18th Annual FOCUS Breakout Sessions

FOCUS 2019 Special Session
"Let's Talk About It! Topics Too Important to Ignore"

November 20, 2019

FOCUS 2019 Conference
November 21, 2019


Wednesday, November 20, 2019

Keynote (8:30 a.m. - 9:45 a.m.)

Pu
tting the Spotlight on Elder Abuse: Forgotten No More

Paul Greenwood

Retired Prosecutor, Elder Abuse Consultant

The presenter will draw upon his 22 years of prosecuting serious elder abuse crimes to emphasize the need for a multi-disciplinary approach to identifying various forms of elder abuse and the importance of holding the perpetrators accountable.

During this session participants will:

  1. Encourage a mentality of a multi-disciplinary approach to combatting elder abuse
  2. Dispel misconceptions about bringing such cases to court
  3. Provide examples of how abuse of residents need not go hidden

*Due to unforseen circumstances, Paul Greenwood will now speak in the morning and Elaine Sanchez will speak in the afternoon.

 Breakout Session "A" (10:15 a.m. - 11:45 a.m.)

A1
Elder Financial Exploitation: No Longer "Just a Civil Matter"
Paul Greenwood
Recently retired deputy district attorney Paul Greenwood will draw upon his many court room experiences to show why elder financial abuse  has been described as the crime of the 21st Century. He will explain how too often law enforcement can mistakenly view allegations of such exploitation as "just civil" and will offer suggestions as to how to respond. Greenwood will describe various ways the older adults can be defrauded and will dissect an elder theft case into three possible scenarios. He will also show how, in many of his prosecuted cases, Greenwood overcame the defense argument of "it was a loan" or "no, it was a gift" by presenting evidence of undue influence that removed the consent from the transaction.

During this session participants will:
  1. Understand why allegations of elder financial exploitation are too often mistakenly viewed as just civil in nature
  2. Learn three possible scenarios of how elder fraud can occur
  3. Learn how to overcome the classic "defense" that the transaction was either a gift or a loan


A2Too Important to Ignore: Capacity, Consent and Decision-Maker Limitations
Jessica Trudell
Kim Marheine

This session will enable a discussion of decisional issues related to capacity and consent, the challenges and benefits of balancing statutory rules and rights, and honoring self-determination and risk when residents express choices that conflict with the expectations or preferences of others.

During this session participants will:
  1. Understand the statutory and functional differences in substitute decision-making tools to include Power of Attorney for Health Care and Guardianship
  2. Understand the roles and boundaries of substitute decision-makers when conflicts arise over health care vs. quality of life choices
  3. Learn to mediate family conflict, actively respect residents' rights and work with community resources
 
A3Evaluation and Treatment of Female Urinary Incontinence
Dr. Sarah McAchran
Review the evaluation and management of female urinary incontinence in the geriatric population.

During this session participants will:

  1. Understand the etiologies of female urinary incontinence
  2. Understand the treatment options for stress urinary incontinence
  3. Understand the treatment options for urge urinary incontinence
A4​Creating Inclusive Communities for LGBT Adults
Jacqueline Boyd

In this session you will learn about the unique needs of lesbian, gay, bisexual, and transgender (LGBT) older adults and get an overview of the various rights and protections extended to LGBT residents. Learn other best practices for creating communities welcoming to LGBT older adults, their loved ones, and their caregivers.

During this session participants will:

  1. Identify needs for LGBT older adults
  2. Learn the rights and protections for LGBT residents
A5​End-of-Life Conversations: Bringing the Elephant in the Room Down to Size
Jennifer Flugaur
Dr. Mindy Shah

It can be challenging to have discussions focusing on resident and family goals and wishes as the resident's condition declines. When is it time to consider palliative care or hospice, and what is the difference between them? What's best for the resident? This session will explore communication tactics to aide in facilitating these difficult discussions, and direct participants to available resources for palliative and end-of-life care.

During this session participants will:

  1. Understand the difference between palliative care and hospice and establish when each type of care may be appropriate.
  2. Learn approaches to engage in difficult conversations, especially as a resident's condition is changing
  3. Be aware of resources related to palliative and end-of-life care
Also Offered in Session B5.

A6​Ageism Aware
Carmen Bowman
Why is aging viewed as bad in our society? We will look at how ageist stereotypes, prejudice, and segregation has crept into the very service of aging services. We will also explore simple remedies which cost little to no money and excite all involved in the shift from ageist institutionalization to living normal life.
During this session participants will:
  1. List institutional practices which represent ageism
  2. Name replacement practices which honor people
  3. Describe actions to take in their organizations to combat ageism
A7The Science of Medical Cannabis and its Therapeutic Benefits
Dr. Zachary Palace

As medical cannabis use becomes more widespread and accepted, administrators and clinicians in assisted living and long term care facilities will encounter residents who may benefit from and request this alternative therapy. This presentation will review the science behind cannabis therapy, the therapeutic benefits for specific diagnoses.

During this session participants will:
  1. Appreciate the therapeutic benefits of medical cannabis use
  2. Identify residents who can benefits from medial cannabis
Also Offered in Session B7.
 
A8Addiction and Trauma: Intricate Links
Carol Ackley

This session will explain the similarities between the neurobiology of addiction and the trauma response. Most people who become addicted to mood altering chemicals, including alcohol, often have painful past experiences that complicate recovery efforts. Trauma informed principles of care will be reviewed.

During this session participants will:

  1. Improve understanding of the neurobiology of addiction
  2. Be aware of the impact of trauma on the body, brain, behavior, and relationships
  3. Learn the principles of trauma informed care 
Also Offered in Session B8.

A9Sexuality in Long-Term Care: The Heart has No Wrinkles
Laci Cornelison

Residents' sexuality has long been a taboo subject. As caregivers on the front lines know, avoidance of the topic does not make it go away. Sexuality is a normal human need that does not stop when crossing the threshold to group living such as nursing homes and assisted livings. Learn ways that, as a caregiver and/or leader, you can honor resident sexuality and respond to inappropriate sexual expression?

During this session participants will:
  1. Increase their awareness and sensitivity of sexuality as a basic human need through real life examples
  2. Learn appropriate responses to resident sexual expression
  3. Identify strategies for responding to inappropriate sexual expression
 Also Offered in Session B9.

A10The Opioid Epidemic in Wisconsin
Paul Krupski

Opioid misuse and abuse is a major issue nationally, with prescription opioid addiction being one of the biggest drug problems today. Every day, more than 115 Americans die after overdosing on opioids. Older adults are not immune to the opioid crisis we currently face. This session will share the extent of the opioid epidemic nationally, as well as sharing current trends and data specific to Wisconsin. We will also discuss how the opioid crisis intersects with older adults and the ageing population, signs and symptoms of opioid misuse and abuse and what Wisconsin is currently doing to address the opioid epidemic in our state.

During this session participants will:
  1. Understand the extent of the opioid epidemic nationally and in Wisconsin
  2. Learn the signs, symptoms, and health risks of opioid misuse and abuse
  3. Identify best practices and approaches to treatment and pain management
A11Sexual Assault, Trauma and Implications for Interviewing, Part 1
Miriam Falk

Sexual assault occurs in many ways and by a variety of perpetrators. Individuals who reside in care facilities are at increased risk of sexual assault. This presentation will develop participants' understanding of what constitutes sexual assault, who are the perpetrators and what are their methods, and the impact the trauma of sexual assault has both on victim behavior and victim memory. This foundational information will form the basis for a nuts and bolts examination of best practices for interviewing sexual assault victims using methods that take trauma into account. These techniques maximize the victim's ability to provide information without exacerbating their trauma experience. Participants will also gain a deeper understanding of perpetrator manipulations aimed at discrediting victim accounts or gaining victim silence.

During this session participants will:
  1. Understand and apply the sexual assault laws to assisted living situations
  2. Understand the ways in which trauma impacts the behavior and memory of the victim
  3. Apply trauma knowledge to particular techniques for interviewing sexual assault victims
 Continued in Session B11.

A12Human Trafficking in Our Backyard
Rachel Cortez
Neal Lofy

This session gives an overview of human trafficking in general while providing a more in-depth look at sex trafficking in the United States. Participants will learn the difference between trafficking and prostitution or smuggling, what indicators to look for in someone who is being trafficked and how to get help. You will learn how a person is groomed or coerced into complying, the side-effects of trauma and the challenges and factors that might make someone at higher risk for victimization. Participants will examine the root causes of sex trafficking and what formulas work to combat local trafficking through real life cases. The goal is to educate and empower professionals to fight human trafficking with trauma informed care in their place of work.

During this session participants will:
  1. Learn the definition of human trafficking and different types of trafficking
  2. Learn the root causes of trafficking
  3. Learn how to identify and report trafficking
Also Offered in Session B12.

 Breakout Session "B" (12:45 p.m. - 2:15 p.m.)

B1Getting Prepared for Boomer Residents and a Whole New Set of Sexual Preferences and Behaviors
Elaine Sanchez

We are born as sexual beings and we die as sexual beings. That flame in each of us does not get extinguished by age, disease, or disabilities. The question isn't whether people are going to have sex in your communities, the question is how are you going to respond. Elaine will discuss gender identities, sexual orientations, and how to create policies that honor, respect, and protect the sexual rights of residents in your care.

During this session participants will:

  1. List types of gender identities and sexual preferences
  2. Define person-centered care as it relates to sexual activity among residents
  3. Identify strategies for creating a sexual policy for employees, residents, and family members
B2HIV and Aging: Caring for People Living with HIV as they Age in Residential Care Settings
Jacob Dougherty

This presentation will offer information on providing compassionate care for people living with Human Immunodeficiency Viruses (HIV) as they age.

During this session participants will:
  1. Identify changing demographic characteristics of people living with HIV
  2. Learn about resources for HIV prevention and care services in Wisconsin
  3. Learn the impact of stigma on people living with HIV and alternatives for stigmatizing language 
B3Bariatric Surgery and Caring for Persons with Obesity: The Art of Weaving Dignity and Sensitivity into the Provision of Care
Steve Heuer

This session will be an in-depth, detailed review of challenges unique to individuals with obesity and the lifestyle, nutrition, and medical considerations encountered when caring for these individuals or those who have had bariatric surgery. This will be followed by a discussion of care and sensitivity around caring for a resident with obesity.

During this session participants will:

  1. Develop a rich understanding of the various bariatric surgeries available (past and present)
  2. Understand nutritional, medical, and lifestyle requirements unique to the bariatric resident
  3. Gain an appreciation of the pervasive prejudice and bias most individuals with obesity endure, and a stronger degree of compassion for those with obesity
B4Transgender Aging: What Service Providers Need (and Don't Need) to Know

Jacqueline Boyd

In this session you'll learn the answers to common questions about the transgender experience and transitioning, learn best practices for providing transgender affirming care and discuss the unique needs of transgender older adults.

During this session participants will:

  1. Learn about the unique needs of transgender older adults
  2. Learn best practices for providing care to transgender adults
B5End-of-Life Conversations: Bringing the Elephant in the Room Down to Size
Jennifer Flugaur
Dr. Mindy Shah

It can be challenging to have discussions focusing on resident and family goals and wishes as the resident's condition declines. When is it time to consider palliative care or hospice, and what is the difference between them? What's best for the resident? This session will explore communication tactics to aide in facilitating these difficult discussions, and direct participants to available resources for palliative and end-of-life care.

During this session participants will:

  1. Understand the difference between palliative care and hospice and establish when each type of care may be appropriate
  2. Learn approaches to engage in difficult conversations, especially as a resident's condition is changing
  3. Be aware of resources related to palliative and end-of-life care
Also Offered in Session A5.

B6Trauma-Informed CareCarmen Bowman

Trauma-informed care is now part of CMS requirements, part of Phase 3 going into effect November 2019. Knowing how to assess and develop a care plan for any trauma a person has encountered is both best practice and now required. You will feel stronger in your work if you know the requirements, how to discover potential trauma in people's lives, how to plan care in a highly individualized way and be alert to  not inadvertently retraumatize a person?

During this session participants will:

  1. Describe CMS Phase 3 Trauma-informed care requirements which go into effect November 2019
  2. Be able to check in with people in a sensitive-to-trauma way
  3. Learn best practices to plan for care in an individualized way

B7The Science of Medical Cannabis and Its Therapeutic Benefits
Dr. Zachary Palace 

As medical cannabis use becomes more widespread and accepted, administrators and clinicians in assisted living and long-term care facilities will encounter residents who may benefit from and request this alternative therapy.  This presentation will review the science behind cannabis therapy, the therapeutic benefits for specific diagnoses.

During this session participants will:

  1. Appreciate the therapeutic benefits of medical cannabis use
  2. Identify residents who can benefit from medical cannabis
Also offered in Session A7.

B8Addiction and Trauma: Intricate Links
Carol Ackley

This session will explain the similarities between the neurobiology of addiction and the trauma response. Most people who become addicted to mood altering chemicals, including alcohol, often have painful past experiences that complicate recovery efforts. Trauma informed principles of care will be reviewed.

During this session participants will:

  1. Improve understanding of the neurobiology of addiction
  2. Be aware of the impact of trauma on the body, brain, behavior, and relationships
  3. Learn the principles of trauma informed care

 Also Offered in Session A8.

B9Sexuality in Long-Term Care: The Heart has No Wrinkles
Laci Cornelison
Residents' sexuality has long been a taboo subject. As caregivers on the front lines know, avoidance of the topic does not make it go away. Sexuality is a normal human need that does not stop when crossing the threshold to group living such as nursing homes and assisted livings. Learn ways that, as a caregiver and/or leader, you can honor resident sexuality and respond to inappropriate sexual expression?

During this session participants will:
  1. Increase their awareness and sensitivity of sexuality as a basic human need through real life examples
  2. Learn appropriate responses to resident sexual expression
  3. Identify strategies for responding to inappropriate sexual expression
Also Offered in Session A9.

B10Narcan (naloxone) Use in Residential Care Settings
Mathew Palmer

Review the use of Narcan, Regulations for residential care settings and currently available products.

During this session participants will:
  1. Learn how Narcan (naloxone) works and its role in the opioid epidemic
  2. Learn the available Narcan products and how to properly administer and store them
  3. Understand current rules and regulations regarding Narcan use in Wisconsin residential care settings

B11Sexual Assault, Trauma and Implications for Interviewing, Part 2
Miriam Falk

Sexual assault occurs in many ways and by a variety of perpetrators. Individuals who reside in care facilities are at increased risk of sexual assault. This presentation will develop participants' understanding of what constitutes sexual assault, who are the perpetrators and what are their methods, and the impact the trauma of sexual assault has both on victim behavior and victim memory. This foundational information will form the basis for a nuts and bolts examination of best practices for interviewing sexual assault victims using methods that take trauma into account. These techniques maximize the victim's ability to provide information without exacerbating their trauma experience. Participants will also gain a deeper understanding of perpetrator manipulations aimed at discrediting victim accounts or gaining victim silence.

During this session participants will:
  1. Understand and apply the sexual assault laws
  2. Understand the ways in which trauma impacts the behavior and memory of the victim
  3. Apply trauma knowledge to particular techniques for interviewing sexual assault victims.
Continued from Session A11.

B12Human Trafficking in Our Backyard
Rachel Cortez
Neal Lofy

This session gives an overview of human trafficking in general while providing a more in-depth look at sex trafficking in the United States. Participants will learn the difference between trafficking and prostitution or smuggling, what indicators to look for in someone who is being trafficked and how to get help. You will learn how a person is groomed or coerced into complying, the side-effects of trauma and the challenges and factors that might make someone at higher risk for victimization. Participants will examine the root causes of sex trafficking and what formulas work to combat local trafficking through real life cases. The goal is to educate and empower professionals to fight human trafficking with trauma informed care in their place of work.

During this session participants will:

  1. Learn the definition of human trafficking and different types of trafficking
  2. Learn the root causes of trafficking
  3. Learn how to identify and report trafficking
Also Offered in Session A12.

Wednesday, November 20

Plenary (2:30 p.m. - 4 p.m.)


Dad Did What?!?  Sexuality, Dementia and Long-Term Care                                                                           Elaine Sanchez
                                                                                                                                                                                           Author, Speaker 
 
Hilarious, heartwarming, and enlightening presentation based on real-life stories of surprising and inappropriate sexual behavior exhibited by people living with Alzheimer's and other cognitive disorders. In this presentation, Elaine addresses difficult topics, such as; who get to decide if it's okay if patients with dementia become sexually active? How do you distinguish between love and abuse? How do you train staff to overcome the "Yuk" factor, and do you really have to tell their kids?

*Due to unforseen circumstances, Paul Greenwood will now speak in the morning and Elaine Sanchez will speak in the afternoon.

_____________________________________________________________________________________________________________________

Thursday, November 21

Keynote (8:30 a.m. - 9:45 a.m.) 

Dementia 360

Teepa Snow
Author, CEP, Dementia-Care Education Specialist

This session will provide you with a wide variety of perspectives on dementia. It will help you develop programming and services that meet the needs or all those affected by the disease. It will address dementia-related issues from the point of view of the individuals with dementia, individuals without dementia, family members, care-giving staff, food service and housekeeping staff, maintenance and reception staff, as well as friends and visitors, regulators, and marketing. By the end of this session, you will be able to discuss the impact of dementia on each of these groups, describe some of the key strategies to meet the needs each has, and begin to develop programming and services that have a high probability of making a positive difference in the lives of all concerned.

During this Keynote participants will:
  1. Compare normal aging changes and changes that happen with dementia related to behaviors, language skills, memory and learning, thinking and reasoning, motor skills, and sensory processing
  2. Discuss the impact of dementia changes on family relationships and expectations
  3. Discuss the impact of dementia on expectations, roles, relationships, and interactions of staff and care provider

 Breakout Session "C" (​10:15 a.m. - 11:45 a.m.)

C1Developing Activities that Have Meaning for Those Living with Dementia
Teepa Snow

This session will help mental health professionals and caregivers develop and offer activity programs that are appropriate and effective when residents have various degrees of cognitive impairment. The session will help the learners to better understand activities regarding their skill demands and value for the person. Emphasis will be placed on providing caregivers with the skills needed to determine the residents remaining skills and interests and then selecting activities that would promote interaction and engagement while reducing distress and isolation. Learners will build observation skills and the ability to use simple, inexpensive tasks and materials to help residents feel productive and involved.    

During this session participants will:

  1. Learn the concept of 'meaningful activities' in conjunction with the different stages of dementia
  2. Understand the different categories of time use that make up a balanced day for a person living with dementia
  3. Identify potentially 'meaningful activities' that match a client's needs, abilities and history
C2Dying from Dirty Teeth
Angie Stone

While many services are provided on site in residential care settings, one area that is often overlooked is oral health. Issues of the mouth are easy to put on the back burner in lieu of addressing situations that appear more pressing. Everything in the mouth is fine, until it isn't. By then there are likely big problems that are difficult to deal with, at best. Care teams, administration and families alike scramble to find a way to get the issue resolved. This session will discuss what care communities can do to limit dental disease in their residents.

During this session participants will:

  1. Understand how physical and cognitive decline affect oral health
  2. Recognize the signs and symptoms oral health may be deteriorating
  3. Learn various ways to maintain or improve oral health
Also Offered in Session D2.

C32019 Updates on Antibiotic Stewardship in Post-Acute and Long-Term Care Settings
Dr. Robin Jump

This session is for Nursing Home. Antimicrobial stewardship in long-term care settings is a developing area. While there are now regulatory requirements for antimicrobial stewardship in these settings, the evidence for how to do this effectively and with limited resources is less clear. This presentation will help support ongoing efforts to improve how antibiotics are used in long-term care settings.   

During this session participants will:

  1. Learn general principles of antibiotic stewardship and its importance        
  2. Learn the regulatory requirements for nursing home antibiotic stewardship programs
  3. Understand recent innovations for antibiotic stewardship
Also Offered in Session D3.

C4Rights Beyond the Basics: Ask an Ombudsman
Panel 

This panel presentation will address some of the unique questions that come to ombudsmen. Ombudsman panelists will speak to topics including rights related to sexual relationships, rights of persons who have been incarcerated, rights of veterans living in LTC settings, rights of persons in the Family Care program who also live in LTC settings, rights of residents impacted by facility closure, downsizing or change in licensure.

During this session participants will:     

  1. Engage with ombudsmen on a variety of topics impacting residents' rights
  2. Gain a stronger understanding of how unique resident characteristics might impact the protection of residents' rights
  3. Assimilate information about resources, including the Ombudsman Program, to aid in the fullest protection of residents' rights
C5 Bystander to Ally: See Something? Do Something
Patti See

A safe and supportive workplace has long been a goal of organizations. This session treats every participant as a potential "ally" (not confined to the strict roles of "victim" or "harasser") and focuses on the complexities of creating a respectful workplace that welcomes diversity, beyond "legal compliance training" which tends to focus on harassment. The presenter will share information about what bullying, incivility, microaggressions, and other misconduct might look like in the workplace and how to support co-workers who experience them.           

During this session participants will:

  1. Learn to create a respectful workplace         
  2. Recognize what bullying, incivility, microaggressions, and other misconduct might look like
  3. Learn how to support co-workers
Also Offered in Session D12.

C6Caring for People with Chronic Mental Illness Who Develop Dementia
Dr. Art Walaszek

People with chronic mental illness, including depression, bipolar disorder, schizophrenia, and substance use disorders, are at higher risk of developing dementia. They are also more likely to be taking psychotropic medications that could affect their cognition and function as they grow older. We will discuss when to suspect dementia in persons with chronic mental illness, how to make the diagnosis of dementia, and how to care for people with co-morbid chronic mental illness and dementia.

During this session participants will:

  1. Learn about the increased risk of dementia in persons with chronic mental illness
  2. Be able to recognize dementia in persons with chronic mental illness
  3. Learn how to develop a treatment plan for the care of a person with co-morbid chronic mental illness and dementia
C7Hot Off the Press: Updates to the International Pressure Ulcer Guidelines 2019
Christine Berke

Review of the recent updates to the NPUAP/EPUAP pressure ulcer guidelines, to be released November 15, 2019.  

During this session participants will:

  1. Identify one pressure injury update
  2. Define patient safety and patient harm
  3. Identify the most common locations for pressure injury development
Also Offered in Session D7.

C8Younger Adults in Residential Care Settings
Dr. Eleanor Barbera 

Younger residents, who often have mental health and substance abuse problems, can be particularly difficult to care for in a residential care setting. This session will outline frequently observed challenges and discuss their impact on staff, other residents and group dynamics. It will identify the types of training needed for staff to be able to successfully manage this population and address ways to create a unified team approach, including the use of mental health consultants. In addition, the importance and use of recreational programming will be discussed.

During this session participants will:

  1. Understand the care needs of younger adults
  2. Understand the training and programming required for staff success with this population
  3. Learn ways to create a unified team approach
Also Offered in Session D8.

C9Phase 3 Regulations
Ewelina Rzeznik

THIS SESSION HAS BEEN CANCELLED.  We apologize for the inconvenience.  


Emergency Preparedness from a Resident's Viewpoint
Dr. Sandi Lane

This session is for Nursing Home. Nursing homes are required to establish an emergency plan based on an all-hazards risk assessment. The plan then guides the development of the policies and procedures for addressing resident needs during an emergency, including evacuation and sheltering-in-place procedures. Coordination and communication of these plans with stakeholders including residents is critical.           

During this session participants will:

  1. Overview of the emergency preparedness regulation         
  2. Plan for a disaster from a resident's viewpoint
  3. Experience an emergency from a resident's perspective
Also Offered in Session E6.

IDDSI for Resident Safety and Implementation: Process and Lessons Learned
Dr. Kit Werner
Sarah Russell

Attendance at this presentation will enable the participate to gain an understanding of International Dysphagia Diet Standardization Initiative (IDDSI), why it is important, and dysphagia overview and the IDDSI framework. Additionally, participants will gain an understanding of how IDDSI was implemented at Michigan Medicine. Recipe and menu development, taskforce communication and education will be addressed.   

During this session participants will:

  1. Develop an understanding of the IDDSI framework
  2. Learn about various dysphagia diets and their relationship on resident safety
  3. Understand the various testing methods to assure compliance with the IDDSI framework
Also Offered in Session D11.

The New Grievance Process? Collaborative Relationships to Positive Outcomes
Lisa Thomson
Rachel Selking

This session is for Nursing Home. This engaging presentation will walk participants through the changes in the grievance process with an emphasis on collaborative relationships and positive outcomes. Participants will gain an understanding of the process from the resident's perspective. The presenter will share leadership strategies for communication and application of the grievance process into daily operations. 

During this session participants will:

  1. Learn the grievance regulations and their application as indicated in the requirements of participation
  2. Learn the importance of the grievance process and how to relate the resident's perspective of the process to facility providers
  3. Identify best practice leadership strategies for collaborative working relationships and positive outcomes

 Breakout Session "D" (​12:45 p.m. - 2:15 p.m.)

D1Ask a Surveyor: Division of Quality Assurance (DQA) Assisted Living Panel
Alfred Johnson

This session is for assisted living providers. 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.

During this session participants will:

  1. Learn answers to their questions on regulatory topics
  2. Learn how to submit future questions
  3. Gain an understanding of the challenges related to the increasing acuity in our assisted living facilities
D2Dying from Dirty Teeth
Angie Stone

While many services are provided on site in residential care settings, one area that is often overlooked is oral health. Issues of the mouth are easy to put on the back burner in lieu of addressing situations that appear more pressing. Everything in the mouth is fine, until it isn't. By then there are likely big problems that are difficult to deal with, at best. Care teams, administration and families alike scramble to find a way to get the issue resolved. This session will discuss what care communities can do to limit dental disease in their residents.       

During this session participants will:

  1. Understand how physical and cognitive decline affect oral health
  2. Recognize the signs and symptoms oral health may be deteriorating
  3. Learn various ways to maintain or improve oral health
Also Offered in Session C2.

D32019 Updates on Antibiotics Stewardship in Post-Acute and Long-Term Care Settings
Dr. Robin Jump

This session is for Nursing Home. Antimicrobial stewardship in long-term care settings is a developing area. While there are now regulatory requirements for antimicrobial stewardship in these settings, the evidence for how to do this effectively and with limited resources is less clear. This presentation will help support ongoing efforts to improve how antibiotics are used in long-term care settings.   

During this session participants will:

  1. Learn general principles of antibiotic stewardship and its importance
  2. Learn the regulatory requirements for nursing home antibiotic stewardship programs
  3. Understand recent innovations for antibiotic stewardship
Also Offered in Session C3.

D4Innovative Activity Ideas
Colleen Knudson

Engaging and meaningful activities are essential to the wellbeing of those in your care. It can be a challenge to continually develop and implement meaningful activities, especially with cost, time and staffing concerns. The good news is, there are many new and creative activity ideas that are successful without being time consuming to prepare or expensive to implement. This session will provide inspiration and programming ideas to add to your current activity program. Use these ideas to help create a sense of purpose and meaning for those in your care.        

During this session participants will:

  1. Understand what makes an activity program innovative     
  2. Identify three or more innovative activity programming ideas to take back with you
  3. Learn what is needed to implement three or more of these activity programs in your facility
Also Offered in Session E7.

D5The PHI Coaching Approach: The Key to Effective Supervision
Anna Ortigara

Paraprofessional Healthcare Institute (PHI) helps staff to become a coaching leader. It is fundamental to creating an empowered and satisfied workforce and encouraging person-centered care. This is a relational approach to managing and supporting staff members and teams. It helps them develop their own interpersonal and problem-solving skills. This session will explore basic elements of a coaching culture with opportunities to practice new skills. 

During this session participants will:

  1. Learn the definition of a coaching approach to supervision
  2. Identify three core coaching skills and practice their application in workplace scenarios
  3. Understand how coaching supervision creates a culture of workforce retention
Also Offered in Session E3.

D6What Living as Resident Can Teach Caregiver Staff
Leslie Pedtke

What happens when real caregivers become "real" residents? How will their experiences change how they think about being a resident? How will the care they provide to residents change in the future? 'Through the Looking Glass' was a program developed at Aviston Countryside Manor to teach empathy to our caregivers. Staff members moved into the nursing home, lived the role of a real diagnosis and accepted daily challenges our residents experience every day. From learning the importance of communicating more with residents to encouraging meaningful engagement, the resulting insights of these caregivers sensitized other staff members – new and veteran – to practical and effective ways that they were able to immediately improve daily care to residents. This program became the culture of Aviston Countryside Manor and grew into an Elder Shadowing program that required all newly hired staff to live with a resident for 24 hours before they are able to begin their new job.        

During this session participants will:

  1. Learn how to set up an empathy program that will fit their long-term care community
  2. Identify areas for improvement for the focus of the empathy program
  3. Understand the effects of 'institutionalization' on us psychologically and physically
Also Offered in Session E11.

D7Hot Off the Press: Updates to the International Pressure Ulcer Guidelines 2019
Christine Berke

Review of the recent updates to the NPUAP/EPUAP pressure ulcer guidelines, to be released November 15, 2019.  

During this session participants will:

  1. Identify one pressure injury update
  2. Define patient safety and patient harm
  3. Identify the most common locations for pressure injury development
Also Offered in Session C7.

D8Younger Adults in Residential Care Settings
Dr. Eleanor Barbera 

Younger residents, who often have mental health and substance abuse problems, can be particularly difficult to care for in a residential care setting. This session will outline frequently observed challenges and discuss their impact on staff, other residents and group dynamics. It will identify the types of training needed for staff to be able to successfully manage this population and address ways to create a unified team approach, including the use of mental health consultants. In addition, the importance and use of recreational programming will be discussed.

During this session participants will:

  1. Understand the care needs of younger adults
  2. Understand the training and programming required for staff success with this population
  3. Learn ways to create a unified team approach
Also Offered in Session C8.

D9Behavioral Health and Trauma-Informed Care Regulatory Overview
Deborah Ward
Beverly Briggs

This session is for Nursing Home. This session will provide an overview of the broad framework of behavioral health with a participant-centered examination of associated F-Tags (e.g., facility assessment, Trauma-informed care, PASARR, training). There is also an examination of mental diseases and non-disease states outlined in the SOM along with required staff competencies and potential impacts of the new survey process and tools on identification of non-compliance with behavioral health regulations.          

During this session participants will:

  1. Identify and describe the F-Tags and staff competency/ training requirements associated with Behavioral Health and Trauma-informed care
  2. Explain the interview, observation, and document review approach surveyors have been trained to use in detection of noncompliance with behavioral health and Trauma-informed care
  3. Describe trauma and disease/non-disease states associated with behavioral health and substance use disorders and best practices associated with Trauma-informed care
 
D10The Key to Unlocking a Competency-Based Approach to Staffing
Amy Stewart

This session is for Nursing Home. Compliance with federal regulations related to staff competency requires leaders to tailor a training and education plan for staff specific to their facility's resident population. The regulations require nursing staff that not only is sufficient but also has the appropriate competencies and skills sets to provide nursing and related services to assure resident safety. Ensuring your staff is competent can be challenging. Where do you begin? How will you hire competent staff? What does competency look like during day-to-day clinical operations? This session will provide participants with practical tips and strategies to address staff competency and teach them how to use the facility assessment to direct staff education and training.         

During this session participants will:

  1. Compare and contrast competency-based educational offerings with knowledge-based in-service offerings         
  2. Identify three benefits of providing competency-based staff education
  3. Learn how to conduct competency-based audits of staff members during day-to-day clinical interactions
Also Offered in Session E9.

D11IDDSI for Resident Safety and Implementation: Process and Lessons Learned
Dr. Kit Werner
Sarah Russell

Attendance at this presentation will enable the participate to gain an understanding of International Dysphagia Diet Standardization Initiative (IDDSI), why it is important, and dysphagia overview and the IDDSI framework. Additionally, participants will gain an understanding of how IDDSI was implemented at Michigan Medicine. Recipe and menu development, taskforce communication and education will be addressed.   

During this session participants will:

  1. Develop an understanding of the IDDSI framework
  2. Learn about various dysphagia diets and their relationship on resident safety
  3. Understand the various testing methods to assure compliance with the IDDSI framework
Also Offered in Session C11.

D12
Bystander to Ally: See Something? Do SomethingPatti See

A safe and supportive workplace has long been a goal of organizations. This session treats every participant as a potential "ally" (not confined to the strict roles of "victim" or "harasser") and focuses on the complexities of creating a respectful workplace that welcomes diversity, beyond "legal compliance training" which tends to focus on harassment. The presenter will share information about what bullying, incivility, microaggressions, and other misconduct might look like in the workplace and how to support co-workers who experience them.           

During this session participants will:

  1. Learn to create a respectful workplace         
  2. Recognize what bullying, incivility, microaggressions, and other misconduct might look like
  3. Learn how to support co-workers
Also Offered in Session C5.

 Breakout Session "E" (2:30 p.m. - 4:00 p.m.)

E1There are No Dumb Questions, Just Confusing AnswersDoug Englebert 

The presenter will address the top 10 regulatory questions that are pharmacy related.    

During this session participants will:

  1. Identify the 10 common nursing home pharmacy questions and answers from 2019
  2. Identify the 10 common assisted living pharmacy questions and answers from 2019
  3. Identify the 10 state surveyor pharmacy questions from 2019
E2
Mitigating Relocation Stress and Transitioning Residents with Dignity
Jessica Gross
Thomas LaDuke

This session will have an interactive discussion about resident transitions in facility closures and changes in service and reimbursement. An overview of Wisconsin's approach to mitigating stress on residents, their families and facility staff that is associated with changes.    

During this session participants will:

  1. Learn to recognize signs of relocation stress and ways to mitigate it
  2. Understand Wisconsin's approach in closures and transitions under state law
  3. Identify tools and resources to apply these principles to any transitioning residents

E3The PHI Coaching Approach: The Key to Effective Supervision
Anna Ortigara

Paraprofessional Healthcare Institute (PHI) helps staff to become a coaching leader. It is fundamental to creating an empowered and satisfied workforce and encouraging person-centered care. This is a relational approach to managing and supporting staff members and teams. It helps them develop their own interpersonal and problem-solving skills. This session will explore basic elements of a coaching culture with opportunities to practice new skills. 

During this session participants will:

  1. Learn the definition of a coaching approach to supervision
  2. Identify three core coaching skills and practice their application in workplace scenarios
  3. Understand how coaching supervision creates a culture of workforce retention
Also Offered in Session D5.

E4Abuse: Prevention, Investigation, and Reporting 
Panel

Persons living in residential care settings have the right to be free from all types of abuse, and to be protected from any abuser, including other residents, staff, family or other visitors to the community.  Residential care settings must have policies that prohibit and prevent abuse, and that detail how allegations of abuse are investigated and reported, and how resident safety and rights to due process are protected.  This panel presentation will discuss these areas in detail, using case studies to demonstrate best practices.

During this session participants will:

  1. Discuss potential patterns and warning signs of the abuse of persons living in residential care settings           
  2. Review requirements around the investigation and reporting of allegations of abuse in residential care settings
  3. Assimilate information about residents' rights to due process in allegations of abuse, and the resources available to protect rights and victims' supports
E5Trauma-Informed Cared and Older Adults: Unique Needs and StrengthsDeborah Ward
Beverly Briggs

This session is for Nursing Home. This session is an overview of the Trauma-Informed Care regulation. The presenter will review tools specific to those who serve older adults, and older adults unique experience with trauma, and the impact of disease states such as dementia on resident's experience with current or past trauma.          

During this session participants will:

  1. Understand new regulations for nursing homes related to Trauma-informed care
  2. Understand the impact of trauma on older adults
  3. Learn strategies for effective Trauma-informed care for older adults
E6Emergency Preparedness from a Resident's Viewpoint
Dr. Sani Lane
This session is for Nursing Home. Nursing homes are required to establish an emergency plan based on an all-hazards risk assessment. The plan then guides the development of the policies and procedures for addressing resident needs during an emergency, including evacuation and sheltering-in-place procedures. Coordination and communication of these plans with stakeholders including residents is critical.           


During this session participants will:

  1. Understand the emergency preparedness regulation         
  2. Plan for a disaster from a resident's viewpoint
  3. Experience an emergency from a resident's perspective
Also Offered in Session C10.

E7Innovative Activity Ideas
Colleen Knudson

Engaging and meaningful activities are essential to the wellbeing of those in your care. It can be a challenge to continually develop and implement meaningful activities, especially with cost, time and staffing concerns. The good news is, there are many new and creative activity ideas that are successful without being time consuming to prepare or expensive to implement. This session will provide inspiration and programming ideas to add to your current activity program. Use these ideas to help create a sense of purpose and meaning for those in your care.        

During this session participants will:

  1. Understand what makes an activity program innovative     
  2. Identify three or more innovative activity programming ideas to take back with you
  3. Learn what is needed to implement three or more of these activity programs in your facility
Also Offered in Session D4.

E8Phase 3 RegulationsEwelina Rzeznik

 

THIS SESSION HAS BEEN CANCELLED.  We apologize for the inconvenience.  


E9The Key to Unlocking a Competency-Based Approach to StaffingAmy Stewart

This session is for Nursing Home. Compliance with federal regulations related to staff competency requires leaders to tailor a training and education plan for staff specific to their facility's resident population. The regulations require nursing staff that not only is sufficient but also has the appropriate competencies and skills sets to provide nursing and related services to assure resident safety. Ensuring your staff is competent can be challenging. Where do you begin? How will you hire competent staff? What does competency look like during day-to-day clinical operations? This session will provide participants with practical tips and strategies to address staff competency and teach them how to use the facility assessment to direct staff education and training.         

During this session participants will:

  1. Compare and contrast competency-based educational offerings with knowledge-based in-service offerings         
  2. Identify three benefits of providing competency-based staff education
  3. Learn how to conduct competency-based audits of staff members during day-to-day clinical interactions
Also Offered in Session D10.

E10Assessment and Non-Verbal Signs of Medical Conditions in Clients with Intellectual Disabilities
Robin Eisenbart 

This presentation will cover basics of medical assessment, what to look for in Non-Verbal Signs and using the client's history.

During this session participants will:

  1. Be able to use Basic Assessment
  2. Identify Non-Verbal Signs
  3. Understand why history is important
E11What Living as Resident Can Teach Caregiver Staff
Leslie Pedtke

What happens when real caregivers become "real" residents? How will their experiences change how they think about being a resident? How will the care they provide to residents change in the future? 'Through the Looking Glass' was a program developed at Aviston Countryside Manor to teach empathy to our caregivers. Staff members moved into the nursing home, lived the role of a real diagnosis and accepted daily challenges our residents experience every day. From learning the importance of communicating more with residents to encouraging meaningful engagement, the resulting insights of these caregivers sensitized other staff members – new and veteran – to practical and effective ways that they were able to immediately improve daily care to residents. This program became the culture of Aviston Countryside Manor and grew into an Elder Shadowing program that required all newly hired staff to live with a resident for 24 hours before they are able to begin their new job.        

During this session participants will:

  1. Learn how to set up an empathy program that will fit their long-term care community
  2. Identify areas for improvement for the focus of the empathy program
  3. Understand the effects of 'institutionalization' on us psychologically and physically
Also Offered in Session D6.
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 Sponsored by: 
The Department of Health Services, Division of Quality Assurance​