FOCUS Breakout Sessions 

Online registration is closed.

These sessions are full and no longer available for registration: A1, A2, A5, A7, A9, B4, B8, B9, C2, C4, C8, C9, D3, D5, E1, E6, E8, E10, F6, F10, F12

*Indicates these sessions have been approved by the National Association of Social Workers, Wisconins Chapter for Continuing Education Hours (CEHs)

 Keynote: Wednesday, November 15, 2017  8:30-9:45 a.m.

 
Beyond Sliding Scale Diabetes Management Strategies for Mature Audiences*
Beverly Thomassian

More than a quarter of people over the age of 65 are living with diabetes. This session provides effective medication and insulin management strategies to reach glucose targets while considering the importance of quality of life and the needs of each individual.

During this presentation you will learn:
 

1. The impact of diabetes on older adults.
2. Realistic goals of care.
3. Glucose management strategies that coincide with optimal quality of life.
4. End of life considerations.


 

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

Choose one from this series:

A1*​
The Challenges of Diabetic Foot Ulcers
Christine Berke

This session is full and no longer available for registration.

Diabetes is a disease that affects every organ of the human body. Its effects are insidious and often complications arise years after damage is already done. Prevention is critical to avoid many complications but especially foot ulcers that can lead to amputation(s) with significant life style changes. This session will focus on current evidence based practice prevention and treatment for foot ulcers related to diabetic neuropathy as well as leg ulcerations related to diabetic induced Peripheral Vascular Disease (PVD).

During this presentation you will learn:

1.  To correctly assess for diabetic neuropathy and its implications for risk of ulcers.
2.  To educate the resident with diabetes about life style changes needed to prevent ulcers and decrease risk for amputation. 
3.  Current evidence based practice for treatment of foot and leg ulcers with the primary etiology of Diabetes and/or PVD.
 
A2
The New Age of Insulin: Exploring the Latest Trends in Insulin Therapy
Susan Cornell

This session is full and no longer available for registration.

This educational activity will provide an overview of the various insulin product options available and appropriate preparation and use of different insulin devices.  Patient considerations for an individualized insulin therapy treatment regimen will be explained, as well as, optimization of insulin therapy based on glycemic profiles, adverse effects, safety and cost.

During this presentation you will learn:
 
1. The use of individualized insulin therapy in current treatment guidelines for type 2 diabetes mellitus.
2. Various insulin formulations regarding the time of delivery, onset of insulin action and duration of the dose.
3. Appropriate insulin preparation and injection techniques for at least 3 different products.
 
A3 Slipping and Sliding: The Ups and Downs of Sliding Scale Insulin
Christi Day

This session is for all providers.

Diabetes Mellitus (DM) represents a significant health burden to the United States in increased economic costs, morbidity, and mortality. Improving healthcare outcomes is key to reducing the costs of care and human suffering associated with DM.  Sliding Scale (SS) insulin use is prevalent even though it has been shown to be ineffective, increase the risk for hypoglycemia, can lead to prolonged periods of hyperglycemia, and complications. Transitioning residents away from SS to safer medications is challenging.  This session presents current, evidence-based recommendations with a focus on a resident-centered, inter-professional approach to the safe manage of Type 2 DM.

During this presentation you will learn:

1. How to analyze current recommendations for a safe resident-centered approach to the management of diabetes.
2. Risks associated with extended use of Sliding Scale Insulin regimens.
3. To identify some of the challenges and barriers associated with practice changes related to diabetes care.

A4​ A Look Inside Diabetic Eye Disease
Jill Dillon, O.D.

This session is for all providers.

This presentation will review diabetes and how it affects the eyes. Stages of diabetic retinopathy, along with treatments and prevention will be discussed.  

During this presentation you will learn:

1. To identify the stages of diabetic retinopathy.
2. The treatments for diabetic retinopathy.
3. Prevention and control of diabetes and how it helps preserve good vision.

A5​
The Art & Science of Diabetes Meal Planning
Kim Fox

This session is for all providers.

What, when and how much one eats has a big impact on blood glucose control. This introductory meal planning session will discuss what happens when we eat "carbs", what foods contain carbs, how to count them, and how to incorporate them appropriately into meal planning.

During this presentation you will learn:

1. How to count carbohydrates in both choices and grams equivalents.
2. A variety of teaching methods to educate residents and staff on making food choices to balance blood glucose levels.
3. How to prepare meals that are delicious, nutritious and diabetes-friendly.

A6​
Diabetic Nephropathy
Dr. Tripti Singh

This session is for all providers.

The presentation will first outline the pathogenesis of diabetic nephropathy and the risk factors for development of diabetic kidney disease.  Then, discuss how to prevent development of kidney disease and the evidence behind the all the current therapies available for diabetic kidney disease.

During this presentation you will learn:

1. How diabetes causes kidney disease.
2. The risk factors for development of diabetic nephropathy.
3. How to prevent development of diabetic nephropathy.

A7*
Using Therapeutic Humor to Facilitate Diabetes Self-Care Behavior
Theresa Garnero 

This session is for all providers.

When used therapeutically, humor can strengthen the resident/provider relationship and help to relieve stress associated with diabetes self-management. This session will help you understand how to assess resident readiness for using humor therapeutically and how to engage in a way that is helpful, not harmful or distracting to the resident experience.

During this presentation you will learn:

1. At least one descriptor that defines therapeutic humor.
2. The how, what and when of facilitating humor.
3. At least two ways to incorporate therapeutic humor in long term care settings.
 
A8 Footcare and Limb Salvage in the Diabetic Patient

Shawn Sanicola, DPM

This session is for all providers.

This breakout session will focus on the systemic effects of diabetes on the lower extremity and the significance of structural and bio-mechanical deformities. This knowledge will assist in identifying high risk patients for amputation.  Finally, ending with strategies for attempts at prevention of amputations and adverse events in the diabetic patient.

During this presentation you will learn:
 
1. The system effects of diabetes on the lower extremity.
2. The significance of structural and biomechanical deformities in the diabetic patient.
3. To identify high risk patients for lower extremity amputation and provide preventative care.

A9* Gold Standard Care for our Golden Citizens - A case study approach
Beverly Thomassian

This session is full and no longer available for registration.

Seniors deserve optimal care based on their unique characteristics and life experiences. Goals of care are determined based on cognitive and functional status of residents. This session uses a case study approach to highlight key areas of assessment, intervention and advocacy for older residents living with diabetes.

During this presentation you will learn:

1. Health issues associated with diabetes.
2. How to individualize care and enhance transitions of care.
3. Techniques for preventing and treating glucose related crises of residents.

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

Choose one from this series:

B1 Repeat - The Challenges of Diabetic Foot Ulcers
 Christine Berke

This session is for all providers.

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

B2
Diabetes and Bloodborne Pathogens
Marilyn Michels
This session is for all providers.

Outbreaks of hepatitis infections have been associated with blood glucose monitoring and treatment.  These outbreaks are occurring with increasing regularity, particularly in long-term care settings.  Recent investigations undertaken by state and local health departments and the Centers for Disease Control and Prevention (CDC) have identified improper use of glucose monitoring devices, syringes, and medication vials during routine diabetic monitoring and treatment as a common cause. This session will focus on prevention strategies and next steps to be taken in the event of a possible exposure.
 
During this presentation you will learn:

1. The connection between hepatitis and diabetes.
2. To Identify the necessary infection prevention strategies to prevent an individual with diabetes from being exposed to bloodborne pathogens.
3. The necessary steps to be taken when a possible exposure to a bloodborne pathogen has occurred.

B3*
Repeat - Slipping and Sliding: The Ups and Downs of Sliding Scale Insulin 
Christi Day

This session is full and no longer available for registration.

This session is a repeat, see A3 for the summary of the presentation. 
 
B4* Resident Rights and Regulations; Making the Pieces Fit

Christy Daley
Jessica Radtke

This session is full and no longer available for registration.

This session will address how  to balance resident rights with federal regulations in order to promote person directed care while honoring residents diet choices.

During this presentation you will learn:

1. How rights and regulations coexist.
2. How to promote positive outcomes through education.
3. How to capture the resident's voice in decision-making process.
B5
Sleep and Diabetes Management
Dr. Tim Jurgens
This session is for all providers.
 

In this session, the impacts of sleep on blood glucose will be discussed, as well as how disrupted sleep can have adverse effects on overall diabetes mellitus management.  The amount of comorbidity is high, and while sleep impacts diabetes outcomes, diabetes symptoms also disrupt sleep. Mechanisms to address these issues, and the impact of doing such will be identified.

During this presentation you will learn:

1. To identify the impacts of sleep and sleep problems on blood glucose regulation, as well as adverse effects of diabetes symptoms on sleep.
2. About the overlap of primary and comorbid sleep disorders and diabetes mellitus, including sleep breathing disorders, nocturnal movement disorders, pain, and nocturia.
3. The role and process for optimizing sleep in diabetes management, including key factors to address and how, the impact of sleep disorders on diabetes care and outcomes, and when to get additional input to the care.

B6
Diabetes 101 - The Basics of Diabetes Care
Cheryl Franz
This session is for all providers.

This presentation will give a basic understanding of Type I and Type II Diabetes. Highlights include: hyper and hypoglycemia, neuropathy, and special considerations needed for when the diabetic patient encounters an illness, such as a virus or the flu.

During this presentation you will learn:

1. How type 1 and type 2 diabetes differ including their treatment modalities.
2. What can lead to hyperglycemia and hypoglycemia and ways to avoid both.
3. Potential long term complications related to diabetes and how to reduce risk.

B7*
Dancing's Role in Diabetes Prevention and Management
Theresa Garnero

This session is for all providers.

Most diabetes education programs dedicate only a small amount of time to talking about one of the most effective ways to prevent and manage diabetes through being active; few actually provide opportunities for people with or at risk for diabetes. This session will review the outcomes of a monthly, facility-based dance intervention and challenge you to consider opportunities in your clinical setting by sharing best practices.

During this presentation you will learn:

1. About 7 self-care behaviors as identified by the American Association of Diabetes Educators (AADE7).
2. About a dance program called Dance Out Diabetes.
3. About the personal joy quotient, as an example of how dance can bring people with diabetes, their family and caregivers together.
 
B8*
I Want My Cake and Eat It Too!
Diane Hall

This session is full and no longer available for registration.

We all know nutrition is a focal point for both quality of life and quality of care in the long term setting. The integration of food and fluids, alongside pleasure, choice, and the concepts of ‘highest practicable’ should be on the forefront of our opportunities. But, often the challenges encountered with person-directed choices are overwhelming. Discover practical strategies and approaches you can apply to safely honor risky choices made by residents with diabetes.  Learn the current standards of practice and revised CMS requirements that apply to diabetic diets in long term care. (although CMS requirements are referenced, this session is applicable to assisted living providers as well) Join us as we walk through a case study session about a real woman who wanted to eat her birthday cake, no matter what her diet was.

During this presentation you will learn:

1. Standards of practice and evidence-based research that apply to the treatment of diabetes in the long term care setting.
2. Newly revised CMS requirements as they relate to dining practices when caring for people with diabetes.
3. The steps to create a person-centered care plan for the purpose of honoring a person’s risky decision.

B9*
Management of Diabetes in Long-term Care (LTC) and Skilled Nursing Facilities
Elbert Huang, MD

This session is full and no longer available for registration.

This session will review the recommendations and evidence base behind the American Diabetes Association position statement on diabetes in LTC and skilled nursing facilities.  These were the first official recommendations for population by the ADA.

During this presentation you will learn:

1.  To identify goals of diabetes care for residents in LTC and skilled nursing facilities.
2.  The risks and benefits of major drug classes for glucose lowering within LTC populations.
3.  To identify strategies for replacing sliding scale insulin.

Wednesday, November 15
Breakout Sessions: "C" Series 2:30-4 p.m.  

Choose one from this series:

C1

Repeat - Footcare and Limb Salvage in the Diabetic Patient

Shawn Sanicola, DPM

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

C2
Repeat - The New Age of Insulin: Exploring the Latest Trends in Insulin Therapy
Susan Cornell
This session is for all providers.
 
This session is a repeat, see A2 for the summary of the presentation.

C3 Repeat - Diabetes and Bloodborne Pathogens
Marilyn Michels
 
This session is for all providers.

This session is a repeat, see B2 for the summary of the presentation.

C4*
Repeat - Resident Rights and Regulations; Making the Pieces Fit
Christy Daley
Jessica Radtke
This session is full and no longer available for registration.
 
This session is a repeat, see B4 for the summary of the presentation.
 
C5

Repeat - The Art & Science of Diabetes Meal Planning

Kim Fox

This session is for all providers.
 
This session is a repeat, see A5 for the summary of the presentation.

C6
Repeat - Diabetic Nephropathy
Dr. Tripti Singh
This session is for all providers.
 
This session is a repeat, see A6 for the summary of the presentation.

C7
Repeat - Diabetes 101 - The Basics of Diabetes Care
Cheryl Franz
This session is for all providers.
 
This session is a repeat, see B6 for the summary of the presentation.

C8*
Repeat - I Want My Cake and Eat It Too!
Diane Hall
This session is full and no longer available for registration.
 
This session is a repeat, see B8 for the summary of the presentation. 
 
C9*
Repeat - Management of Diabetes in Long-term Care (LTC) and Skilled Nursing Facilities
Elbert Huang, MD
This session is full and no longer available for registration.
 
This session is a repeat, see B9 for the summary of the presentation.
 

 Keynote: Thursday, November 16, 2017  8:30-9:45 a.m.

Ethics in Long Term Care* (Approved for general social work continuing education, not the social work ethics and boundaries requirement)
Michael Gillette, PhD

This highly interactive, case-based ethics seminar will begin with an introduction to key strategies for identifying, analyzing and resolving ethical issues as they arise in the clinical setting. We will review some of the most interesting and difficult ethical issues that emerge in the provision of long term care services including concepts of autonomy, family control and professional responsibility.

During this presentation you will learn:

1. To provide a practical process for ethical decision making in the clinical setting.
2. To identify core ethical values that impact the majority of ethical issues that emerge in the long term care setting.
3. To clarify possible responses to the multi-faceted ethical conflict between an individual’s right to make potentially dangerous decisions, a family’s desire to control services, and staff’s obligation to protect individuals from harm.

 

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

Choose one from this series:

 D1*

Autonomy, Paternalism and the Limits of Staff Responsibility
Michael Gillette, PhD

This session is for all providers.

This highly interactive breakout session will continue the conversation that we began in the keynote address by providing a more detailed examination of the concepts of autonomy, paternalism and distributive justice.  This session  will address the appropriate role of autonomy and define its limits by examining case studies in which individual autonomy should be respected and cases in which intervention is justified.

During this presentation you will learn:

1. To examine the ethical force of autonomy and its limits.
2. To define the circumstances in which individual liberty may ethically be restricted in order to prevent harm to self or others.
3. How to analyze specific case studies that arise in relevant areas.

 
D2*
The Opioid Abuse Crisis: Moving Forward to Solution
Dr. Tim Westlake

This session is for all providers.

This session will examine the intersection of long term care and the opioid abuse epidemic.

During this presentation you will learn:
 
1. The scope of the epidemic and interaction with long term care.
2. About Prescription Drug Monitoring Program (PDMP) and maximizing impact.
3. Best practices/guidelines and management of chronic and acute pain.
 
D3
When and Where did this Pressure Ulcer/Injury Start and Why did it Worsen?
Joyce Black, PhD

This session is for all providers.

This session will address the process of root cause analysis to guide an investigation of pressure ulcer/injury development.

During this presentation you will learn:

1. The usual timing of the development of pressure ulcer/injury.
2. The common components of pressure ulcer/injury deterioration.
3. To use a root cause analysis framework examining cases of pressure ulcer/injury in long term care.
 
D4*
How to Develop a Compliant Hospice/Nursing Facility Partnership
Cherry Meier

This session is for Nursing Home providers.

This session is primarily for nursing home providers, although the topic may be of interest to all provider types. It is projected that by 2030 half of the estimated three million persons residing in nursing facilities will die there.  Combining the expertise of nursing facility and hospice staff can result in improved outcomes at the end of life.  This session will address the licensure/survey requirements for the partnership and provide operational guidance in fulfilling the requirements for participation.

During this presentation you will learn:
 
1.  The regulations for the interface between hospice and nursing facility providers.
2.  How to develop operations that meet regulatory requirements.
3.  About potential partnership communication and compliance issues that have been identified.
  
D5*
Demystifying Challenging Behaviors in Dementia: It's All in Your Approach!
Beth Nolan, PhD

This session is for all providers. 

This session provides an in-depth review and skill building with a focus on not just what is lost in dementia, but rather, what is retained.  Participants will come to understand the value of the relationship with a person living with dementia (PLWD). Time will be spent practicing techniques essential to successful care partnering, therapy sessions or in the therapeutic relationship (including the Positive Physical Approach™ (PPA) and Hand-under-Hand® (HuH) technique to guide and assist to help reduce distress, encourage patient participation in their day and in therapy, and improve outcomes for both PLWD and providers. With the 6 Pieces of the Puzzle tool, participants will develop a plan to help de-code and demystify challenging care situations, leaving them with non-pharmacological intervention options to try.

During this presentation you will learn: 

1. To describe and apply modifications associated with brain changes as dementia progresses (e.g., what is lost vs retained, role of vision, and sensory awareness and processing).
2. To demonstrate and practice the care partnering skills of a) Positive Physical Approach™ (PPA) technique to approach and connect and b) the Hand-under-Hand®technique to guide and assist PLWD.
3. The components of the tool, 6 Pieces of the Puzzle, as it applies to their persons living with dementia.

D6*
Living with Dignity: A Cultural Competence Strategy for Caregiving and Caregivers
Ira SenGupta

This session is for all providers. 

This presentation highlights the strengths and challenges of the visible and invisible diversities that are present in every interaction between patients and providers, team members and managers, community partners and partnerships across the spectrum of care. In this environment, cultural competence means having the self-awareness, knowledge, skills, and framework to make sound, ethical, and culturally appropriate decisions. Attendees will leave with take home techniques for building culturally competent communications bridges that strengthen collaboration and cooperation across services. In a highly participatory and safe learning environment, relevant case studies will bring home the five steps of cultural competence for best outcomes, in every interaction.
 
During this presentation you will learn:

1. To identify the critical influence of individual cultural realities in person centered long term care and assisted living settings.
2. To strengthen and build on team diversity while coping with challenges in the workplace.
  
D7
The Scientific Basis for Current Hand Hygiene Guidelines and Future Trends
Dr. John Boyce

This session is for all providers.

This session will provide a review of the evidence base used to establish the Centers for Disease Control (CDC) and World Health Organization's (WHO) hand hygiene guidelines, current challenges including issues related to monitoring hand hygiene compliance and a description of future trends in hand hygiene in healthcare.

During this presentation you will learn:

1.  The scientific evidence used to establish current hand hygiene guidelines including the advantages of alcohol-based hand rubs.
2.  Current challenges in improving hand hygiene compliance and technique.
3.  Future trends in hand hygiene products and strategies for improving compliance.
 
D8
International Dysphagia Diet Standardisation Initiative
Lam Peter

This session is for all providers.

In recent years, a number of countries have published standardised national terminology for texture modified foods and thickened liquids to improve patient safety and care.  However, the national standards published by the various countries have only added to the confusion on a global basis because of the use of diverse terminology, labels, number and levels of food texture and liquid thickness.  The International Dysphagia Diet Standardisation Initiative (IDDSI) www.IDDSI.org was formed in 2013 to lead the development of global standardised terminology and definitions to describe texture modified foods and thickened liquids used for individuals with dysphagia of all ages, in all care settings, and all cultures to promote safety.  The process included a review of existing national standards, a systematic review of published literature on texture modified foods and liquids, and international surveys of over 5000 stakeholders in 2014 and 2015. The presentation will highlight the details of the IDDSI framework and discuss strategies to facilitate global implementation.

During this presentation you will learn: 

1. The IDDSI framework, description and testing methods.
2.  How the new IDDSI International standards map to the various terminologies and existing standards using examples across care settings and client groups.
3.  Strategies for implementation of the new standards based on experiences of trial sites from around the world and experiences from other countries that have implemented national terminologies.
 
D9*
Root Cause Analysis to Create Quality Jobs: Creating a Culture of Retention
Anna Ortigara

This session is for all providers.

Everyone aims to deliver high quality, person-centered care, yet without the people to fill the jobs and  a workforce culture to retain those workers, achieving this goal is impossible.  Across the country, employers are struggling to find and keep enough direct care workers to meet consumer needs.  It’s time for a different conversation, and a different approach!  This session will explore multiple facets of the workforce crisis including facts and trends, root causes of high turnover and job dissatisfaction, and the nine elements of  quality jobs to create a culture of retention through evidence based human resources and leadership practices.

During this presentation you will learn:

1. The growing discrepancy between supply and demand of direct care workers.
2. The root causes of high turnover and job dissatisfaction.
3. The nine elements of a quality job and its application to retaining workers.
 
D10
The Unchanging Role of Resident Documentation in the Changing World of Residential Services
Susan Peek

This session is for Assisted Living providers.

In the ever evolving world of residential services, regulations, services, budgets, and processes may change but the need for accurate and thorough documentation remains a constant.  Next to resident care, documentation is one of the most important tasks we do.  It is an integral part of providing quality care to the residents.  An appreciation for its importance comes from understanding its purpose.  In this session, you will learn the role of resident documentation and how to document effectively. 

During this presentation you will learn:

1. Five purposes of resident documentation.
2. Six guidelines for quality documentation.
3. Best practices to ensure confidentially and security of resident documentation.
 
D11*
QAPI: Systematic Analysis and Systemic Action via Plan-Do-Study-Act Cycles

Diane Dohm
Emily Nelson, RN

This session is for Nursing Home providers.

In this session, attendees will receive an overview of the QAPI regulation as well as translation of what this may look like in practice. This session will focus on the element of QAPI, “Systematic Analysis and Systemic Action.” In addition, attendees will learn the basics of the Plan-Do-Study-Act cycle, via an activity designed by the Institute for Healthcare Improvement.

During this presentation you will learn: 

1. An overview of the QAPI regulation and what this could look like in reality.
2. The QAPI element Systematic Analysis and Systemic Action.
3. To explore the basics of quality improvement methodology through a Plan-Do-Study-Act activity.

D12*
Losin' and Lovin' It
Diana Waugh

This session is for all providers.​ 

What must it feel like to leave everything you know and love and enter a continuum of care setting? What thoughts must go through your head? What changes would you anticipate? If you could get ready for this move, what would you want to have happen? What do you think the staff would want you to do?
This session looks at the person centered issues that influence the move from your home into a care setting from the perspective of the soon-to-be resident. How to merge those beliefs and feelings with the aspects of institutionalization from the perspective of the staff will also be addressed. Dealing with the differences of opinion between these two factions will offer a thought-provoking, energetic discussion format. The definition of quality of care might, just might, be different depending on the side of the issue being considered.
 
During this presentation you will learn:

1. The aspects of life and living that change for individuals coming to live in a continuum of care setting.
2. The beliefs of staff members regarding the requirements of the different settings and how these wishes differ from those of the resident.
3. The ways in which staff and residents can come to agreements where both win.

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

Choose one from this series:

E1*
Ask a Surveyor: Division of Quality Assurance (DQA) Assisted Living Panel
Assisted Living Panel

This session is full and no longer available for registration.

Join Bureau of Assisted Living (BAL) regulators in an interactive discussion.  BAL staff will make introductory remarks on assisted living administration, admission, transfer, discharge and physical environment requirements/trends, and then open it up for questions.  Questions may be submitted in advance or during the session.
Panel members are:
Alfred Johnson, Director (BAL)
Connie Kneizic, Surveyor (SERO)
Kathy Lyons, Regional Director  (NERO)
Jerry Riederer, Surveyor (NERO)
Phyllis Witter, Surveyor (NERO)
Vicky Wittman, Surveyor (NERO)

During this presentation you will learn:

1. Answers to their questions on regulatory topics.
2. How to submit future questions.

E2
Wisconsin Act 294 - Formulary Management and Collaborative Practice Agreements in the Long-term Care (LTC) Facility
Matt Palmer, PharmD

This session is for Nursing Home providers.

Wisconsin Act 294 allows a physician to delegate any patient care service to a pharmacist.  This legislation is improving healthcare access and quality for Wisconsin LTC residents by incorporating the pharmacist into the facility’s interdisciplinary team.  Your pharmacist can help manage medications and improve your antibiotic stewardship program through the use of a collaborative practice agreement.

During this presentation you will learn:

1. How Wisconsin (WI) Act 294 can improve medication management resulting in improved quality of care for long-term care residents.
2. The potential benefits and logistics of implementing formulary management and collaborative practice agreements under WI Act 294.

E3
Repeat - When and Where did this Pressure Ulcer/Injury Start and Why did it Worsen?
Joyce Black, PhD

This session is for all providers. 

This session is a repeat, see D3 for the summary of the presentation. 
 
E4*
Repeat - How to Develop a Compliant Hospice/Nursing Facility Partnership
Cherry Meier

This session is for all providers. 

This session is a repeat, see D4 for the summary of the presentation. 

E5
Fecal Incontinence: The Dirty Secret Dispelled
Deb Nestsch

This session is for all providers. 

This session is of interest to all providers, although nursing home tags are referenced.
This presentation will focus on normal defecation pathophysiology; fecal incontinence causes, management and treatment including the impact on F-tags 314 & 315.  Fecal continence can be achieved frequently through easy-to-implement interventions within the purview of nursing.

During this presentation you will learn:

1. To describe normal defecation pathophysiology.
2. To identify three causes of fecal incontinence.
3. Three fecal incontinence management and treatment interventions.
 
E6*
Repeat - Demystifying Challenging Behaviors in Dementia: It's All in Your Approach!
Beth Nolan, PhD

This session is for all providers. 

This session is a repeat, see D5 for the summary of the presentation.
 
E7
Repeat - The Scientific Basis for Current Hand Hygiene Guidelines and Future Trends
Dr. John Boyce

This session is for all providers.​ 

This session is a repeat, see D7 for the summary of the presentation.
 
E8*
Care Planning: When the Choice Involves Risk
Maggie Calkins, PhD

This session is full and no longer available for registration.

Some care communities don’t offer residents meaningful choices because of fear they will get cited by the surveyors or get sued by the resident’s family if there is a negative outcome. Examples abound, but include a resident’s wish to eat foods that might be considered a choking hazard; wanting to not be tied to an alarm despite being at risk for falling; or wanting to go outside without a caregiver. The Rothschild Person-Centered Care Planning Task Force has created a process that will demonstrate a commitment to best practice in accommodating resident preferences and mitigating known potential risks.

During this presentation you will learn:

1. Specific NH/AL code language that supports residents’ rights to make decisions, even when they carry some risk.
2. The four steps of the Care Planning for Resident Choice process.
3. The process by completing a case study to show how following the Care Planning for Resident Choice process enables residents to have their choices honored.

E9*
Abuse of Individuals at Risk: an Overview
Alice Page
Doreen Goetsch

This session is for all providers. 

This session will provide information and resources about how to protect individuals at risk through awareness, appropriate identification, and reporting abuse.

During this presentation you will learn:

1. What is abuse; who is abused; who are abusers.
2. Common types of abuse and what to look for.
3. The reporting system; types of reporters; who to call and when.

E10*
Work-Life Balance. Lost It? Get It Back!
Brian Udermann, PhD

This session is full and no longer available for registration.

Ask the average person nowadays how they are doing and they will usually say, “I’m just so busy!” Our work environments are often fast-paced and hectic, we are continually being asked to do more with less. Our home environments can, at times, be overwhelming as well with running children to numerous practices and events, to taking care of the yard or completing house related projects. When was the last time you really felt at peace or felt centered and full of joy? Would you like to laugh more, stress less, and have a better relationship with your partner, spouse, children or your friends? This presentation will explore a number of practical strategies you can use to regain a healthy balance in your life!
 
During this presentation you will learn: 
 
1. The negative consequences that stress can have on health, and practical strategies to manage stress.
2. How incorporating more laughter and humor into their lives can positively impact their health. 
3. Strategies to regain a healthy balance in their lives.

E11
International Dysphagia Diet Standardization Initiative
Lam Peter

This session is for all providers. 

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

 
E12*
Please Have a Seat...But Not in a Wheeled Chair
Diana Waugh

This session is for all providers. 

Once upon a time wheels were placed on chairs to make it easier to get from point A to point B. This was a wonderful idea which enabled people with mobility challenges to realize mobility. A great breakthrough….that over time has been misused at best and has decreased quality of life at worst.  What? Using a wheeled chair as a dining room chair, a lounge chair, a beauty shop chair or the chair used when involved in a stationary activity increases discomfort, falls and feelings of loss of independence. Aren’t all of these aspects those that we say we want to decrease?  This session will look at the negative impact of the use of wheeled chairs as stationary chairs, why this practice continues, while exploring techniques that can be utilized to eliminate this misuse of the wheeled chair.

During this presentation you will learn:
 
1. The reasons wheeled chairs continue to be used as a stationary chair.
2. The negative physical and emotional impacts of using a wheeled chair for purposes other than mobility.
3. The approaches that can easily be utilized to reduce the use of wheeled chairs for activities other than mobilization.


Thursday, November 16
Breakout Sessions: "F" Series 2:30-4 p.m.  

Choose one from this series:

F1*
Home and Community-Based Settings (HCBS) - Wisconsin HCBS Compliance Update
Susan Krueger
Cindy O'Connell

This session is for Assisted Living providers.

Presenters will provide an update on Wisconsin’s implementation of federal HCBS settings regulations, including status of the HCBS Statewide Transition Plan, progress with the overall compliance process as well as the heightened scrutiny process, and timelines for statewide compliance. The presenters will discuss implementation of the ongoing HCBS compliance process for DQA licensed or certified settings.

During this presentation you will learn:

1. The status of the Wisconsin HCBS Statewide Transition Plan.
2. The progress of HCBS compliance for both residential and non-residential settings.
3. The process of ongoing compliance monitoring.

F2*
Repeat - The Opioid Abuse Crisis: Moving Forward to Solution
Dr. Tim Westlake

This session is for all providers. 

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

F3*
Repeat - Living with Dignity: A Cultural Competence Strategy for Caregiving and Caregivers
Ira SenGupta

This session is for all providers.

This session is a repeat, see D6 for the summary of the presentation.

F4*
Repeat - Abuse of Individuals at Risk: An Overview
Alice Page
Doreen Goetsch

This session is for all providers. 

This session is a repeat, see E9 for the summary of the presentation.
 
F5
Repeat - Fecal Incontinence: The Dirty Secret Dispelled
Deb Nestsch

This session is for all providers. 

This session is a repeat, see E5 for the summary of the presentation.
 
F6*
Repeat - Care Planning: When the Choice Involves Risk
Maggie Calkins, PhD

This session is full and no longer available for registration.

This session is a repeat, see E8 for the summary of the presentation.

F7*
Partnering With Hospitals to facilitate Patient-Centered Transitions Back to Your Facility
Maria Brenny-Fitzpatrick

This session is for Assisted Living providers.

Receiving your resident back to your facility after a hospital stay can be both rewarding and challenging. This transition can become very challenging if your resident has had a change in condition and/or a change in healthcare needs and equipment. This presentation will provide attendees with a roadmap on how to communicate and collaborate with hospital staff and hospital discharge planners to assure a safe transition back to you. Lastly, we will touch upon communication with physician offices.

During this presentation you will learn:

1. What resident clinical information is needed at the time of transfer both into and out of the hospital setting.
2. The responsibilities of all the stakeholders involved in a safe transition to and from the hospital setting.
3. How to avoid the dreaded equipment and medication “surprises” that can complicate a transition back to you.

F8*
Improve Your Health - Improve Your Balance
Brian Undermann, PhD

This session is for all providers. 

People spend approximately 40% of their waking hours at work! Employers are paying more attention to work-life balance issues today, which is great. However, individuals need to continue to take responsibility for their own health. This includes incorporating regular physical activity into their routine, getting adequate sleep, and making healthy nutritional choices. This is easy to say, but not always easy to do! This session will focus on how improving overall health-related behaviors could help restore a healthy life balance.
 
During this presentation you will learn:

1. A variety of strategies to incorporate regular physical activity into their daily routine.
2. A variety of strategies to improve sleeping habits.
3. A variety of strategies to make healthier nutritional choices.

 F9*

Repeat - Root Cause Analysis to Create Jobs: Creating a Culture of Retention

Anna Ortigara

This session is for all providers. 

This session is a repeat, see D9 for the summary of the presentation.
 
F10*
Repeat - QAPI: Systematic Analysis Action via Plan-Do-Study-Act Cycles
Diane Dohm
Emily Nelson, RN

This session is for Nursing Home providers. 

This session is a repeat, see D11 for the summary of the presentation.

F11*
Assessment of Dementia in Individuals with Intellectual Disability
Dr. Gregory Prichett

This session is for Assisted Living providers and ICF/IID providers.

Individuals with intellectual disability (ID) are living longer and as such at increased risk for development of age-related conditions including dementia.  While many professionals in the field may be aware of the strong association between ID and dementia, they may not be experienced or trained in recognizing the early signs of dementia in ID and they may be further challenged by a lack of appropriate guidelines and procedures for assessing dementia in adults with ID. The diagnosis of dementia in the ID population is complex owing to their pre-existing intellectual and psychosocial deficits and atypical presentation.  Traditional diagnostic approaches are generally inappropriate for use with the adults with ID as they presume a “normal” level of premorbid function.  Rather, the diagnosis of dementia in individuals with ID requires documentation of a change in status from a “best level of performance” or baseline level of function, using longitudinal observations and individually tailored assessment techniques scaled for use with the ID population, along with a careful ruling out of other medical conditions commonly associated with ID that can mimic dementia.

During this presentation you will learn:

1. Factors indicating an increased risk of Alzheimer Disease in adults with intellectual disability.
2. The incidence/prevalence and clinical features of dementia in adults with intellectual disability with an emphasis on Alzheimer Disease in Down Syndrome.
3. Appropriate guidelines and procedures for assessing dementia in persons with intellectual disability.

 
F12*

Making Care Plans Live

Diana Waugh

This session is for all providers.

Try this: Walk into the nurses station, remove the resident’s care plan from the plastic sleeve in the BIG book of care plans....or from the resident chart. Place it on the floor and begin jumping up and down on it. When asked what you are doing, simply state: “I’m trying to make it look used.” Watch the reactions! Too often resident care plans were written for “the state”, “the surveyors” or “because we have to” but they are not designed to drive person-centered care. These are the documents utilized by reviewers to judge if the care is being provided as planned. If the care plans aren’t used on a daily basis, why is there surprise when a reviewer finds the care plans aren’t being followed? Looking at the care plan as a common basis for discussions about resident care is the foundation of effective care planning.  This session will look at the why, how, when, who, and where of care planning. It will focus on techniques for creating a document that care providers want to read.  It will look at who should be on the care plan team, how should care plans be shared, by whom, for what reason and how often.

During this presentation you will learn:

1. The components of an efficient and effective care planning system including staff involvement as part of the care planning team.
2. The value of utilization of protocols/standards of care with care plan references; computerized, yet individualized care plans.
3. To Identify ways that care plan entries can be shared with and evaluated by care providers in real time.

 

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