NYS DOH Commissioner Declares Influenza No Longer Prevalent in NYS for 2018-2019 Influenza Season

Lisa Volk in Clinical & Quality

The New York State Department of Health Commissioner Howard Zucker, MD, JD, declares that influenza is no longer prevalent in New York State for the 2018-19 influenza season, as of the date of this announcement. Accordingly, at this time, section 2.59 of the New York State Sanitary Code (10 NYCRR § 2.59) no longer requires ...

Alert: MARO Region Lab Service Critical Information

Nancy Leveille and Allison Gold Stephen Hanse in Clinical & Quality

Tomorrow, March 14th at 12 noon the DOH is holding a conference call with SNF Providers in the MARO Region to discuss the potential of laboratory service cancellations to over 150 skilled nursing facilities in the MARO Region, effective March 26, 2019.

We advise all skilled nursing facilities in the MARO Region to participate on this call for specific information and planning purposes. 

Please respond to DOH’s conference call invitation e-mail sent today to all MARO SNF Providers. If you have not received the DOH invitation, please call Nancy Knapp (NYSHFA) at 518-462-4800 x26.

NYSHFA CONTACTS:

Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Allison Gold, Esq.
Director of Policy & Reimbursement
518-462-4800 x25

SNF Quality Reporting Program: Non-Compliance Letters

Nancy Leveille and Lisa Volk in Clinical & Quality

CMS provided notifications to facilities that were determined to be non-compliant with Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) requirements for Quarter 4 of CY 2016, which will affect their FY 2018 annual payment update (APU). Notifications of non-compliance were placed into facilities’ Quality Improvement and Evaluation Systems (QIES) - Certification and Survey Provider Enhanced Reporting (CASPER) system on July 14, 2017 and also mailed directly to providers. Providers that receive a letter of non-compliance may submit a request for reconsideration to CMS via email no later than 11:59pm PST, August 13, 2017. If you receive a notice of non-compliance and would like to request a reconsideration, see the instructions in your notification letter and on the SNF Quality Reporting Reconsideration and Exception & Extension webpage.

NYSHFA CONTACTS:

Nancy Leveille, RN, MS
Executive Director
518-462-4800 x20

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

C Auris DOH On-Site Nursing Home Reviews Next Week

Lisa Volk and Nancy Leveille in Clinical & Quality

Please see below and attached from the New York State Department of Health regarding their intention to begin conducting on-site facility reviews for C Auris infection controls next week at all nursing homes in Brooklyn and Queens ...


NYS DOH Commissioner Waives E-Prescribing for SNF Until Oct. 31, 2017

Nancy Leveille and Stephen B. Hanse in Clinical & Quality

On Friday, Dr. Howard Zucker, NYSDOH Commissioner of Health, issued a memorandum with certain updates regarding the State’s e-prescribing program. In his memorandum, the Commissioner extended the e-prescribing waiver for nursing homes from March 26th through October 31st. Among other things, the Commissioner’s memo addressed the technological and economic conditions causing issues for providers as well as the significant reliance upon oral communications with the prescriber and pharmacy in nursing homes and residential health care facilities for non-controlled substances. NYSHFA has been a leader in advocating for this assistance from the Governor's office and will continue to work with the Legislature to solve these issues specific to skilled nursing and residential health care facilities by the new October 31st target date.

NYSHFA CONTACTS:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Stephen B. Hanse, Esq.
President & CEO
518-462-4800 x11

Release of the 2016 Nursing Home Quality Initiative Results for Feedback by January 24

Nancy Leveille and Carl Pucci in Clinical & Quality

NYSHFA received the following information from DOH and you must review and respond by January 24, 2017 if you have questions or concerns.

Dear Nursing Home Quality Initiative workgroup member:

The results of the 2016 Nursing Home Quality Initiative for feedback have been posted to the Health Commerce System (HCS) and nursing homes have been notified via the Integrated Health Alerting Network System on the HCS. Nursing homes were sent the following email on 1/10/2017:

“The New York State Department of Health (NYS DOH) is finalizing the results of the 2016 Nursing Home Quality Initiative (NHQI) for public reporting and has posted the results to the Health Commerce System (HCS) for feedback. To access this report, follow the instructions below. 

1.  Access the HCS at https://commerce.health.state.ny.us
2.  At the security screen, enter your HCS ID and password
3.  At the HCS Welcome Page, select "NH Rate Sheets 4/2009-Forward" under the heading "My Applications".

  • If “NH Rate Sheets 4/2009-Forward" is not listed under the heading "My Applications", click on “My Content” > “All Applications”
  • Click the letter “N” in the “Browse by” section at the top of the screen
  • Click “Nursing Home Rate Sheets 4/1/2009 and Forward”

4.  At the Nursing Home Rates screen, select "2016 Nursing Home Quality for Feedback" from the drop-down list under "Nursing Home Rates
     Selection List"
5.  Identify your facility in the drop-down list under "Nursing Home Selection List", then select "SHOW REPORTS"

This message also contains an attachment with the Dear Administrator letter followed by the methodology for the 2016 NHQI, and instructions for interpreting your facility's report.

The following types of facilities are excluded from the NHQI and will not have a report posted on the HCS: Non-Medicaid facilities, CMS-designated Special Focus Facilities, Specialty Facilities, Continuing Care Retirement Communities, and Transitional Care Units.

If there are any questions about the 2016 NHQI, please email us at nhqp@health.ny.gov.  We request that nursing homes provide feedback by January 24, 2017.”

Attached is the Dear Administrator letter followed by the 2016 NHQI methodology and instructions for interpreting a facility’s report. We look forward to meeting with you at the next NHQI workgroup meeting scheduled for Tuesday, January 31, 2017 at 2:30 pm.

Thank you,

Raina Josberger

Nursing Home Quality Initiative BML
New York State Department of Health
Office of Quality and Patient Safety
(518) 486-9012
nhqp@health.ny.gov
Health Data NY

NYSHFA CONTACTS:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36

Health Advisory: University Mumps Outbreaks Advisory from NYSDOH

Lisa Volk in Clinical & Quality

Cases of mumps have been identified in increasing numbers on college campuses in New York and across the United States...

NYSDOH Health Notification

Lisa Volk in Clinical & Quality

The emergence of carbapenem resistance among Enterobacteriaceae in the United States represents a serious threat to public health. Wide variability exists in the incidence of these organisms identified in hospitals across New York State. Healthcare facilities should ensure awareness of the issue and appropriately implement infection prevention practices to decrease the development and spread of these organisms.  See the attached Advisory for details.

NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800

PBJ Data Submission

Lisa Volk and Nancy Leveille in Clinical & Quality

Thursday evening, November 10, 2016, CMS, through its Quality Technical Support Office, e-mailed a notice to all providers related to PBJ submissions. CMS has addressed several technical questions related to the PBJ submission process and, most notably, has indicated they will accept data submission past the deadline and will not impose penalties for providers that have not met the deadline at this time.  

The CMS message is included below in its entirety.  AHCA has been raising many of the concerns noted in the message on your behalf with CMS. We appreciate that they are starting to address them and will not issue penalties for those who try to submit data.

We understand providers have had questions regarding submitted their data into the PBJ system.   With the deadline for submission almost upon us, we felt it would be beneficial to send out an email addressing some of the more frequently asked questions to help facilitate the process for you.

1.  System Access

We acknowledge that the large number of provider submissions as we near the submission deadline has exceeded the amount of planned network capacity and has resulted in high network utilization which is subsequently causing slowed system response times as well as an inability to access the system for some users.  We encourage users to pull down their validation reports during off peak times to relieve system congestion and allow more bandwidth for data submissions and less user frustration.  Note that we are extending our QTSO Help Desk hours to include support from 8am to 5pm EST both Saturday November 12th and Sunday November 13th.

2.  Deadline for Submission

CMS will accept data submission past the deadline and will not impose penalties for providers that have not met the deadline at this time. However, we expect providers to still make a good faith effort to submit data as soon as possible for Fiscal Year 2016 Q4 (July 1 - September 30, 2016).

3.  Facility IDs

We understand several providers are confused about what number to use when PBJ asks for the Facility ID (FAC_ID).  The list of FAC_IDs can be found by logging on to CMSNet, clicking "QIES Systems for Providers" and then under "PBJ Submissions" click "Look Up Facility ID".

4.  Hire/Rehire Dates

For questions related to entering the hire and rehire dates for employees, please see Section 8.4 ("Manual Data Entry and XML Submission Rehire Process") of the PBJ User Manual, which can be found here, https://www.qtso.com/pbjtrain.html

5.  Saving and Submitting Data

We are aware that some facilities may be confused on the use of the "save" button in the PBJ system.  The save button is the same as submitting your data.  Additionally, you can save and submit as often as you'd like throughout the quarter, such as every two weeks, and you can always go back and edit your data for previous weeks.  Do not wait until the end of the quarter to save and submit. CMS will not collect any files until after November 14th.

6.  CMS 671 Form and PBJ Submission Discrepancies We are aware that some providers are concerned that PBJ data will be compared to the information submitted on their CMS-671 form.  We acknowledge that there are differences between how staffing data is submitted in comparing the instructions and policies of PBJ and the CMS-671, and they cover very different time frames. Therefore, in general, we do not expect PBJ data to match the data from the CMS-671.

Additional Resources

Policy Questions should be sent to NHStaffing@cms.hhs.gov 

Technical Issues/Questions should be sent to NursingHomePBJTechIssues@cms.hhs.gov

QTSO Help Desk at (877) 201-4721 or E-mail at help@qtso.com 

PBJ Website: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html

NYSHFA CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

DOH Releases Revised Incident Reporting Manual

Lisa Volk and Karen Morris in Clinical & Quality

The DOH has released the updated Nursing Home Incident Reporting Manual via the HCS. This manual was revised with the assistance of the associations and includes many real life examples. We understand there will still need to be clarification with certain situations and we can assist. The NYSHFA Practical Guide to Investigating Abuse Complaints in New York State SNFs is available and posted on our website under facility resources; facility operations, as a potential tool to evaluate incidents, determine if further investigation is warranted and as well as ways to conduct those investigations. See the attached link to obtain the manual within the HCS system: 

https://commerce.health.state.ny.us/public/hcs_login.html

NYSHFA CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Karen Morris, RN, MS
Member Operational Services
518-462-4800

DOH Advisory: Burkholderia Cepacia Bloodstream Infections Product Recall Notice

Lisa Volk in Clinical & Quality

The New York State Department of Health (NYSDOH) is investigating 35 cases of bloodstream and urine infections with Burkholderia cepacia as part of a multistate outbreak. Nurse Assist, a medical device manufacturer based in Texas, has issued a voluntary recall of all unexpired lots of IV flush syringes due to a potential link to Burkholderia cepacia bloodstream infections with the product. The investigation is ongoing. See the ...

AHCA Requirements of Participation Member Briefing Wednesday 10/5/16

Lisa Volk in Clinical & Quality

AHCA's website experienced technical difficulties Monday afternoon during the first webinar to brief members on the Requirements of Participation. Please see attached for more details and registration information for Wednesday’s 3:00 pm webinar.

NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

DOH Health Advisory: Investigations of Burkholderia Cepacia Infections

Lisa Volk in Clinical & Quality

The New York State Department of Health (NYSDOH) is investigating 9 cases of bloodstream infections with Burkholderia cepacia as part of a multistate outbreak. The investigation is in its early stages. See attached health advisory for specific details and recommendations.

NYSHFA CONTACT:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Requirements of Participation Member Briefing and Resources

Lisa Volk and Nancy Leveille in Clinical & Quality

As you know, the final Requirements of Participation  became available yesterday and will be published in the Federal Register on October 4, 2016. AHCA plans to provide members with information, tools, and resources to help you be successful in the implementation of the requirements.

To begin that effort, on Monday, October 3 at 4:30 pm Eastern Time, AHCA will provide a one-hour member briefing on the new requirements. It will include a high-level summary of the changes followed by a focus on the first phase of the three-year phase in. Be sure to register for the briefing! 

By the end of next week, we will provide a more detailed summary of the entire rule, including specific dates of implementation for the various sections of the rule.

AHCA staff are also developing brief overview documents that will provide succinct information about the elements of the rule, beginning with the provisions that are going to be implemented in phase one. We will make these overview documents available as we finalize them.  

Additionally, we will develop templates for members to use in instances where new policies and procedures are required. These templates will include the required elements from the new policies and procedures and will be customizable by center to meet specific needs.

As a reminder, there will be a three-hour intensive seminar about the final rule on Sunday, October 16, in Nashville at the AHCA/NCAL Annual Convention.

NYSHFA CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

NYS DOH DAL - Response Needed

Lisa Volk in Clinical & Quality

The NYS DOH has determined it is imperative to improve the quality and completeness of contact information in the HCS Communications Directory. DOH requests immediate action to review and update your business and emergency contact information on the HCS no later than close of business Friday, October 7, 2016. If you have any questions or need assistance with your account, please contact 866-529-1890. Please see attached memo in its entirety.

New Information from CMS Related to PBJ Submission and Registration. Please Review ASAP

Nancy Leveille in Clinical & Quality

Alert: CMS announced an update to the PBJ registration and submission requirements. See paragraph #4 for updated specification information. Electronic submission of staffing data through the Payroll-Based Journal (PBJ) is required of all long-term care facilities starting July 1. The last day to submit data for fiscal quarter four (July 1 through September 30) is November 14, 2016. Nursing homes can register now in the PBJ system to prepare ...

CMS’ Payroll Based Journal (PBJ) Mandated Registration Date is July 1, 2016

Nancy Leveille and Lisa Volk in Clinical & Quality

July 1st is just 17 days away. Each SNF across the country is required to be registered by this date to establish your account with CMS. This may take you a few days to register, because ...

Final Priority Alert – CMS Requirements of Participation (ROP) #6

Nancy Leveille in Clinical & Quality

Thank you to all who have sent in comments to the CMS ROP thus far. To those who have not, there is ONE WEEK LEFT for you to participate.

Our last idea is to conduct a facility activity with residents and staff and write comments together and assist them with submitting their concerns. Many of you have conducted this type of activity in the past to write to your legislators. Pick a couple issues that directly affect your facility and resident care, discuss them with the group and collect their thoughts.

This may be an easy way to create a productive event for your residents to have their voices heard.

October 14th at 4:00 pm is the deadline.  Attached for your convenience are the key elements to consider when providing your comments.  NYSHFA is requesting that you click on this link: http://www.ahcancal.org/facility_operations/Pages/SNF-Requirements-of-Participation.aspx and follow the "Instructions and Guidelines for Commenting". You will be able to submit comments to CMS via the link at the bottom of that information.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Priority Alert Week #5: CMS Requirements of Participation

Karen Morris and Nancy Leveille in Clinical & Quality

In our ongoing CMS letter writing campaign, this week we are attaching the draft comments related to the proposed changes to pharmacy regulations that was shared with us by the American Society of Consultant Pharmacists.  Please review this document and use it as a guide only to develop your own comments. The deadline to submit comments has been extended to October 14.  We also suggest that you can go to AHCA's website: www.AHCANCAL.org and click on Take Action (no password needed).  It has a variety of resources to help you with your comments on all topics and you can also directly submit to CMS via their website.

Thank you.  All your individual organizations' comments will make a difference.

NYSHFA CONTACTS:

Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Requirements of Participation for Long Term Care

Nancy Leveille in Clinical & Quality

AHCA just notified us that CMS has extended the proposed ROP for Long Term Care comment period for a month. They will now accept comments to the ROP up until October 14, 2015. The letter writing campaign is being effective and encourage all to continue your letter submission.  See attached CMS letter.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

CMS Comment Period on Requirements of Participation Closes Sept. 14

Nancy Leveille in Clinical & Quality

NYSHFA has a goal of 150 individuals/organizations submitting comments to CMS by September 14, 2015 on the Requirements of Participation. AHCA/NCAL’s goal is 10,000. CMS notes they have about 3500!  NYSHFA’s Executive Committee and District Presidents have all been assisting with this campaign. Every Comment Matters. You will be the recipient of the new requirements and the providers who will need to implement them. Let your voices be heard now as this is your chance to make a difference. See attached information from AHCA/NCAL. Thank you for your efforts.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Priority Alert #4: CMS Requirements of Participation

Nancy Leveille in Clinical & Quality

We have 11 days left to submit comments to CMS related to the proposed Requirements for Participation (ROP). Thus far we can see from AHCA’s website, 806 individuals/organizations have submitted comments and documented such on the AHCA site. Of the 806…only 11 have been from NYS. We are hoping that those numbers are higher based on Members potentially submitting directly to CMS. NYSHFA’s goal is to have 150 individuals/organizations discuss their concerns to CMS on any or all parts of the ROP by no later than September 14, 2015 at 4:00 p.m.

However, Mark Parkinson, President & CEO, AHCA is meeting with CMS related to the ROP on Tuesday, September 8. We are requesting members to submit as many comments as possible prior to September 8, 2015, to assist his discussion with CMS.

In addition, click on Len Russ’ podcast regarding the ROP.

NYSHFA held a second call with all our District Presidents today to continue to enlist their help in setting goals and follow up activities to assist you in your districts. As we have noted in past Alerts, this is your chance to make CMS aware of what issues you will have if these ROP go into effect in 2016. We hope you will voice your specific concerns, solutions and any potential unintended consequences. Thank you.

Click here to submit comments and see the full scope of information at AHCA:  http://www.ahcancal.org/facility_operations/Pages/SNF-Requirements-of-Participation.aspx

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Priority Alert Week #3: CMS Requirements of Participation

Nancy Leveille and Karen Morris in Clinical & Quality

In our ongoing CMS letter writing campaign, this week we are attaching NYSHFA’s Clinical & Quality comments for your review. Use them only to guide the development of your own. We think they will be helpful to get you started. We are targeting to have 150-200 members respond with at least one comment on a topic. We also suggest that you can go to AHCA's website: www.AHCANCAL.org and click on Take Action (no password needed). It has a variety of resources to help you with your comments on all topics and you can also directly submit to CMS via their website. We recommend that you write your comments in Microsoft Word docs and then cut and paste into the CMS form. It should be an easier process for you.

Thank you. All your individual organizations' comments will make a difference.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

Priority Alert Week #2: CMS Requirements of Participation

Nancy Leveille in Clinical & Quality

NYSHFA’s District Presidents are committed to assist with the CMS letter writing campaign. If all our district members work together, we will be able to effectively respond to CMS’ proposed rules. This week we are attaching O’Connell and Aronowitz’ overall comments and NYSHFA’s QAPI comments for you to see the structure requested by CMS and used here. Use them only to guide the development of your own. We think they will be helpful to get you started. We are targeting to have 150-200 members respond with at least one comment on a topic. We also suggest that you can go to AHCA’s website: www.AHCANCAL.org and click on Take Action (no password needed). It has a variety of resources to help you with your comments on all topics and you can also directly submit to CMS via their website. We recommend that you write your comments in Microsoft Word docs and then cut and paste into the CMS form. It should be an easier process for you.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Priority Alert Week #2: CMS Requirements of Participation

Nancy Leveille in Clinical & Quality

NYSHFA’s District Presidents are committed to assist with the CMS letter writing campaign. If all our district members work together, we will be able to effectively respond to CMS’ proposed rules. This week we are attaching O’Connell and Aronowitz’ overall comments and NYSHFA’s QAPI comments for you to see the structure requested by CMS and used here. Use them only to guide the development of your own. We think they will be helpful to get you started. We are targeting to have 150-200 members respond with at least one comment on a topic. We also suggest that you can go to AHCA’s website: www.AHCANCAL.org and click on Take Action (no password needed). It has a variety of resources to help you with your comments on all topics and you can also directly submit to CMS via their website. We recommend that you write your comments in Microsoft Word docs and then cut and paste into the CMS form. It should be an easier process for you.

NYSHFA CONTACT:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

CMS is Revising the Requirements for Participation for Long Term Care: We Need Your Help!

Richard Herrick and Nancy Leveille and Karen Morris in Clinical & Quality

As noted late last week, in our August 7, 2015 member mailing, CMS posted changes to the Requirements for Participation (ROP) for LTC. Comments are due by September 14, 2015. NYSHFA has reviewed all sections and many of these proposed requirements will create major changes to your business without proper funding or staff to accomplish. AHCA is requesting we have at least 200 organizations respond from NYS to assist in this national effort to provide comments. NYSHFA is requesting that you click on this link: http://www.ahcancal.org/facility_operations/Pages/SNF-Requirements-of-Participation.aspx and follow the “Instructions and Guidelines for Commenting”. You will be able to submit comments to CMS via the link at the bottom of that information.  Start to select one or two topics from the list AHCA has identified that you feel you could comment on. If all of us do that much, we can cover all topics. NYSHFA will be commenting on the majority, but that will not be not be enough to cause CMS to change. This is a time when we need a volume of comments from all of you. Each Thursday until September 14, we will send out a Priority Alert to you to continue to focus on different topics to assist you with this process. But, we need you to start today by understanding the changes and getting your teams involved in the process. Different team members from a SNF can also comment individually to help maximize the number of responders to CMS.

NYSHFA CONTACTS:

Richard Herrick
President and CEO
518-462-4800 x11

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

ESF-8 Heat Advisory Situational Awareness Info - NYC

Karen Morris in Clinical & Quality

The New York City Heat Emergency Plan has been activated as of 12:00PM today. Select staff from the New York City Emergency Management Department (NYCEM) are supporting NYCEM’s Watch Command, in which the City’s Emergency Operations Center (EOC) is not currently activated...

Flu Mask Requirement Lifted by Commissioner

Karen Morris in Clinical & Quality

The New York State Department of Health Commissioner Howard A. Zucker, M.D., J.D., declares that influenza is no longer prevalent in New York State for the 2014-15 influenza season, as of the date of the attached announcement.

DOH Releasing 2014 NHQI Data

Nancy Leveille and Karen Morris and Carl Pucci in Clinical & Quality

DOH will be releasing the 2014 NYS Nursing Home Quality Initiative (NHQI) data today on the HCS system.  Members should access the HCS to obtain their individual NHQI report for 2014.  Questions related to specific scores should be sent to Raina Josberger at NHQP@health.ny.gov.

Below is the message sent to administrators:

Good afternoon –

The results of the 2014 New York State Nursing Home Quality Initiative (NHQI) have been finalized and we are pleased to share with you your facility’s performance.

The following types of facilities are excluded from the Quality Initiative and therefore will not have a one-page report posted on the Health Commerce System (HCS):  Non-Medicaid facilities, CMS-designated Special Focus Facilities, Specialty Facilities, Continuing Care Retirement Communities, and Transitional Care Units.

There are four attachments to this email. The first attachment is the Administrator letter which provides background and instructions on accessing your facility's one-page report.  The second and third attachments outline the methodology for the 2014 NHQI and the Potentially Avoidable Hospitalizations measure.  The fourth attachment provides instructions on how to interpret your facility’s one-page report.

In the near future, the Department will be publicly releasing these results on our website (http://www.health.ny.gov/health_care/medicaid/redesign/nursing_home_quality_initiative.htm) and will make the dataset available on Health Data NY.

For questions about the results, please contact us at NHQP@health.ny.gov. For questions about financial awards, please contact the Bureau of Managed Long Term Care Rate Setting/FFS at NFRATES@health.ny.gov.

Sincerely,
Raina Josberger
Nursing Home Quality Initiative BML
New York State Department of Health
Office of Quality and Patient Safety
(518) 486-9012
nhqp@health.ny.gov


Attached are the following documents for your review:

DAL (with HCS access instructions)
Avoidable Hospitalizations Methodology
2014 NHQI Methodology (Updated 1/15)

2014 NHQI Interpretation Guidelines


NYSHFA will continue to provide input to the NHQI Workgroup, as well as participate in upcoming discussions centered on the 2014 results as well as the 2015 NHQI.

NYSHFA CONTACTS:

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20

Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15

Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36

Five-Star Rating System Changes – New Resources

Karen Morris in Clinical & Quality

It is anticipated that 30% of NYS facilities will lose at least one star with the recalibration of the Five-Star system.  The Five Star Rating Preview Reports are now available on the QIES system...

AHCA Summary of Changes to Five-Star

Karen Morris in Clinical & Quality

AHCA/NCAL, has issued the following summary regarding the Five-Star Quality Rating System...

NYSDOH Has Activated a HERDS Survey Regarding Influenz: Survey Due January 14, 2015

Karen Morris and Nancy Leveille in Clinical & Quality

In response to recent circumstances experienced by a number of nursing homes due to influenza, the New York State Department of Health (NYSDOH) is conducting a brief survey to assess, monitor, and where possible, take action to help mitigate the impact of influenza on the operations of nursing homes.  The survey needs to be completed no later than January 14, 2015.  See attached DAL for details ...

NYSDOH Commissioner Declares Influenza Prevalent in the State

Nancy Leveille in Clinical & Quality

The New York State Department of Health Acting Commissioner Dr. Howard Zucker had declared influenza to be prevalent in New York State.  Further information can be found in the attached announcement...

Healthcare Personnel Influenza Vaccination Report

Karen Morris in Clinical & Quality

As of Wednesday November 19, 2014, the Healthcare Personnel Influenza Vaccination Report is available for organizations to complete through the Health Electronic Response Data System (HERDS).

**PLEASE NOTE: This year, healthcare facilities and agencies will be required to submit a single, longitudinal report that will remain open until May 1, 2015.

Initial data should be Submitted in November 2014 (or as soon as available), with updates entered and (re)Submitted as often as necessary - when new healthcare personnel join your facility or agency and/or submit documentation of vaccination.   Completion of this report is required pursuant to 10 NYCRR Section 2.59. The report can be found on the HCS, under NH surveillance, Data Entry

NYSHFA CONTACT
Karen Morris
Director, Clinical & Quality Services
518-462-4800, ext. 15

OMIG Audits: MDS Coding Errors Webinar – FREE – Register Now – Spaces are Limited

Karen Morris in Clinical & Quality

The DOH and School of Public Health have developed a free webinar “New York’s Common Coding Errors” in conjunction with OMIG related to the MDS errors found on the OMIG audits.  The webinar will be offered twice as a live webinar and then archived.  Spaces are very limited for the live presentations (100 per session), so we advise you to register early. Please register only once per facility via the link on this attachment.

NYSHFA CONTACT
Karen Morris
Director, Clinical & Quality Services
518-462-4800, ext. 15

NYSDOH Issues Notification of Commissioner’s Order

Nancy Leveille and Karen Morris in Clinical & Quality

NYSDOH Acting Health Commissioner Howard Zucker has issued the following order for summary action for all general hospitals, diagnostic and treatment centers and off campus emergency departments. For the purpose of this order, Article 28 general hospitals do not include skilled nursing facilities. We are forwarding this alert for information purposes only. The Alert can be viewed from the link below:

https://apps.health.ny.gov/pub/ctrldocs/alrtview/postings/Notification_17537.pdf

We are continually posting information related to Ebola and other infection control issues, as it is received, on our Emergency Preparedness webpage.

NYSHFA CONTACTS
Nancy Leveille
Senior Director, Member Operational Support
518-462-4800, ext. 20

Karen Morris

Director, Clinical & Quality Services
518-462-4800, ext. 15

Flu Mask Requirement Lifted by Acting Commissioner

Karen Morris in Clinical & Quality

The attached advisory (web link) has been sent via the HCS system to all providers advising that influenza is no longer prevalent in New York State and the requirement for unvaccinated healthcare workers to wear masks has been discontinued.

FINAL NOTICE - HCP Vaccination Report DUE TODAY - THURSDAY MAY 1st

Karen Morris and Nancy Leveille in Clinical & Quality

DOH has posted the following reminder:

This is your FINAL REMINDER that Nursing Home Quality Pool deadline for nursing homes to submit the Healthcare Personnel Influenza Vaccination Report is by close of business TODAY, May 1, 2014.  Nursing homes that do not submit the Healthcare Personnel Influenza Vaccination Report by close of business TODAY will lose 2.5 points toward timely submission of the report and will not be eligible for the quality measure of rate of employee flu vaccination which will be calculated using the results of the April 2014 report.

*PLEASE NOTE that submission of the April 2014 report is REQUIRED even if your nursing home submitted the early-season report in November 2013.* 

To access the report, click on "Data Entry" in HERDS, choose the Activity named "Health Care Personnel Influenza Vaccination Report", and select your nursing home from the "Organization" dropdown menu.  If a closed or incorrect facility or agency is listed in your HERDS report "Organization" dropdown menu, please contact the NYS DOH for correction.  

Users are reminded to be sure to first Save, then press the Review and Submit button in order to successfully submit data to NYSDOH. Pressing the Save button alone does NOT submit data to NYSDOH.

Thank you if you have already submitted your report.  If you have any questions please email immunize@health.state.ny.us or call (518) 473-4437.

  NYSHFA CONTACTS: Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15
  Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20