The Academy of Senior Health Sciences, Inc. (formerly The Ohio Academy of Nursing Homes, Inc.) seeks to provide public education and awareness initiatives to the long-term care community in Ohio. Our membership represents a true cross-section of the skilled nursing facility profession, from small sole proprietorships to larger Ohio-based multi-facility companies, as well as those businesses that service our industry. Through our public education and awareness efforts, the Academy brings the collective influences of the members together into a single voice on vital issues affecting our profession.
Founded in 1966, the Academy then identified one of its core purposes as "To foster a spirit of goodwill among those persons engaged in the nursing home industry, to promote ethical practices in their relationships with each other, their employees, and the general public to the end that all interests may be served fairly..." Though the organization has undergone several transformations over the years, most notably in 2011, its dedication and commitment to Ohio's most frail and elderly remains the same.
| The Academy Weekly Headlines from 2 Weeks Ago|
NF ODM provider meeting notes
Below are notes from the monthly ODM provider meeting. If you have any questions or issues you would like addressed at the next meeting, please contact The Academy.
- Rules update: The rules for the recoupment of NF provider relief payments will not be filed as an emergency and are currently undergoing internal review for a regular filing. ODM said they do not anticipate any significant changes from the earlier proposed rules. The rule package related to HB 110 changes went into effect July 10. Among other changes, these rules outline the 70% of rebasing has to be spend on direct care requirement. ODM can began reviewing compliance with this requirement with 2022 cost reports. These rules are available here: 5160-3-50 (Rebasing) and 5160-3-58 (SFF Appeals).
- CMP: The indoor visitation ("Fans and Filters") CMP project has been open since July1. There currently have been 44 approved applications for a total of $126k. The application is not listed on the ODM website; however, a link is posted in the "Notable Dates and Events" section of our newsletter.
- PNM blackout: ODM said there would be a "blackout" period for the month of August when they will not be accepting any new enrollment applications. Applications prior to August 1 will be processed and then ODM will transition to the new Next Generation provider enrollment system.
- PHE: There has been no indication that HHS will end the public health emergency prior to the next renewal. No 60 day advanced notice has been given. Providers are reminded that the most important thing they can do now is make sure contact information is updated at the CDJFS to ensure notices go to the proper person.
NH payment commission first meeting highlights
The Nursing Home Payment Commission, comprised of four House members and four senate members, met for the first time last week. The commission is tasked with exploring the efficacy of four areas of the NH reimbursement system and one program: cost centers, rebasing, base rate, quality measures, and a bed buyback program. Dr. Bowblis from Scripps Gerontology Center, and Medicaid Dir. Corcoran, each provided testimony at the first meeting. They were to provide an overview of the current reimbursement system and state of the industry. In summary, Dr. Bowblis provided the following information: Ohio's elderly population is increasing, NH staffing levels are linked to quality and Ohio's levels are low, fewer people are using nursing homes, costs have been increasing, and only providers with high Medicare census can achieve quality. Dir. Corcoran reviewed the current reimbursement system calculation in detail, NF funding and reimbursement levels, and noted how providers with higher Medicaid utilization achieved higher quality point totals. Dir. Corcoran also said that Ohio would be moving to the PDPM system in the upcoming budget. The next commission hearing is currently slated for July 26 and will cover the cost centers and base rate.
CDC updates EBP guidance for NHs
The CDC updated its PPE guidance for the use of Enhanced Barrier Precautions (EBP) in nursing homes to prevent the spread of multidrug-resistant organisms (MDRO) on July 12. According to the guidance, the recent changes:
The webpage for the guidance also contains resources that include a PowerPoint presentation from the CDC, a letter for residents, family and friends about EBP, and a letter to NH staff about EBP.
- Added additional rationale for the use of Enhanced Barrier Precautions (EBP) in nursing homes, including the high prevalence of multidrug-resistant organism (MDRO) colonization among residents in this setting.
- Expanded residents for whom EBP applies to include any resident with an indwelling medical device or wound (regardless of MDRO colonization or infection status).
- Expanded MDROs for which EBP applies.
- Clarified that, in the majority of situations, EBP are to be continued for the duration of a resident’s admission.
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