3/15/23 Provider Association Call with The New York State Department of Health (NYSDOH)
NYSHFA participated in a Nursing Home Provider Association call with the NYSDOH this morning. Several updates were provided, with highlights summarized below:
Presentation: Money Follows the Person
Andrea Juris, Project Director for Money Follows the Person (MFP) and Suzanne de Beaumont, Director for Open Doors Transition Center Program
- MFP authorized and established by federal statute
- Goal to rebalance the Long-Term Care system from institution to community
- Open Doors Transition Center Program assists participants to transition from Nursing Homes and Intermediate Care Facilities to community
- Section Q of the MDS is designed to explore the resident’s interest in returning to the community
*Slides and other resources will be sent out to members when made available by the department.
TNA to CNA Updates
| As of Friday, 3/10/23 NOTE: Data as reported by the programs. |
|
| Total Number of TNA to CNA Candidates | 3184 |
| Number of candidates that need to retest | 287 |
| Number of candidates that anticipate being tested/retested | 437 |
- There are roughly 150 candidates that have not tested. Of them, 92 have not applied to test currently.
- Many applications need correction and/or are incomplete. The NYSDOH staff are reaching out to those to make needed corrections so they may be scheduled to test.
- Currently the “cutoff date” for TNAs to complete testing is August 5, 2023. At that point the NYSDOH will no longer track this information.
Informal Dispute Resolution Statistics
| Year | Received | Upheld | Lowered | Overturned |
| 2020 | 75 | 63 | 6 | 8 |
| 2021 | 131 | 105 | 7 | 16 |
| 2022 | 146 | 118 | 6 | 19 |
| 2023 | 13 | 2 | NA | NA |
Top 10 Citations
| 2022 | 2023 | ||
| Tag | Description | Tag | Description |
| F884 | Reporting NHSN | F884 | Reporting NHSN |
| F689 | Free of Accidents/Hazards | F689 | Free of Accidents/Hazards |
| F609 | Reporting of Alleged Violations | F609 | Reporting of Alleged Violations |
| F656 | Develop/Implement Comprehensive Care Plans | F610 | Investigate/Prevent/Correct Violations |
| F812 | Food Procurement, Store/Prepare/Safe – Sanitary | F656 | Develop/Implement Comprehensive Care Plans |
| F880 | Infection Prevention & Control | F584 | Safe/Clean Comfortable Environment |
| F600 | Abuse/Neglect | F657 | Care Plan Timing and Revision |
| F610 | Investigate/Prevent/Correct Violations | F812 | Food Procurement, Store/Prepare/Safe – Sanitary |
| F584 | Safe/Clean Comfortable Environment | F684 | |
| F677 | ADL Care Provided for Dependent Residents | F880 | Infection Prevention & Control |
| F657 | Care Plan Timing and Revision | F600 | Abuse/Neglect |
Immediate Jeopardy Citations
| 2022 | 2023 | ||
| Tag | Description | Tag | Description |
| F578 | Refuse Treatment – Formulate Adv Dir | F609 | Reporting of Alleged Violations |
| F584 | Safe/Clean Comfortable Environment | F610 | Investigate/Prevent/Correct Violations |
| F600 | Abuse/Neglect | F678 | CPR |
| F604 | Free of Restraints | F689 | Free of Accidents/Hazards |
| F608 | Report Reasonable Suspicion Crime | ||
| F610 | Investigate/Prevent/Correct Violations | ||
| F684 | Quality of Care | ||
| F689 | Free of Accidents/Hazards | ||
| F692 | Nutrition/Hydration | ||
| F740 | Behavioral Health Services | ||
| F742 | Treat Mental/Psychosocial Concerns | ||
| F888 | COVID-19 Vaccination of Facility Staff |
Highlights reviewed included abuse and smoking related cases.
Schizophrenia Audit Update
CMS has launched focused schizophrenia onsite offsite, focused surveys to specifically address the issue of erroneous coding of schizophrenia in nursing homes. CMS has begun conducting offsite audits to assess the accuracy of Minimum Data Set (MDS) data. Specifically, the facility’s evidence for appropriately documenting, assessing, and coding a diagnosis of schizophrenia in the MDS for residents in a facility.
- Facilities selected for an audit will receive a letter explaining the purpose of the audit, the process that will be utilized, and instructions for providing supporting documentation.
- Facilities will be given the opportunity to forego the audit by admitting they have errors and committing to correct the issue.
Life Safety Code Waiver Process – Sara Caldwell
- The updated Guidelines for Submission of Waiver and Equivalency Requests may be found at:
https://www.health.ny.gov/facilities/cons/ (Please scroll to: Construction Waiver and Equivalency)
- An upcoming DAL and training information is expected to be released by the department at a later date.
NYSHFA/NYSCAL CONTACTS:
Tarrah Quinlan, RN, BSN
Director of Education Program Development and Member Operations
518-462-4800 x20
Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15
