FOCUS Breakout Sessions 

Online registration is open.  Register online HERE.

 Keynote: Wednesday, November 16, 2016  8:30-9:45 a.m.

 
Letting Go of Happiness, Holding on to Mental Health

Dr. David Mays

The idea of mental health gets very little attention in the media. Instead we are focused on happiness. The problem is that searching for happiness seldom gets us what we want. The answer is to focus on building a life that is mentally healthy instead.

During this presentation you will learn:

 
1. The various approaches to understanding what mental health is
2. The various traps that keep us from being happy
3. Habits of mental health that may lead to happiness 
 

  

Wednesday, November 16
Breakout Sessions: "A" Series 10:15-11:45 a.m.  

Choose one from this series:

A1​
The New Dining Practice Standards: Guidance for Management of Chronic Diseases
Linda Bump

This session is for all providers.

New Dining Practice Standards guidelines offer clinical best practice recommendations for individualization of nutritional care in long term care residents living with chronic disease including diabetes and cardiac disease.  In addition, The New Dining Practice Standards clarify the role of each health professional as an active advocate for resident rights and resident quality of life from a wellness perspective in addition to quality of care from a medical perspective.  Both emphases will be addressed in this presentation.

During this presentation you will learn:

1. Nutritional management of diabetes
2. Nutritional management of cardiac disease
3. About liberalized diets honoring choice
 
A2
Brain Attacks:  Etiology, Risk Factors and Management
 
Dr. Deborah Schultz
Dr. Monica Stout

This session is for all providers.

Stroke is a leading cause of death and disability in the United States and may result in long term physical and cognitive difficulties.  Strokes occur as a result of occlusion or hemorrhage of blood vessels in the brain and are often called 'Brain Attacks' to underscore that like heart attacks, strokes are medical emergencies. This presentation will discuss the etiology and risk factors for strokes including the early warning signs.  We will explore possible post stroke impairments and how to address these in both skilled nursing and assisted living facilities.

During this presentation you will learn: 

 
1.  To become familiar with the etiology (causes) of strokes and patient risk factors
2.  The early warning signs of stroke
3.  Possible long term impairments caused by strokes and how to address these deficits in both the nursing home and assisted living facility
 
A3 Anxiety, Depression, and Suicide in Later Life
SESSION IS FULL AND CLOSED

Dr. David Mays

This session is for all providers.

For many people, later life is an opportunity for emotional equilibrium and leisure.  But for others, these years can be a struggle with depression and anxiety. This session will examine the demographics and diagnostic challenges of these conditions in older adults and discuss suicide including interventions for this age group.

During this presentation you will learn:

1. To identify ways in which depression and anxiety may present differently in older adults
2. The challenges of treating anxiety and depression in older adults
3. A technique for performing suicide risk assessments and how to document the results

A4​ The M.A.P. Framework (Measure Accurately, Act rapidly and Partner with Patient, families and communities) and Hypertension Control

Linda Murakami 

 

This session is for all providers.

This session will address hypertension which is the leading cause of premature death in the world. While most people with hypertension are aware of their condition, only half have their  blood pressure under control. The presenter will identify best practices for controlling hypertension to include measuring blood pressure accurately, acting rapidly to treat uncontrolled blood pressure to prevent clinical inertia and engaging residents and healthcare workers in their care to encourage medication adherence and lifestyle changes. 

During this presentation you will learn:

1. The need to improve blood pressure control 
2. Best practices to measure blood pressure accurately and reduce clinical inertia
3. How to engage residents and/or healthcare workers in care of their hypertension

A5​
The American Geriatrics Society 2015 Updated Beers Criteria:
Implications for Appropriate Medication Use in the Elderly
SESSION IS FULL AND CLOSED
William Simonson 

This session is for all providers.

The American Geriatrics Society Beers Criteria identify medications that are potentially inappropriate for use in the elderly. First published in 1991 and periodically updated, they now represent comprehensive evidence-based criteria that identify potentially inappropriate medications as well as drug-interactions and drug-disease/syndrome interactions. This presentation will review these criteria and, through a series of case presentations, demonstrate how they can be used to optimize medication use in the elderly.  

During this presentation you will learn:

1. Three potentially inappropriate medications for use in the elderly
2. How the Beers Criteria can help improve medication use
3. How the Beers Criteria can be used in clinical practice 

A6​
Heart Failure Throughout the Continuum of Care:
Where does Palliative Care fit in?
Dr. KellyAnn Light-McGroary 

This session is for all providers.

The impact of heart failure is substantial. Nearly 250,000 patients are considered at high risk for repeated hospitalizations.  More than 1 million patients are hospitalized annually for worsening heart failure at a cost of nearly $35 billion. 20% of hospitalizations are for persons over 65.  Over 100,000 patients have advanced end-stage heart failure characterized by:
- frequent hospitalizations
- reduced quality of life
- a complex therapeutic regimen, and a high mortality rate
This session will review assessment, treatment and management of this complex health condition in a long term care setting with a focus specifically on palliative care needs for this patient population.

During this presentation you will learn:

 
1. Various symptoms in advanced heart failure and possible interventions
2. The challenges of having conversations about goals of care in advanced heart failure and have approaches to discussions
3. The unique challenges faced by patients living with advanced heart failure and advanced cardiac therapies 

A7
Chronic Pain Assessment and Management for Individuals with a History of Addiction within the Long Term Care Setting
Dr. Barbara St. Marie 

This session is for all providers.

Coexisting chronic pain and substance use disorder create unique health care needs because they mutually activate and potentiate each other.  This session will explore the experiences of individuals when pain and substance use disorder coexist and healthcare encounters occur.  The healthcare team can better develop treatment plans and test interventions sensitive to their unique needs when they understand the experiences of this population. 

During this presentation you will learn:

 
1. The experiences of people when pain and substance use disorder coexist
2. The experiences when people with pain and substance use disorder need healthcare
3. To identify appropriate assessment tools and strategies to provide safe and effective pain management
 
A8 Making a Difference - Recognition and Management of the Acute Stroke Patient

David Fladten 

This session is for all providers.

This presentation will review the significance and impact of strokes, to include the epidemiology of and signs and symptoms of stroke. It will address the importance of timely care and calling 911, as well as EMS expectations of health care staff.  

During this presentation you will learn:

 
1. The significance and impact of stroke
2. The epidemiology of stroke and appropriate prehospital care
3. The concept of 'Time is Brain' and the role of EMS 
  
A9 Modalities of Oxygen Therapy
Donna Smith 
Laura Santarelli

This session is for all providers.

This session will leave you with the knowledge of the various oxygen systems, oxygen safety and the management of oxygen.  

During this presentation you will learn:

 
1. Two conditions that may require the use of oxygen
2. Risks of using oxygen and how to prevent these risks
3. To identify the difference between a self-filling oxygen system, concentrator and gaseous tanks 

A10
GERD: What’s All the Fuss About, It’s Just Heartburn
Dr. Arash Babaei 

This session is for all providers.

According to the Healthcare Cost and Utilization Project, 60% of the adult population will experience some form of GERD during the year. But what exactly is GERD, and why is it such a growing concern in the medical field today? This frequently misunderstood gastrointestinal illness isn’t always easy to diagnose based on the presenting signs and symptoms. In order to address GERD, it is important we understand the illness. This session will address how to recognize GERD, how to care for residents on a chronic basis, and how to manage complications that can arise.

During this presentation you will learn:

 
1. The typical symptoms of GERD and how it is diagnosed
2. Chronic medical care and how it can be managed with and without drugs
3. The significance of dysphagia in disease presentation and management, and resulting complications 

A11Engaging Residents in Self-Management of DiabetesMary Funseth

This session is for all providers.

This session will discuss both the importance of and the 'how to' of bringing together the resident's support system and the resident with diabetes in order to promote improved health, better care, and lower cost. Learn how Diabetes Self-Management Education (DMSE) can influence your quality measures, increase staff awareness of diabetes, and respect each resident's right to self-determination to manage their chronic illness.

During this presentation you will learn:

 
 
1. To describe a Diabetes Self-Management Education program
2. How a DSME program supports quality care in long term care
3. To identify next steps to integrate DSME into the organization

A12Assessment and Management of OsteoarthritisRobert Breslow 

This session is for all providers.

Osteoarthritis is a common chronic health problem that is associated with aging.  It can cause impaired physical function, including impaired mobility, that will adversely affect quality of life and could increase the risk for falls. The presentation will provide a general overview of the problem and its treatment, including benefits and risks, and will present the treatment guidelines that can help to guide care.

During this presentation you will learn:

 
 
1. The epidemiology and pathophysiology of osteoarthritis (OA)
2. The main drug and non-drug therapies for OA, including risks and benefits
3. The association between OA and falls and fall-related adverse events

A13Breathing with COPDNina Bracken
Vanessa Gonzalez
Valentin Prieto-Centurion

This session is for all providers.

Chronic Obstructive Pulmonary Disease (COPD) affects at least 15 million Americans and is the third leading cause of death in the U.S. COPD exacerbations lead to approximately 700,000 hospitalizations in the U.S. each year. About 20% of patients hospitalized with COPD exacerbations are rehospitalized within 30 days. This session will provide an overview of the disease process, including the evidence base of interventions to prevent rehospitalizations following COPD exacerbations. The use of oxygen will also be addressed.

During this presentation you will learn:

 
 
1. How to approach the care of a patient with COPD following hospital discharge
2. How to recognize the need for medical intervention
3. How oxygen can help the person with COPD

 

Wednesday, November 16
Breakout Sessions: "B" Series 12:45-2:15 p.m.  

Choose one from this series:

B1 Repeat - The New Dining Practice Standards: Guidance for Management of Chronic Diseases
 
Linda Bump 

This session is for all providers.

This session is a repeat, see A1 for the summary of the presentation. 

B2
Sleep and Chronic Disease in Older Adults:
The Cause and Effect Relationship and Opportunities to Intervene
Dr. Timothy Juergens
This session is for all providers.

In this session, the impacts of sleep on issues of common chronic conditions and chronic disease impacts on sleep are discussed. Rationale and data for these relationships will be addressed, as well as the rationale and mechanisms of treatment interventions.
 
During this presentation you will learn:

 
1. About changes in sleep with aging
2. About insomnia and chronic medical conditions (memory, heart disease, depression...) and  identify ways to address common sleep conditions that are adversely impacting disease
3. To appreciate the bi-directional relationship with sleep and chronic health conditions

B3
Management of Challenging Interpersonal Behaviors 
SESSION IS FULL AND CLOSED
Dr. Heather Smith

This session is for all providers.

This session will address challenging behaviors associated with personality and other mental health disorders.  A review of non-pharmacological approaches to prevent and de-escalate challenging behaviors will be provided.  The session will include a discussion of the importance of provider self-care.

During this presentation you will learn:

 
1. Challenging behaviors associated with personality and other mental health disorders
2. Non-pharmacological approaches to prevent and de-escalate challenging behaviors
 
B4 Repeat - The M.A.P. Framework (Measure Accurately, Act rapidly and Partner with Patient, families and communities) and Hypertension Control
Linda Murakami

This session is for all providers.

This session is a repeat, see A4 for the summary of the presentation.
 
B5
Repeat - The American Geriatrics Society 2015 Updated Beers Criteria: Implications for Appropriate Medication Use in the Elderly
William Simonson
This session is for all providers.

 
This session is a repeat, see A5 for the summary of the presentation.
 
B6
Repeat - Heart Failure Throughout the Continuum of Care:
Where does Palliative Care fit in?
Dr. KellyAnn Light-McCroary
This session is for all providers.
 
 
This session is a repeat, see A6 for the summary of the presentation.

B7
Prediabetes: What is it and what do we do about it and A Review of Diabetes in the Elderly
Dr. Steven Magill ​​​

This session is for all providers.

This session will provide a review of prediabetes to include a discussion on how to prevent progression of prediabetes to diabetes. The presenter will also review the current treatment of diabetes in the elderly and identify appropriate glucose goals. 

During this presentation you will learn:

 
1. About prediabetes and its appropriate treatment
2. Appropriate goals of treatment of diabetes in the elderly
3. Appropriate medications to treat hyperglycemia in the elderly
 
B8
Atrial Fibrillation and Anticoagulation
Dr. Irene Hamrick

This session is for all providers.

Dr. Hamrick will discuss aging changes and risk factors that contribute to the pathophysiology of atrial fibrillation as basis for the need for anticoagulation.  The session will go through the management of difficult to control INR, options for warfarin and harms and benefits.

During this presentation you will learn:

1. That older adults suffer more adverse events from atrial fibrillation but also gain more benefit from anticoagulation
2. The risks and benefits of various anticoagulation options
3. To manage anticoagulation challenges

B9
Chronic Disease and Mental Health
Dr. Kenneth Robbins

This session is for all providers.

There is a complex relationship between chronic medical illnesses and psychiatric illnesses that is bidirectional.  This talk will look at some of the factors that play a role in this relationship and the treatment implications.  It will use pain, delirium, and cardiovascular disease, in particular, as important examples of the interaction between medical and psychiatric illnesses.

During this presentation you will learn:

 

1. The percentage of people with chronic pain who also meet criteria for a major depressive episode
2. The factor by which a comorbid depression increases the risk of death following a heart attack
3. The average in years by which people with chronic psychiatric illness die earlier than other Americans 


B10

Implementation of a Heart Failure Pathway in Long Term Care (LTC)​​

Karen Sautbine
This session is for Nursing Home providers.

This session will provide a brief introduction as to why heart failure is a concern for the LTC facility, including a brief overview of the disease process and how to identify and treat it. The presenter will introduce a heart failure pathway to assist providers in implementing interventions to prevent exacerbation of this disease and reduce the need for transfer.  The presenter will identify tools to track hospital readmission rates and determine the root cause that led to the heart failure hospitalization.

During this presentation you will learn:

1. To identify challenges regarding operational interventions to manage heart failure
2. How to utilize tools to track and trend heart failure exacerbations requiring hospitalization
3. How to utilize tools to complete a root cause analysis regarding the heart failure hospitalization
 
B11

Repeat - Engaging Residents in Self-Management of Diabetes​​


Mary Funseth


This session is for all providers.

This session is a repeat, see A11 for the summary of the presentation.

B12 Repeat - Assessment and Management of OsteoarthritisRobert Breslow
This session is for all providers.

This session is a repeat, see A12 for the summary of the presentation.

B13The Basics of Chronic Kidney Disease
Dr. Lindsey Miller
Beth Belmore

This session is for all providers.

This session will explore the biological basics that occur during chronic kidney disease and how this presents as symptoms. We will also discuss the different stages of chronic kidney disease and what caregivers can expect at each stage. The decision of when to start dialysis versus refusing dialysis will be investigated and we will discuss what to expect when patients refuse dialysis.​

During this presentation you will learn:

 
1. The biological basics and symptoms of chronic kidney disease
2. The stages of chronic kidney disease and what caregivers can expect with each stage
3. To investigate the decision of when to start dialysis versus the decision to refuse dialysis, and what to expect when patients refuse dialysis

Wednesday, November 16
Breakout Sessions: "C" Series 2:30-4:00 p.m.  

Choose one from this series:

C1

Repeat - Sleep and Chronic Disease in Older Adults:
The Cause and Effect Relationship and Opportunities to Intervene
Dr. Tim Juergens
This session is for all providers.
 
This session is a repeat, see B2 for the summary of the presentation. 

C2
Repeat - Brain Attacks:  Etiology, Risk Factors and Management
Dr. Deborah Schultz
Dr. Monica Stout ​​​
This session is for all providers.
 
This session is a repeat, see A2 for the summary of the presentation.

C3 Repeat - Management of Challenging Interpersonal Behaviors
SESSION IS FULL AND CLOSED
Dr. Heather Smith
 
This session is for all providers.

This session is a repeat, see B3 for the summary of the presentation.

C4
Repeat - Chronic Pain Assessment and Management for Individuals with a History of Addiction within the Long Term Care Setting
Dr. Barbara St. Marie
This session is for all providers.
 
This session is a repeat, see A7 for the summary of the presentation.
 
C5

Repeat - Making a Difference - Recognition and Management of the Acute Stroke Patient

David Fladten​​​

This session is for all providers.
 
This session is a repeat, see A8 for the summary of the presentation.

C6
Repeat - Modalities of Oxygen Therapy
Donna Smith
Laura Santarelli
This session is for all providers.
 
This session is a repeat, see A9 for the summary of the presentation.

C7
Repeat - Prediabetes: What is it and what do we do about it and A Review of Diabetes in the Elderly
Dr. Steven Magill ​​​
This session is for all providers.
 
This session is a repeat, see B7 for the summary of the presentation.

C8
Repeat - Atrial Fibrillation & Anticoagulation
 
Dr. Irene Hamrick
This session is for all providers.
 
This session is a repeat, see B8 for the summary of the presentation. 
 
C9
Repeat - Chronic Disease and Mental Health
Dr. Kenneth Robbins
This session is for all providers.
 
This session is a repeat, see B9 for the summary of the presentation.
 
C10
Repeat - GERD: What’s All the Fuss About, It’s Just Heartburn​
Dr. Arash Babaei
This session is for all providers.
 
This session is a repeat, see A10 for the summary of the presentation.
 
C11Repeat - Implementation of a Heart Failure Pathway in Long Term Care (LTC)Karen Sautbine
This session is for Nursing Home providers.
 
This session is a repeat, see B10 for the summary of the presentation.

C12Repeat - Breathing with COPDNina Bracken
Vanessa Gonzalez
Valentin Prieto-Centurion
This session is for all providers.
 
This session is a repeat, see A13 for the summary of the presentation.

C13A Day in the Life of a Patient on Dialysis​Dr. Lindsey Miller
Beth Belmore
This session is for all providers.
 

A Day in the Life of a Patient on Dialysis will explore the differences between the types of dialysis and the types of fistulas used for hemodialysis. We will also discuss the day-to-day life & management of a patient on dialysis.

During this presentation you will learn:

1. The differences between hemodialysis versus peritoneal dialysis
2. Fistulas: what are they, types of fistulas, how are they made, and complications
3. The day-to-day management of dialysis patients including diet, weight checks, activities of daily living (bathing, dressing, toileting, etc.), skin care, and medication management 


 

 Keynote: Thursday, November 17, 2016  8:30-9:45 a.m.

Light'em Up and  Watch'em Go! 
Christopher Ridenhour

Our websites paint the perfect pictures of Teamwork, World Class Communication and Exceptional Customer Care.  With the speed of workplace change, fewer resources,  and greater expectations, the challenge to model our organizations'  missions, visions, and values grows. Imagine the success we could experience if each of us readily 'embraced change', 'owned problems', and took 'personal accountability' for creating meaningful, and mutually enriching relationships within all of our professional associations. Workplace relationships defined by honesty, openness, and compassion will be our goal for this session.  Expect to walk away with strategies for increasing cooperation, communication, and maintaining your poise with challenging people and stressful situations. This training will hit home with interactivity, tools for success, celebration, and lots of belly laughs! 

During this presentation you will learn:
 
 
1. How to adapt our communication style to inspire others in the effort toward creating cooperative and fulfilling professional relationships
2. How to become skilled at successfully managing relationships with colleagues whose motivations, stressors, and perspectives differ from our own
3. To practice and model behaviors and attitudes proven to increase workplace satisfaction, customer care, acceptance of change, and consistent progress toward World Class Outcomes

 
 
 

 


Thursday, November 17
Breakout Sessions: "D" Series 10:15-11:45 a.m.  

Choose one from this series:

 D1

Improving Antibiotic Use in Skilled Nursing Facilities: What are the Low-Hanging Fruit?
Dr. Chris Crnich

This session is for Nursing Home providers.

During this presentation you will learn:

1. Adverse effects of antibiotics at the individual, facility and community level
2. Understanding the various decisions in the antibiotic prescribing process
3. Identifying barriers and opportunities to improve antibiotic prescribing in skilled nursing facilities
4. Initial steps for building a SNF antibiotic stewardship program 

 
D2
Surviving Sepsis
Annette Garcia

This session is for all providers.

This presentation will provide a review of the updated Surviving Sepsis guidelines, and how these guidelines can be used for identifying and treating patients. It will identify the patient populations that are at highest risk for sepsis, and ideas for developing screening tools for early identification of sepsis. Research about the long term effect of sepsis will be presented, including the potential impact on future care needs for sepsis survivors. 

During this presentation you will learn:
 
 
1. The updated Surviving Sepsis guidelines 
2. How to identify residents at highest risk for developing sepsis
3. The long term effects sepsis survivors may experience, and how this might impact their future care needs
 
D3
The Do’s and Don’ts of  CPR in the Healthcare Setting
David Fladten

This session is for all providers.

This presentation will focus on indications for initiating CPR in the healthcare setting. Concepts surrounding that need will also be discussed which will include rapid recognition and assessment of the clinically deteriorating patient, legal obligations and the “duty to act” by health care staff and  obvious signs of death. 

During this presentation you will learn:

 
1. The need to  know residents’ wishes as to resuscitation, and awareness of DNR orders/Advanced Directives
2. Signs of clinical deterioration and appropriate interventions
3. When to begin CPR and legal obligations of health care staff
 
D4
Built Environment for Assisted Living Facilities:
When Shelter is Compromised or Lost
Henry Kosarzycki

This session is for Assisted Living providers.

Following any natural or manmade disaster or event, the assisted living community almost immediately focuses on rescue and recovery which includes; individual needs, medicine, food, water and care.  The one component that may be considered the largest piece of durable medical equipment is the building or structure relied upon to provide shelter and security.  This session will focus beyond health, safety and welfare with an emphasis on performance and responsibility.  Initial design, maintenance and resilience are key components to that formula. That, coupled with a greater understanding of roles, responsibilities and communication results in an effective plan and response when shelter is compromised or lost.

During this presentation you will learn:
 
 
1. Expectations of shelter performance
2. The value of an effective emergency plan beyond the binder, including drills and shared responsibilities
3. How to develop an effective shelter-in-place plan which includes: stability of structure, security, collaboration with municipal authorities and maintaining adequate power, water, food and  medication
  
D5
Healing Peer to Peer Hostility
Kathleen Bartholomew

This session is for all providers. 

Sometimes, the things that affect us the most are the things we talk about the least.  In this presentation the presenter describes how walking into the healthcare culture at the age of 39 allowed her to see how critical our personal working relationships are to our teams and our residents - not "soft stuff" at all.  Non-verbal and verbal gestures that are negative severely impact our health,  critical thinking skills, retention and recruitment and patient safety. 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 even begin to create the healing environment that is so desperately needed for ourselves, as well as our residents. 

During this presentation you will learn: 

 
1.  Why peer to peer hostility is a serious problem
2.  To explain why people experience un-caring behaviors from their peers
3.  Actions that you can take to build a culture of healthy relationships and/or decrease peer hostility in the workplace 
 
D6
Safety in the Workplace: Active Shooter Training
Chief David Erwin

This session is for all providers. 

This session teaches participants how to individually respond to an incident and plan for their personal safety until law enforcement arrives.
 
During this presentation you will learn:

1. About safety measures (personal safety).
2. About situational awareness.
3. About survival mindset.
  
D7
Ask a Surveyor: Division of Quality Assurance (DQA) Assisted Living Panel
Panel Members

This session is for Assisted Living providers.

This is a panel Q and A session for assisted living providers. Panelists consist of one surveyor from each region and a regional director. ‘Is there something strange, in your neighborhood – something weird, and it don’t look good? Who you gonna call?’ There’s a real-life, team of BAL staff, waiting to help answer those regulatory questions haunting you! The registration process will allow attendees to submit questions on any regulatory topic prior to the presentation. Panelists will also provide an introduction and overview to a new online FAQ process being developed to link assisted living providers with the information they need.  
Panel members are: 
Alfred Johnson (Facilitator), Director  
Phyllis Witter, Surveyor (NERO)
Sandy Finseth, Surveyor (WRO)
Cindie Wilber, Surveyor (SERO)
Bill Gardner, Regional Director (WRO)
 
During this presentation you will learn:

 
1. Answers to their questions on regulatory topics
2. How to submit future questions
 
D8
Regulation and Person-centered Care: Honoring and Protecting Individuals Vs. Systems
Raymond Rusin

This session is for Nursing Home providers.

This session will review the history and importance of regulatory development in governing work processes for health and safety and the impact of those processes in the organization and implementation of health care systems to provide care and personal services to  others' in congregate and institutional residential environments. 

During this presentation you will learn: 

 
1. Systems and system failures resulting from accommodations individuals need regarding person-centered care services - specifically in regards to federal certification tags
2. To develop individualized care plans that include easy-to-understand guidance for providing person- centered care
3. Alternative strategies for ensuring person-centered care in spite of staff shortages and/or the use of temporary, “pool” staff
 
D9
Pressure Ulcers are now Pressure Injuries 
Dr. Joyce Black

This session is for all providers.

This session will update you on the changes in terminology of pressure ulcers as pressure injury. NPUAP made the change in order to bring all six stages into one grouping. The definitions of the stages of pressure injury have also been updated. NPUAP is also examining pressure injury at end of life and this information will be presented. 

During this presentation you will learn: 

 
1. The rationale for changing the term pressure ulcer to pressure injury
2. The major changes in the six stages of pressure injuries
3. The attributes of pressure injury at end of life
 
D10
UTI Toolkit: Module 3 - When to Test
Dr. Joe Boero

This session is for all providers. 

This session is geared towards nusing homes, but the information could be valuable to Assisted Living. Dr. Boero will be presenting portions of the  UTI Toolkit  on behalf of the Wisconsin Healthcare-Associated Infections in Long-Term Care Coalition. 
 
During this presentation you will learn:
 
 
1.The concept of asymptomatic bacteriuria and its relationship to high rates of inappropriate antibiotic use in the nursing home
2. How to use the 'When to Test-Nursing Tool' as a critical thinking aid in your facility to decrease inappropriate urine testing
3. How to develop a QAPI project in your facility to lower inappropriate urine testing
 
D11
Trauma Informed Behavioral Interventions for Individuals with Intellectual and Developmental Disabilities (IDD) 
Karyn Harvey

This session is for all providers. 

This session will explore the causes of trauma in the lives of individuals with IDD. We will then review the biological, emotional and psychiatric effects. Finally we will discuss the key to healing from post-traumatic stress disorder (PTSD) programmatically and psychologically for individuals with IDD.
 
During this presentation you will learn: 

 
1. The sources of trauma for individuals with IDD
2. Symptoms of post traumatic stress disorder (PTSD) as they often manifest in individuals with IDD
3. To identify the three main elements of healing needed programmatically for individuals with IDD and PTSD 
  
D12
Geezer. Punk. Whatever.
Alex Draginis

This session is for all providers.​ 

Almost half of America's full-time workforce are 34 years or younger. This session will explore how our generational differences affect communication preferences and work styles and how we can use our differences to connect with customers of all ages. It will also help us relate to other generations in our offices, uniting us as a more effective work team. This is a fun, eye-opening session that you will think about for months to come.
 
During this presentation you will learn:

 
1. Four of the working generations as well as the next generation coming up
2. How each generation communicates and how they react to change
3. How to bridge the gap between the generations in the work place
 

D13

Privileged, Confidential, Accessible? Nursing Home QAPI/QAA Activity

Brian Purtell

This session is for Nursing Home providers.​ 

Nursing home providers engage in ongoing quality improvement activity, with heightened expectations and obligations with the recent issuance of the QAPI rule. State and federal laws recognize that in order to foster an environment to allow for providers to identify problems that certain activity and documentation is supposed to be inaccessible by regulators and others outside of the facility. The question of whether and what can or must be provided upon request creates a tension, particularly during the survey process. This session will discuss the recognized “privilege” associated with quality improvement activity, particularly in light of the QAPI rule expectation. We will further discuss the state’s confidentiality law regarding health care services review, and the differences between “privilege” and “confidentiality”.  
 
During this presentation you will learn:
 
 
 
1. The difference between privilege and confidentiality, and the impact of these with regards to obligations or ability to share certain quality improvement efforts
2. The history of QAA privilege in the context of  the recently released QAPI regulations
3. To develop a clearer appreciation for the necessity of structure and processes that impact the status of certain quality/performance review activity

 

Thursday, November 17
Breakout Sessions: "E" Series 12:45-2:15 p.m.  

Choose one from this series:

E1
Home and Community-based Settings: Rule Update on Implementation
Gail Propsom

This session is for Assisted Living providers.

The Division of Long Term Care will provide an overview of the Home and Community-based Settings (HCBS) rule and requirements for residential settings and provide an update on implementation activities. The Division will provide information on the site visits, compliance issues that have been identified and remediation activities that have occurred.

During this presentation you will learn:

1. The federal HCBS settings rule requirements and timeline
2. The process being used in Wisconsin to transition the HCBS system to compliance with the rule
3. The status of implementation

 

E2
Repeat - Surviving Sepsis
Annette Garcia

This session is for all providers.

This session is a repeat, see D2 for the summary of the presentation. 

E3
Repeat - The Do’s and Don’ts of  CPR in the Healthcare Setting
David Fladten

This session is for all providers. 

This session is a repeat, see D3 for the summary of the presentation. 
 
E4
Repeat - Healing Peer to Peer Hostility
Kathleen Bartholomew

This session is for all providers. 

This session is a repeat, see D5 for the summary of the presentation. 

E5
Guardianship: The Basics and Beyond
Kate Schilling

This session is for all providers. 

This session will begin with the statutory requirements for a guardianship in Wisconsin, types of guardianship, an overview of the process of bringing a guardianship action, and also alternatives to guardianship.  We will also discuss issues that may arise after a guardianship is in place. Case examples will be discussed to best illustrate these real life situations.

During this presentation you will learn:

1. Statutory requirements and procedure for bringing a guardianship action
2. To understand the scope of a guardian's authority
3. Awareness of rights the ward (person under guardianship) maintains
 
E6
Sex Offender Registration and Electronic Monitoring
Luis Bixler
Erich Wuerslin

This session is for all providers. 

The presentation will provide information on what Sex Offender Registration is all about and how an offender would be managed using GPS technology.

During this presentation you will learn:

1. Information concerning sex offender registry
2. Registration requirements in Wisconsin
3. How to access general registry information
 
E7
Root Cause Analysis: Not Nearly as Painful as a Root Canal!
Dennis Yadon

This session is for Assisted Living providers.​ 

Let's face it. In any type of business there are bound to be 'issues' (negative events, errors, mistakes). In virtually every such case, these events are not likely to be one time occurrences, but may have happened before and without thorough Root Cause Analysis will VERY likely happen again. Root Cause Analysis is a very 'user-friendly' way to get to the heart of the matter. Root Cause Analysis is a methodology whereby assisted living providers can reduce the chance of future occurrences by identifying the UNDERLYING cause(s) of such negative issues, which are often NOT people-related causes, but rather flaws in systems or processes!
 
During this presentation you will learn:
 
 
1. To define Root Causes Analysis and its purpose and identify 'problem statement'
2. Root Cause Analysis methods and apply to 'real life' situations
3. The next steps for AFTER the Root Cause Analysis
 
E8
Repeat - Regulation and Person-centered Care: Honoring and Protecting Individuals Vs. Systems
Raymond Rusin

This session is for Nursing Home providers.

This session is a repeat, see D8 for the summary of the presentation. 

E9
Repeat - Pressure Ulcers are now Pressure Injuries 
Dr. Joyce Black

This session is for all providers. 

This session is a repeat, see D9 for the summary of the presentation.  

E10
Feeding Your Wound Fuel to Heal 
Mary Ellen Posthauer

This session is for all providers. 

The role of nutrition in the prevention and healing of pressure injuries will be examined along with practical strategies for applying the 2014 nutrition prevention and treatment guidelines.
 
During this presentation you will learn: 
 
 
1. The building block of nutrition (macronutrients and micronutrients) that dominate healing
2. To apply the 2014 NPUAP/EPUAP/Pan Pacific Pressure Injury Alliance nutrition guidelines into practice session 
3. To understand the consequences of under-nutrition for older adults in Health Care Communities; Advocate for menu options and dining programs that support resident's rights and freedom of choice and improve consumers' perception  of dining
 
 
E11
Vaccine Preventable Diseases Among Adults
Dr. Stephanie Borchardt​​

This session is for all providers. 

The need for vaccination continues well into adulthood. The Advisory Committee on Immunization Practices recommends several vaccines for adults based on age and/or risk. This presentation includes information on vaccines recommended for adults, statewide vaccination rates, information on the Wisconsin Immunization Registry, and how health care providers can help to increase adult immunization rates in Wisconsin by implementing the Adult Immunization Standards.
   
During this presentation you will learn: 

 
1. The burden of vaccine-preventable diseases among adults
2. Vaccine recommendations for adults
3. How to implement the Adult Immunization Standards 
 
E12
Repeat - Trauma Informed Behavioral Interventions for Individuals with Intellectual and Developmental Disabilities (IDD)
Karyn Harvey

This session is for all providers. 

 
This session is a repeat, see D11 for the summary of the presentation.  
 
E13 Hospitality is the New Black
Christopher Ridenhour

This session is for all providers.​ 

Flattening our organization charts and rearranging our hallways moves us closer toward our desired cultures, but does little to inspire the staff to serve as World Class Ambassadors of HOSPITALITY. And, yes, there are clear and critical differences between Customer Service and Hospitality. Do your education efforts effectively engage/transform the heads and hearts of staff and encourage them to adopt new attitudes and behaviors necessary to meet and exceed the highest expectations? Engaged leaders, consistent training, inspired role-models, and honest feedback remain critical ingredients to sustained success. Providing life-affirming experiences for our residents requires us to create a superior working environment for the care-givers. It makes sense, doesn't it? Tested and proven World Class HOSPITALITY strategies exist, from both inside and outside our industry. Come with an open mind prepared to examine and adapt successful and dynamic tools while examining your own for improvement.

 
During this presentation you will learn:
 
 
1. Trends and hallmarks of World Class Customer Service cultures which demonstrate superior client care practices including: The Ritz Carlton, Starbucks, Nordstrom, etc., and compare/contrast the opportunities specific to Long Term Care
2. The spirit and behaviors associated with 'Hospitality' and the difference between customer service
3. How to begin the process of creating staff education and strategies that supports consistent World Class Care performance for all levels of staff


Thursday, November 17
Breakout Sessions: "F" Series 2:30-4:00 p.m.  

Choose one from this series:

 
F1
Community-based Living and Community Corrections: 
Working Together for Positive Outcomes
Michael Meulemans
Kathy Lyons
Trish Piotraschke

This session is for Assisted Living providers.

This presentation will identify challenges for two state agencies with similar yet different approaches to treatment and housing.  It will address  licensing  and barriers to contracting for services.

During this presentation you will learn:

1. Basics of the Community Corrections Model
2. How assisted living regulations apply to correctional clients residing in assisted living facilities
3. How Community Corrections fits within the Assisted Living Model

F2
Repeat - Geezer. Punk. Whatever.
Alex Draginis

This session is for all providers. 

This session is a repeat, see D12 for the summary of the presentation.

F3
Strategies to Assess and Prevent Falls in Assisted Living Communities
Jay Ford

This session is for Assisted Living providers. 

The population of older adults in Wisconsin is projected to increase significantly over the next 20 years.  These individuals are more medically frail, have a higher level of personal care needs, and are prescribed medications to address their medical conditions. For these individuals, falls are one of the most significant health issues they face. This presentation will report on the findings from a research study conducted within the Wisconsin Coalition for Collaborative Excellence in Assisted Living (WCCEAL) exploring falls and falls prevention.

During this presentaion you will learn:

1. What is a typical falls assessment and prevention process in Assisted Living
2. Components that should be incorporated into a falls risk assessment and a falls prevention program
3. What process can be utilized to assess why a fall occurred in your community and how to implement an intervention to minimize future falls

F4
Built Environment for Nursing Home Facilities: When Shelter is Compromised or Lost
Henry Kosarzycki
David Fliess

This session is for Nursing Home providers. 

Following any natural or manmade disaster or event, the nursing home community almost immediately focuses on rescue and recovery which includes; individual needs, medicine, food, water and care.  The one component that may be considered the largest piece of durable medical equipment is the building or structure relied upon to provide shelter and security.  This session will focus beyond health, safety and welfare with an emphasis on performance and responsibility.  Initial design, maintenance and resilience are key components to that formula.  That, coupled with a greater understanding of roles, responsibilities and communication results in an effective plan and response when shelter is compromised or lost.

During this presentaion you will learn:

 
1. Expectations of shelter performance
2. The value of an effective emergency plan beyond the binder, including drills and shared responsibilities
3. How to develop an effective shelter-in-place plan which includes: stability of structure, security, collaboration with municipal authorities and maintaining adequate power, water, food and  medication 
 
F5
Powers of Attorney from A to Z
Grace Knutson

This session is for all providers. 

Powers of Attorney are an important tool for anyone over 18 in Wisconsin. Beginning with a discussion about why POAs are important, how to validly create a POA, and the possible authority of a POA agent, this presentation will address the POA stages beyond executing the document, common problems that arise and ideas for how to respond to those problems.

During this presentation you will learn:

1. The elements required to create a valid power of attorney
2. Common problem scenarios to look out for
3. Options for addressing an individual's needs for decision-making assistance
 
F6
Repeat - Sex Offender Registration and Electronic Monitoring
Luis Bixler
Erich Wuerslin

This session is for all providers. 

This session is a repeat, see E6 for the summary of the presentation.

F7
Repeat - Root Cause Analysis: Not Nearly as Painful as a Root Canal!
Dennis Yadon

This session is for all providers. 

This session is a repeat, see E7 for the summary of the presentation.
 
F8
Making a House a Home: Addressing the Challenges of Providing Meaningful Engagement in your Assisted Living Home
 
Mary Ellen O'Connell

This session is for Assisted Living providers. 

There are many challenges facing AL providers. One of the most challenging is providing residents with an atmosphere in which they can be secure and thrive. Providing opportunities for meaningful engagement allows residents to feel included, to nurture attachments and be productive. Join in an exploration of the challenges and benefits to providing quality life enrichment activities.
 
During this presentation you will learn:

 
1.  Primary challenges facing fellow AL providers in delivering life enrichment activities to residents
2. Benefits of investing resources into life enrichment activities beyond regulatory expectations
3. How other providers have successfully addressed the challenges

 F9

Repeat - Improving Antibiotic Use in Skilled Nursing Facilities: What are the Low-Hanging Fruit?
 

Dr. Chris Crnich

This session is for Nursing Home providers. 

This session is a repeat, see D1 for the summary of the presentation.
 
F10
What's for Dinner: The Journey from Diet Restriction to Permission
Mary Ellen Posthauer

This session is for Assisted Living providers. 

Ms. Posthauer will discuss practical methods to implement resident-centered culture change into practice and meet the state requirements.
 
During this presentation you will learn: 

1. The consequences of under-nutrition for older adults in health care communities
2. To advocate for menu options and dining programs that support resident's rights and freedom of choice
3. To improve consumers' perception of dining 

F11
Repeat - Vaccine Preventable Diseases Among Adults
Dr. Stephanie Borchardt

This session is for all providers.

This session is a repeat, see E11 for the summary of the presentation.
 
F12

Drug Management in Assisted Living Facilities: Dementia, Psychotropics and FAQs

Doug Englebert

This session is for Assisted Living providers.

This presentation will cover psychotropic drug use in residents with dementia.  It will also cover some of the frequently asked pharmacy questions from assisted living.  Atttendees will have the opportunity to ask their own questions. 

During this presentation you will learn:

1. The requirements for monitoring psychotropic medications
2. Special circumstances to consider when psychotropics are used for residents with dementia
3. Answers to frequently asked questions

F13
Weird Things: Problem Solving Those Issues That Don't Have Clear Rules to Follow
SESSION IS FULL AND CLOSED
Brian Purtell

This session is for all providers.​ 

Many issues in the assisted living and nursing home profession have clear rules for providers to follow, but frequent is the situation that pops up that does not fit within clear guidelines. These square peg/round hole 'weird things' run the gamut and causes administrators, managers, and nurses to scratch their heads with how best to proceed. Emerging issues such as ecigarettes, medical or recreational marijuana, social media usage, expansive exercise of rights that may create risks, alternative medicines, accommodating unfamiliar religious practices, are but a few that pop up. This session will address what a provider is to do when there is no clear answer to unique or unusual situations. While there is no single answer, there are processes that providers can use in trying to address resident issues while not running afoul of regulations or expanding liabilities. It will also discuss steps providers can take to minimize concerns while still being respectful of the resident's rights.  
 
During this presentation you will learn:
 
 
1. Expectations for certain emerging issues for which little clarification exists
2. The processes to be used in addressing a situation or event that seemingly does not have a black and white answer
3. To gain confidence in their decision-making process
  

 

 Sponsored by: 
The Department of Health Services, Division of Quality Assurance​