the completion of this session, participants should be able to: outline steps to improve accuracy of MDS completion; identify what it really means to “Work the RAPs;” and describe how the MDS process applies to the nursing process. All MDS contributors will want to attend this timely session.
Nursing Home, MDS Coordinators

A3 Succession Planning: Planning, Managing, and Developing Your Leadership Talent    
Diane Duin & Sheila McGinnis,
With 75 million workers expected to retire in the next five to ten years, and only 45 million workers available to replace them, the current workforce shortage will affect organizational leadership at all levels, including top management.  Management succession planning and leadership development will be critical to address this anticipated leadership deficit, especially in healthcare.  This session will help managers prepare for sound succession planning in their organizations.  At the conclusion of this session, participants will be able to identify the following: need for succession planning in healthcare organizations; roles of various organization members in succession planning; components of an effective succession plan; and strategies for succession planning/leadership development   
Human Resources, Administrators, Nurse Leaders (non-CAH DONs)

A4 Assisted Living: State Update   
Roy Kemp & Becky Fleming-Siebenaler
DPHHS QAD staff will provide an update on state licensure of assisted living facilities. Roy Kemp, Deputy Administrator, and Becky Fleming-Siebenaler, Licensure Bureau Chief, will discuss the following issues:  contracted surveyors, who is responsible for their work; ALF transportation vehicle accessibility, when a commercial drivers license is required; how many wheelchair tie downs are required for transport;   Category C licensure for facilities serving residents with severe cognitive impairments; the nursing relationship in Category B and C; the role of the RN; Category A & C facility licenses; and when a Category C resident becomes a Category B resident.  Becky will also do an update on the Medication Aide Certification progress and implementation and Roy will finish with a discussion of hospice service limitations in Category A. The Bureau will offer a general question and comment period at conclusion.
Assisted Living Administrators, Hospice

A5 Enhancing Community Image Through Customer Service STARS!
Bradley Robinson, PE, FACH, NHA
Who are the Customer Service STARS in your community?  STARS can be your employees, families, residents, ombudsmen, suppliers – anybody interacting with your facility. Customers now access multiple sources of information/data on YOUR facility and they are the ones making the choices about where their loved ones will go for care.  We will discuss who these customers are, what will influence them, what things you can do to protect and improve your reputation.  We will also discuss how to make a strong business case for maintaining a positive image in your community.
Dietary, Activities, Social Services, All

B6 ICD-9 Coding, Part 2: Crack the Code, Learn the Answer to Today’s Killer Coding Scenarios
Jodie Thole, RN, HCS-D
This is the second session in a two-part series on ICD-9 Coding. You will need to bring your coding books for this session.  We will review coding scenarios for:  CVA’s, Joint Replacement, Traumatic Fractures, Diabetes, Wounds, COPD, CHF, V-Codes, E-codes.  Please be sure to bring your coding manual. 
Home Health

B7 MDS 2.0: Strategies to Enhance Assessment Accuracy, Part 2
Patricia J. Boyer, MSM, RN, NHA
Even for the experienced MDS Coordinator it is difficult to keep up- to-date with the changes that occur in the RAI process. This session provides an explanation of key MDS coding changes significant to Medicare PPS that have occurred with the revised MDS Manual and monthly updates, as well as how to incorporate MDS components into your facility QAA process. At the completion of this session, participants should be able to: demonstrate competence in completing selected sections of the MDS; explain the structure, process and outcome criteria aspects of a quality assurance program for the RAI/MDS process; outline steps to improve accuracy of MDS completion; and recall 3 significant coding issues clarified in the revised MDS Manual and update documents.
Nursing Home, MDS Coordinators

B8 Employee Retention Strategies: Building a Successful Core
Colleen Rudio
Employee performance and commitment is critical in today’s competitive “Human Capital” market. In this interactive workshop, participants will explore the multiple strategies in attracting, inspiring, engaging, retaining, and driving a productive workforce. 

• Making the connection between your organization’s current retention strategy and industry trends; explore the significant issues that influence manager’s ability to influence and impact positive retention strategies; and expand the manager’s roles, responsibilities, skill sets and capabilities relating to employee attraction, motivation and retention.
• Developing a plan of action by conducting a strategic assessment; explore the potential barriers preventing organization retention success and engagement; identify your internal and external resources; leverage your relationships and secure a collective development strategy by defining your key success factors; and establish a realistic foundation and benchmarks.
• Creating momentum and drive outcome and facilitating leadership communication and initiating strategic action; integrating, educating and engaging your team by committing to a 360-degree perspective; and securing long-term impact through skills, attitude and adaptability.

Human Resources, Administrators, Managers, Nurse Leaders (Non-CAH DONs)

B9 State Survey Update
Jill Caldwell, RN, Certification Bureau Chief
Get the most up-to-date information on CMS regulations and changes from the knowledgeable staff at the Department of Public Health and Human Services.  Ms. Caldwell will cover all the latest CMS updates, as well as important information on kitchen sanitation and the Top-Ten for CAH facilities.
Nursing Home Administrators, Non-CAH DONs

B10 Dietary Circle
Kick off the conference with some time to meet up with colleagues from around the state and discuss the current issues you are facing at your facilities. 
Dietary

B11 Supply Intensity Metric: A Better Way of Understanding Your Supply Chain Performance
David Heath, MedAssets Supply Chain Systems
Audience: Materials Managers

Thursday April 3
X2 MSHHRA Business Meeting
7:00 am - 8:00 am
A chance to enjoy breakfast with your human resources colleagues and share your ideas and hot topics. Please be sure to mark you attendance on your registration.
MSHHRA (Human Resources) Members
Breakfast Sponsored by: Allegiance Benefit Plan Management

X3 MSHMM Business Meeting & Materials Managers Circle
10:00 am - 11:30 am
All interested Material Managers, Purchasing Agents or Purchasing Directors are welcome to attend this business meeting.  This meeting will include discussion of the future of MSHMM and planning for the MHA Annual Convention in September, as well as an opportunity to share and discuss current issues you are facing in your facilities.
Materials Managers

Nurse Leadership Forum
C11 Ending Nurse to Nurse Hostility: Why Nurses Eat Their Young & Each Other
Kathleen Bartholomew, RN, MN
The expression “Nurses eat their young” is so far removed from our idea of the caring and nurturing nurse, that we shudder to think it could possibly be true. But the truth is, nurses are hurting each other. Stories from the “front line” cannot be ignored. Research shows that 60% of newly registered nurses leave their first position within six months because of some form of abuse from a co-worker. The first step to healing our relationships is the most difficult: to recognize and openly discuss the problem. Only by understanding the origin and reasons for our behaviors can we begin to create the healing environment that is so desperately needed in nursing - for ourselves, as well as our patients.
Learning Objectives

1. Acknowledge that nurse-to-nurse hostility is a serious problem.
2. Explain why nurses experience un-caring behaviors from their peers.
3. List one action that you can take to build a culture of healthy relationships and/or decrease horizontal hostility in the workplace.

Nurse Leaders

C12 Affirmative Action – What It Means to be a Covered Federal Contractor
Teri Firmiss Thompson
Get the most up-to-date information on this re-emerging hot topic with the expertise of Ms. Thompson.  This session will cover Government agency (OFCCP) authority and coverage; the types/amounts of federal contracts/subcontracts that require your company to develop and maintain written affirmative action plans; what it means to have an affirmative action program; compliance reviews – how you get selected for audit and what the OFCCP is looking for; and Enforcement Powers – OFCCP remedies, sanctions, and settlements.
Human Resources, Administrators

C13 Mythbusters: The Truth About Medical Review and the Medicare Hospice Benefit
Annette Lee RN, MS, COS-C
This event will provide education on the various clinical aspects of the Medicare hospice benefit.  Topics will include: busting those myths that we have all learned in hospice care- and going back to what the regulations actually say; a discussion of how medical review works and the top denial reasons for hospice services; the CMS guidelines for coverage of different levels of care; and the documentation of a six-month prognosis using the LCD. 
Hospice

C14 Survey Trends in Activities& Social Services
Julie Priest-Young, M.S., ACC
2007 showed an increase in F-tag citations at F248, F250 and other related tags. This session will provide an overview of recent survey trends and what every Social Service Director and Activities Professional needs to know when preparing for survey. Learning objectives include: understanding the survey process; learn valuable information about recent survey trends; understand the Survey Protocols as they relate to cited deficiencies; receive a 90day Pre-survey Checklist to assist you when preparing for Survey.
Activities, Social Services

C15 The MDS 3.0…What to Expect
Patricia J. Boyer, MSM, RN, NHA
In preparation for the upcoming changes in the MDS, this session will provide a comparison table between the MDS 2.0 and 3.0.  In addition, highlights of the draft sections will be presented.  Finally, proactive strategies to facilitate transition to this new tool will be discussed.  At the completion of this session, you will be able to: list two goals of the MDS 3.0; describe the significance of giving residents voice with the MDS 3.0; recall three differences between the MDS 2.0 and 3.0; and explain proactive transitioning to the MDS 3.0.  Nursing Home, MDS Coordinators

C16 The Importance of Dining: Building Relationships One Meal at a Time
Cindy Heilman, DTR
Sponsored by: Sysco of Montana
This is a great session for all dietary managers and administrators who are eager to make changes in their dining concept.  In this session, Ms. Heilman will reinforce the importance of a resident’s dining experience as a valuable part of their daily quality of life and sense of belonging.  She will take you through the different dining style options and help you decide which is best for your community, identify the barriers to change; present 10 important steps necessary to transform your dining setting and show you three different dining styles implemented successfully in three Oregon communities. 
Dietary, LTC DONs, Assisted Living Administrators

Nurse Leadership Forum
D17 Empowerment Roundtables
Kathleen Bartholomew, RN, MN
Nursing leaders in today’s healthcare system often wear a multitude of hats and face a magnitude of tasks.  All of us experience situations that drain us of our energy - especially holding tenured staff accountable and triaging our precious time.   In this Empowerment Roundtable we will ‘zoom out’ of our current nursing world to gain a wider perspective, and then ‘hone in’ on the issues important to each and every one in their current position while sharing strategies that empower leadership.  Participants will not only gain new insights, but practical tools for how to handle every situation from a stance of personal strength.
Nurse Leaders

D18 Affirmative Action: Plan Development &Audit Strategy Basics
Teri Firmiss Thompson
Ms. Thompson will break down the steps needed to develop an action plan for audits.  A great “nuts and bolts” session for anyone dealing with Affirmative Action on a day-to-day basis.  This session will cover : how to prepare a written affirmative action plan – an overview; required steps beyond the written affirmative action plan; strategies for handling a compliance review; preparing for an on-site review; and tips for employers covered by affirmative action requirements.
Human Resources

D19 Green House Cottages
Alan S. Godfrey, AIA
America has a choice, traditional Nursing homes or home like settings for skilled nursing care.  There is a new model of Skilled Nursing care called Green House® Cottages.  Building and construction costs will be covered, as well as design and environmental options, spatial program, code requirements for this type of building, and CMS and regulatory agencies.
SNF Administrators

D20 Writing It Right!
Julie Priest-Young, M.S., ACC
What an exciting time this is for Activity Professionals across our nation! Never before has such considerable attention been paid to Activities. This is in part due to the regulatory changes made at F248 (Activities) on June 1, 2006 by CMS.  This interactive session will offer an overview of those changes as they relate to documentation and will afford the participants an opportunity to increase their knowledge and improve their skill level to enhance the provision of service and quality of life outcomes for the residents they serve.  This session will include lecture as well as the opportunity to write practice assessments based on various case studies.
Activities

D21 Mythbusters: The Truth About the Medicare Home Health Benefit
Annette Lee RN, MS, COS-C
This event will provide education on the various clinical aspects of the Medicare home health benefit.  Topics will include: busting those myths that we have all learned along the way in home health care- and going back to what the regulations actually say, a discussion of the top denial reasons for home health services, the CMS guidelines for coverage of skilled nursing and therapy services, and the determination of medical necessity of services.  This session is designed to enhance the current knowledge of all home health clinicians.
Home Health

D22 Solving the Mystery of Accident Supervision
Patricia J. Boyer, MSM, RN, NHA
This course provides “mapping” of the hot spot of F323- Accident Supervision in that pathway. It provides clues to successful evaluation of the “true Standard of Clinical Practice.” The new Interpretive Guidelines for F323 will be discussed with the use of foundational tools in assessing resident care. At the completion of this session, participants should be able to: define current Interpretive Guidelines related to F323 – Accident Supervision; define Standards of Care & Standards of Clinical Practice related to this guideline; identify how to measure your facility’s current Accident Supervision policies & procedures; “Take away” tips to building improvement.
Nursing Home

D23 Navigating the Minefields of Residency Agreements
Rick Ojala
Today’s residency admission agreements are more complicated than ever.  With the continuous changes in the regulations and the debates over independent and assisted living agreements, there is much room for error and “minefields.”  Join Rick Ojala as he discusses some of the hot topics in these agreements, including: pets, smoking, resident modifications, grievance procedures, and much more.  Rick will share information on what the current issues are, as well as firsthand experiences with these issues.    
Assisted Living Administrators

E24 BON with Barb
Barb Swehla, MN, RN
This session is designed to familiarize participants with the Scope of Practice decision-making model utilizing actual situations. The Board is currently engaged in many rule revisions and a summary of the developing changes will be discussed. Nursing regulation’s role in the nursing shortage will be explored.
Nurse Leadership,  Administrators

E25 Effective Managerial Communication
Dan Moshavi, Ph.D.
Developing great working relationships with your employees can be both challenging and rewarding. This dynamic session gives you fresh communication tools to energize existing relationships and effectively build new ones. Specific skills include rapport-building, value-added listening and advising, and maintaining the right flow of information to increase credibility and build trust.
Nurse Leadership, All

E26 The Importance of Dining: Regulatory Support for Culture Change
Cindy Heilman, DTR
Sponsored by: Sysco of Montana
This session will continue Ms. Heilman’s information on transforming dining.  In this presentation you will learn to identify with “residents rights,” through the six dimensions of “Whole Care,” as they pertain to dining and the important role servers play in sustaining a person-centered dining culture.  Ms. Heilman will also get into the myths and barriers of regulations surrounding dining transformation, including Open Dining Regulation F 368 Frequency of Meals; Family Style Dining regulations F 441, F 371; Buffet Style Dining Regulations F 441, F 371, F242; and Restaurant Style Dining Regulations.
Dietary, Administrators

E27 Care Planning for Quality of Life Outcomes
Julie Priest-Young, M.S., ACC
 Need a refresher on care plan requirements as outlined in F248 and F250? This session will provide clarification on the requirements, examples of effective Social Service and Activities care plans and step-by-step instruction on how to develop meaningful plans.  Learning objectives include gaining valuable information regarding the process/requirements based on F248, F250 and the Interpretive Guidance; understanding the link between Care Planning and Quality of Life outcomes; and learning how to write effective Care Plans.
Activities, Social Services, Assisted Living

E28 Palliative Caring for Persons with Disabilities Near the End of Life: A Mandate for Dignity
Jan Jahner, RN, CHPN
This course will discuss the importance of assessment and advance care planning for end of life for persons with developmental disabilities, as well as the role of advance directives. We will look at some of the legal issues, along with issues related to placement and caregiver needs.
Palliative Care, Hospice

E29 Balancing Act: Incorporating Healthy Habits into a Busy Lifestyle
Mary Meier, MS, RCEP
Maintaining a healthy lifestyle with all the demands in our everyday lives can be a true balancing act. This presentation focuses on incorporating practical strategies that will help you take care of yourself both physically and mentally, including stretches you can do right at your desk and helpful nutrition tips for those on the go.  This session is a must for anyone with a busy schedule!
Nurse Leadership, All

F30 Through the Care Plan Process
Reed Reyman, CEO; Terry Chavez, RN, DNS;  Mary Johnson, RN, LTCC – Prairie Community Health Center
Discover how to increase the Quality of long-term patient care through the care plan process.  Learn how to involve all staff in the process while improving staff and community relations.  A tried and proven, simple, yet effective process that ensures your quality of care will show dramatic improvement. 
Nurse Leadership, LTC Administrators, LTC DONs, Activities, Dietary, MDS Coordinators

F31 A Partnership for Sharing Lives: Your Role in Organ and Tissue Donation
Sandi Stroot, RN, CPTC & Jennifer Knight
This presentation will have a brief review of CMS regulations specific to organ and tissue donation and will define opportunities to create a hospital culture that is conducive to donation. Each person in the hospital, starting with leadership, has a role in supporting the organ and tissue donation program that extends into the community you serve.  Active participation at all levels within your hospital will not only assure that regulations are met, but also have a positive impact on the lives of donor families and transplant recipients.
Nurse Leadership, Administrators

F32 Activities Programming on a Shoe-String Budget
Julie Priest-Young, M.S., ACC
Needing fresh, new ideas but find yourself facing limited resources? This session may be just what you’re looking for. Participants will receive valuable information on resources available at no-cost or low-cost to effectively deliver a well-rounded, on-going program of activities, as well as an understanding of the programming requirements based on F248 and Industry Standards.
Activities, Social Services, Assisted Living Administrators

F33 Hospice Circle
This session provides the opportunity to meet with your peers from across the state and get to the heart of what really matters to you as providers.  Initiate or revisit your best support system, bring forward your concerns, help problem solve your issues with each other.  Identify educational needs, receive updates on different happenings, and find out what you’ve yet to discover!
Hospice

F34 Balancing Act: Incorporating Healthy Habits into a Busy Lifestyle (Repeat)
Mary Meier, MS, RCEP
Maintaining a healthy lifestyle with all the demands in our everyday lives can be a true balancing act. This presentation focuses on incorporating practical strategies that will help you take care of yourself both physically and mentally, including stretches you can do right at your desk and helpful nutrition tips for those on the go.  This session is a must for anyone with a busy schedule!
Nurse Leadership, All

G35 Pain Assessment in the Elderly & Cognitively Impaired
Kathryn Borgenicht , MD & Deanna Brame, MSN, RN, C, CHPN
This session is for anyone who deals with patients dealing with pain, especially the elderly and those who are cognitively impaired.  Dr. Brogenicht and Ms. Brame will provide participants with tools for accessing pain in these particular patients, as well as proven techniques to treat this pain.  A brief update on POLST (Physician Orders for Life Sustaining Treatment) will also be presented.
Nurse Leadership, Hospice, Home Health, Assisted Living

G36 Generational Issues in the Workplace: Passport to a New Generation
Scott Bryant, Ph.D.
Sponsored by: AHEC
Navigating through different generations sometimes feels like a trip to a foreign land. Join Dr. Bryant for a tour of organizations in which the Greatest Generation, Baby Boomers, Gen Xers and Millenials work together and sometimes even understand each other. The plan for this session is that together we can gain some insights into these generations and use that knowledge to improve how we communicate and how we manage.
Nurse Leadership, All

G37 Balancing Act: Incorporating Healthy Habits into a Busy Lifestyle (Repeat)
Mary Meier, MS, RCEP
Maintaining a healthy lifestyle with all the demands in our everyday lives can be a true balancing act. This presentation focuses on incorporating practical strategies that will help you take care of yourself both physically and mentally, including stretches you can do right at your desk and helpful nutrition tips for those on the go.  This session is a must for anyone with a busy schedule!
Nurse Leadership, All

G38 BON with Barb (Repeat)
Barb Swehla, MN, RN
Just in case you missed her on Thursday, we will be holding a repeat of Barb’s BON Update again on Friday morning.  This session is designed to familiarize participants with the Scope of Practice decision-making model utilizing actual situations. The Board is currently engaged in many rule revisions and a summary of the developing changes will be discussed. Nursing regulation’s role in the nursing shortage will be explored.
Nurse Leadership, Administrators

G39 Activities Circle
Discuss your professional best practices and dilemmas with your Activities colleagues.  What do you do that works in your facility?  Do you need input on a challenge you’re facing?  Share your experiences and tips with other Activity professionals and learn from each other!
Activity

Keynote Friday: 10:30 am - 12:00 pm

H40 Sparks Emit from my Fingertips!
An engaging presentation on passion & taking care of “you”, by James Lloyd
Do you feel that you have lost the passion for your job, your career, in your life?  Passion has been defined as a burning commitment that brings your whole being into play – body, mind and spirit. With all of the stress and fatigue that comes with a caregiving position, it is no wonder our passion “burns out!”  In this exciting and inspiring closing keynote, Mr. Lloyd will address the delicate balance of helping others while caring for ourselves.

James will also share how passion can propel our careers and improve our lives in two critical areas:

• Igniting the Spark (motivating self)
• Passing the Spark (motivating others)

Come prepared to listen, laugh, and learn how you can maximize your talents and rejuvenate your spirit while you continue to make a difference.

You won’t want to miss this great closing to a great conference!

Keynote Presenter, James Lloyd
For the past twenty-five years, James Lloyd has captivated and inspired audiences on five continents (still waiting for South America and Antarctica).

With a rich speaking background that includes eleven years as a missionary and several years as a professional trainer, James then spent eight years as a corporate trainer and motivational speaker for Wellpoint, the largest health care benefits company in America.  In 2005, he ventured out and began his own company, 9 Screens International.

James’ favorite TV show is Extreme Makeover Home Edition, and he often retreats a few hours north to his treasured rejuvenation-haven, Big Sur, California.  James has been married twenty-five years and has two teenage daughters (which may explain his eagerness to travel).

His favorite quote:  “A positive attitude may not solve all your problems, but it will annoy enough people to make it worth the effort.”