Kansas Health Care Association and the Kansas Center for Assisted Living
In this Issue

December 6, 2010

KHCA/kcal News

 
  KHCA/kcal Winter Conference Update

Save the Date!!!

KHCA/kcal’s Winter Conference is January 25 & 26, 2011 in Topeka at the Ramada Inn Downtown.

Room reservations can be made by calling 1-800-432-2424.

This year’s conference features special classes on:
PPACA
Elder Justice
Medicare Reimbursement and Recoupment
Provider Assessment update
Special Assisted Living Track
Balance, Fall Prevention and Tai Chi
And so much more...

Back by popular demand:
Legislative Reception and Facility Showcase
Statehouse visits
Vendor Showcase

Registration packets will be available soon 

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AHCA/NCAL News

 
  Educational Webinars on the AHCA/NCAL National Quality Awards

The AHCA/NCAL National Quality Award program provides free webinars to educate potential applicants about the program.  There are two webinars for each award level, one in December and one in January, each covering unique information. Applicants can choose to participate in the live recording, or can access the recorded webinar at a later date. The webinar schedule and registration links are available on the Quality Award Applicant Resources website and on the AHCA/NCAL webinar website.

Important note: Applicants for the 2011 National Quality Award Program are required to participate in a Quality Award educational program. We encourage applicants to participate in our webinars, however, any educational program that focuses on the Quality Award process will satisfy this requirement. The Florida Health Care Association recently held a webinar on the Silver award, and all facilities that participated in that webinar have now met the requirement.  Planning Quality Award webinars for your members is a great way to encourage facilities in your state to apply, and support their success.

Intent to Apply – Reminder

As a reminder, applicants for the 2011 AHCA/NCAL National Quality Award program are required to submit a non-refundable $75 Intent to Apply fee in order to be eligible to submit an application. The Intent to Apply fee process is now available on the Quality Award Applicant Resources website.

Examiner Recruitment

The AHCA/NCAL National Quality Award program is actively recruiting for individuals with experience in the application of systematic quality improvement to become Senior Examiners. Senior Examiners work on 3-person teams reviewing approximately 6-7 Silver applications. Examiners meet in the spring of each year to review the applications. AHCA covers the travel costs for the meeting, and it is a great professional networking experience. To learn more about becoming a Senior Examiner, or submit an application, please visit the Becoming a Senior Examiner website.

 

 

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  Satisfaction Survey Webinar

Satisfaction assessment results at nursing facilities, post-acute care centers and assisted living residences should be shared is the message of the upcoming joint My InnerView, AHCA and NCAL webinar. The webinar will focus on the “how to’s” of communicating your satisfaction survey results and plans of action with residents, families, employees, and your community. Sharing this information can bring greater customer satisfaction as the list of “What Matters Most to Customers” shows. To participate in the webinar on Thursday, Dec 9, 2010 at 1:30 p.m. (CT), pre-register at WEBINAR REGISTRATION.

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CMS News

 
  Red Flag Rule set for December 31, 2010

After multiple delays, the Red flag rule protecting identity theft is set to go into affect December 31, 2010. We hope that the  Policy and Procedure Templates produced by AHCA and the LTC Consortium that have been on the AHCA Website have been helpful to you.  Note that they are intended to be templates which should be customized to fit the unique needs of the provider's operations.  We have attached them for your convenience.

ID Theft Prevention Program Policy

Sample Policy (click below for the full version):
Policy on Administration and Oversight of Red Flag Identity Theft Prevention Program … may constitute a Red Flag. … as result of Red Flag investigation findings will be escalated to the appropriate level and authority …

http://news.khca.org/khca/downloads/Red%20Flag%20Policy.pdf Theft Prevention Program Policy 2009.pdf - 27KB - Tanika Williams - 1/13/2010

Red Flag Procedures

Sample Policy (click below for the full version):
Red Flag Identity Theft Prevention and Detection Procedures Policy Admission and … error, the Red Flag must be reported immediately to [Insert proper individual/department] for investigation … error, the Red Flag must be reported immediately to [Insert proper individual/department] for investigation …

http://news.khca.org/khca/downloads/Red%20Flag%20Procedures.pdf Flag Procedures 2009.pdf - 27KB - Tanika Williams - 1/13/2010

On May 28, 2010, just shy of the June 1st compliance deadline, the Federal Trade Commission announced that it would again be postponing enforcement of the Red Flags Identity Theft Prevention Rule through December 31, 2010.

May Announcement --  FTC Extends Enforcement Deadline for Identity Theft Red Flags Rule

At the request of several Members of Congress, the Federal Trade Commission is further delaying enforcement of the “Red Flags” Rule through December 31, 2010, while Congress considers legislation that would affect the scope of entities covered by the Rule. Today’s announcement and the release of an Enforcement Policy Statement do not affect other federal agencies’ enforcement of the original November 1, 2008 deadline for institutions subject to their oversight to be in compliance.

“Congress needs to fix the unintended consequences of the legislation establishing the Red Flags Rule – and to fix this problem quickly. We appreciate the efforts of Congressmen Barney Frank and John Adler for getting a clarifying measure passed in the House, and hope action in the Senate will be swift,” FTC Chairman Jon Leibowitz said. “As an agency we’re charged with enforcing the law, and endless extensions delay enforcement.”

The Rule was developed under the Fair and Accurate Credit Transactions Act, in which Congress directed the FTC and other agencies to develop regulations requiring “creditors” and “financial institutions” to address the risk of identity theft. The resulting Red Flags Rule requires all such entities that have “covered accounts” to develop and implement written identity theft prevention programs to help identify, detect, and respond to patterns, practices, or specific activities – known as “red flags” – that could indicate identity theft.

The Rule became effective on January 1, 2008, with full compliance for all covered entities originally required by November 1, 2008. The Commission has issued several Enforcement Policies delaying enforcement of the Rule. Most recently, the Commission announced in October 2009 that at the request of certain Members of Congress, it was delaying enforcement of the Rule until June 1, 2010, to allow Congress time to finalize legislation that would limit the scope of business covered by the Rule. Since then, the Commission has received another request from Members of Congress for another delay in enforcement of the Rule beyond June 1, 2010.

The Commission urges Congress to act quickly to pass legislation that will resolve any questions as to which entities are covered by the Rule and obviate the need for further enforcement delays. If Congress passes legislation limiting the scope of the Red Flags Rule with an effective date earlier than December 31, 2010, the Commission will begin enforcement as of that effective date.

In the interim, FTC staff has continued to provide guidance, both through materials posted on http://www.ftc.gov/redflagsrule, and in speeches and participation in seminars, conferences and other training events to numerous groups. The FTC also published a compliance guide for business, and created a template that enables low risk entities to create an identity theft program with an easy-to-use online form (www.ftc.gov/bcp/edu/microsites/redflagsrule/get-started.shtm). The FTC staff also has published numerous general and industry-specific articles, released a video explaining the Rule, and continues to respond to inquiries from the public. To assist further with compliance, FTC staff has worked with a number of trade associations that have chosen to develop model policies or specialized guidance for their members.

As was the case previously, this enforcement delay is limited to the Red Flags Rule and does not extend to the rule regarding address discrepancies applicable to users of consumer reports (16 C.F.R.§641), or to the rule regarding changes of address applicable to card issuers (16 C.F.R.§681.2).

For questions regarding this Enforcement Policy, please contact Naomi Lefkovitz or Pavneet Singh, Bureau of Consumer Protection, 202-326-2252.

The Federal Trade Commission works for consumers to prevent fraudulent, deceptive, and unfair business practices and to provide information to help spot, stop, and avoid them.  To file a complaint in English or Spanish, visit the FTC’s online Complaint Assistant or call 1-877-FTC-HELP (1-877-382-4357).  The FTC enters complaints into Consumer Sentinel, a secure, online database available to more than 1,800 civil and criminal law enforcement agencies in the U.S. and abroad.  The FTC’s Web site provides free information on a variety of consumer topics.

 

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  Hepatitis B Outbreaks Linked To Unsafe Practices: CDC Issues Alert On Infection Control

The Centers for Disease Control and Prevention’s (CDC) concern about outbreaks of hepatitis B virus (HBV) associated with diabetes care management caused the agency to issue an alert recently, recommending that all individuals who assist others with blood glucose monitoring and/or insulin administration follow infection control requirements.

“Outbreaks of hepatitis B virus (HBV) infection associated with blood glucose monitoring have been identified with increasing regularity, particularly in long-term care settings, such as nursing homes and assisted living facilities, where residents often require assistance with monitoring of blood glucose levels and/or insulin administration,” the CDC states.

Related to CDC’s concern, the Food and Drug Administration (FDA) also issued a warning about using fingerstick devices and blood glucose monitoring devices on more than one person. "The Agencies note a significant increase in hepatitis B virus infection outbreaks related to the shared use of multiuse fingerstick devices and POC blood testing devices in long term care/assisted living settings," the FDA notice states. "Unclear labeling and ineffective cleaning/disinfection instructions for fingerstick and [point-of-care] blood testing devices may have contributed to these outbreaks.”

LINKS:

CDC Blood Glucose Safety page:

http://www.cdc.gov/injectionsafety/blood-glucose-monitoring.html

 

FDA ALERT UPDATED 11/29/10

http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.htm  

 

 

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  Reminder: Required Sprinkler Status by August 13, 2013

On August 13, 2008, CMS published a final rule that requires all long-term care facilities to be equipped with a complete supervised automatic sprinkler system by no later than August 13, 2013.  Facilities with no or partial sprinkler systems installed and/or that use waivers or the Fire Safety Evaluation System (FSES) to comply with the current sprinkler requirements have until August 13, 2013 to install or upgrade the sprinkler system. 

Please take this opportunity to review your sprinkler systems to ensure they fully comply with the National Fire Protection Association’s (NFPA) “Standard for the Installation of Sprinkler Systems” (1999 Edition, NFPA 13).  The Federal survey process requires review of the sprinkler system to determine if the system is providing complete coverage or only partial coverage.  Complete coverage means that the entire facility, including all closets, storage areas and walk-in coolers and freezers, are sprinkler protected.  There are specific requirements for overhangs attached to the outside of the building (1999 Edition, NFPA 13, Section 5-13.8), electrical equipment rooms (1999 Edition, NFPA 13, Section 5-13.11) and Elevator Hoistways and Machine Rooms (1999 Edition, NFPA 13, Section 5-13.6) that are the responsibility of the facility to understand and comply with, that may result in costly upgrades that will require time to complete.  Since there is no waiver and/or FSES provision after August 13, 2013, it is imperative that your members ensure that their facilities are fully sprinklered in accordance with the regulation on August 13, 2013.  Failure to do so is likely to result in enforcement remedies, including, but not limited to, termination.

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Kansas Health Care Association - 117 SW 6th, Suite 200, Topeka, Kansas 66603, Phone 785-267-6003, Fax 785-267-0833, email: khca@khca.org