Welcome to the Skilled Nursing Facility Virtual Training Program.
My name is Lisa Newton, and I'll be presenting the
Training Program Overview, describing the design
and expectations for
each of the training components, Part 1 and 2.
I'm a registered nurse with experience in
direct patient care, clinical education,
and nursing administration
in the acute care, LTCH, and skilled nursing facility settings.
Currently, I'm a senior staff associate at Econometrica
in Bethesda, Maryland.
Let's begin by reviewing the learning objectives for this session.
At the conclusion of this training, participants
should be able to understand the design of the
Skilled Nursing Facility, or SNF, Virtual Training Program -
Part 1 and 2, and summarize the training and
implementation objectives for your facility related
to the new and revised guidance.
Before we proceed I'd like to take a moment and review the disclaimer for this training.
The presentations in this training program were current
at the time they were published or uploaded onto the web.
Medicare policy is subject to change, so links to the SNF
Quality Reporting Program, or QRP, web pages have been
provided as supplemental resources for your reference.
This training program was prepared as a service to
the public and is not intended to grant rights or impose obligations.
The training content may contain references or links
to statutes, regulations, or other policy materials.
The intent of the information provided is to be a general summary
and not to take the place of either the written law or regulations.
We encourage readers to review the specific statutes,
regulations, and other interpretive materials
for a full and accurate statement of their contents.
This presentation covers 3 topic areas.
First, we'll examine the design of the SNF training program.
Then discuss some of the conventions used in the training
and identify resources available to supplement your
understanding of this material, and we'll end with suggestions on how
you can make this training as meaningful as possible as
you implement the guidance at your specific facility.
The SNF Virtual Training Program contains some very specific design features.
Because of this it is highly recommended that you review the
Training Program Overview presentation first.
The overview provides a basis for your understanding
of the entire SNF
Virtual Training Program
and explains how the content in Parts 1 and 2 complement one another.
The overview presentation also contains foundational material
to help you navigate the training that is not provided in other presentations
in the program.
Reviewing this material first will provide key insights necessary
for a more complete understanding of the program design and content.
As noted earlier, the SNF Virtual Training Program consists of 2 components.
The first, part 1, is the series of recorded
presentations that provide the didactic component of this training.
These recorded presentations are available for review at your own pace
and can be viewed multiple times, based on your personal preference.
To assist your review, each presentation is
accompanied by a corresponding PDF.
The didactic presentations explain the major guidance changes
to the Minimum Data Set, or MDS, 3.0 Resident Assessment Instrument,
or RAI, version 1.18.11.
Changes to the intent, rationale, steps for assessment, coding instructions, and
coding tips for select data elements are also reviewed.
A link to these training materials is located on the SNF QRP Training web page.
And please note, it is essential that the presentations in Part 1
are reviewed in advance of attending the coding workshop sessions in Part 2 of
the training program.
Here's a list of the recorded presentations in Part 1.
The SNF Training Program Overview is listed first, to reinforce the importance of
reviewing it before the other topics. The other presentations may be completed
in any order, and include the following sessions.
Understanding changes to MDS 3.0 RAI Manual version 1.18.11,
Social Determinants of Health and New Data Elements in Section A,
Section C: Changes to Cognitive Patterns Guidance,
Section D: Resident Mood Interview and Total Severity Score,
Section GG: Functional Abilities and Goals,
Section J: Health Conditions,
Section K: Swallowing/ Nutritional Status,
Section N: Medications,
Section O: Special Treatments, Procedures, and Programs,
And Section Q: Participation in Assessment and Goal Setting.
Part 1 of this training also includes an optional case study
for additional support in knowledge integration of the new and revised
MDS 3.0 RAI data elements and coding concepts.
The case study is a supplemental training asset that offers a self-paced format
and can be used individually or in a group setting.
The components of the case study include the following documents,
a Case Study Narrative providing a complex resident scenario,
a Case Study Coding Response Sheet which contains screenshots of the select
admission and discharge data elements to be coded for the scenario,
and a Case Study Answer Sheet that provides the correct
coding responses and rationale.
Instructions for completing the case study are provided in the Case Study Narrative.
We hope you take advantage of this additional resource for
practice in coding the new and revised data elements.
Part 2 of the training program offers a series of coding workshop presentations
that correspond to designated topics presented in Part 1.
The workshop sessions provide an opportunity to apply concepts related to the new and revised
SNF guidance, using coding scenarios and a live polling format.
A recorded version of each coding workshop presentation
and corresponding PDF will be made available for review and
reference after the live event is held.
Here's a list of the coding workshop presentations that will be offered during
Part 2 of the training. As noted earlier, these topics correspond to
didactic recorded sessions in Part 1 of the training program.
In addition, Part 2 of the program includes a listening session with CMS.
Throughout the SNF Training Program, coding scenarios,
examples, video vignettes and a case study are used
to assist participants in applying the concepts related to the new and revised guidance.
For instructional purposes only, gender has been designated to represent
facility residents, family members, and staff in select training materials.
The SNF Training Program uses a variety of conventions and
and resources to enhance your training experience.
Next, let's consider how these can be helpful in guiding
your review of the material.
Acronyms are commonly used throughout the training,
and are identified when used the first time.
A list of acronyms is available as a companion PDF
that can be downloaded from the SNF QRP Training web page
and used as a reference throughout the program.
Another program convention is the use of orange text to
identify revisions to guidance and call out important changes.
This slide provides an example of how orange text can help you
more easily identify the revisions to coding instructions.
Reference icons are another convention, and are strategically
placed throughout the presentations to assist you in applying the content.
A star-shaped icon with the word New in the center,
is used to indicate that the guidance on the slide is new.
A rectangular yellow and blue icon is used to help identify
when the guidance has been revised.
Icons may also refer to specific assessment types, such
as the blue and white icons for
an admission or discharge assessment, or an OBRA/interim assessment.
We have provided a variety of additional resources to
supplement your understanding of the content
provided in the SNF Virtual Training Program.
These materials can be downloaded from the
SNF QRP training web page and include presentation slides for
each session,
an acronym list, the Action Plan Template, which will be described shortly,
Documents necessary to complete the SNF Case Study,
a list of SNF training resources and links, Item sets for the MDS 3.0 RAI, and
descriptions of the coding scenarios with corresponding data element screenshots.
Now let's review how you can make this training as
meaningful as possible as you implement the guidance at your facility.
Action Planning is one way to help translate the training materials into action steps for staff.
We've provided an Action Plan Template that contains a
separate page for each training topic in
the program and blank columns for your notes.
You can use it to record your thoughts and ideas, and
identify processes that may need to change in your organization
in response to the new or revised SNF guidance.
This may include things like authoring or revising policies and procedures,
training and education for your staff, and possible enhancements to
information technology at your facility.
On this slide, we've provided an example to help you get started using the tool
Let's walk through the action plan, moving from left to right on the template.
The first column on the far left, identifies the training topic or session.
In the second column, you can list any policies,
organizational processes or documentation systems that may
be potentially impacted at your facility.
In the third column, you can record any action steps
that may be needed to implement the new SNF guidance.
The fourth column identifies any education that might be needed,
both the topics and the target audience.
And the last column on the far right outlines the target dates
and timeline for completion
to help you stay on track.
This tool can be personalized in whatever way is most
meaningful for your facility, and we hope that you find it helpful.
Another way to look at your implementation strategy
is to see it on a linear timeline as a sequence of actions steps.
This model may be more helpful for those of you that are visual learners.
Moving from left to right on the timeline, and following the steps in the direction of the arrow,
you would review the finalized SNF guidance, then identify the new and revised data elements
and consider what the implications are for your facility.
Next, identify any impact related to information technology at your organization,
Then develop an implementation plan to introduce those changes to your staff,
And, lastly, revise any necessary policies and provide any education and training
to ensure that your facility is ready for implementation on October 1st, 2023.
In summary, new and revised data elements are being
implemented in the SNF setting
with the goal of ongoing post-acute care cross-setting alignment.
These changes will be effective October 1, 2023.
We encourage you to utilize the training materials provided
in the SNF Virtual Training Program - Part 1 and 2 to assist your staff
in preparing for the new guidance implementation.
And again, as a reminder. Part 1 of the program contains the
didactic sessions focused on the new and revised guidance
and Part 2 consists of coding workshops designed for knowledge application.
This presentation was designed to provide an overview
of the SNF Virtual Training Program
and help you understand the training and implementation objectives
for your facility related to the new and revised guidance.
We've covered a lot of information in this session,
and if you find that you have questions about this presentation,
please submit them to PACTraining@EconometricaInc.com
by June 2nd, 2023.
As a reminder, a practice coding workshop will be held in June and we encourage you to attend.
Select questions will be answered in Q&A sessions offered during the June 2023 virtual live event.
Thank you for reviewing this presentation, and we look forward to your attendance
at the coding workshop.