This session will review falls with major injury quality measures that impact the Quality Measure component of the Nursing Home Compare Five-Star Quality Rating system. During the session, we will review how this measure is calculated and how it impacts your overall Five-Star Quality Rating. The session will focus on best practices for reducing falls with major injury in your facility and how to improve this measure using a QAPI framework with emphasis on reduction of common MDS coding errors and implementation of a facility specific Five Star road map action plan.
1. Understand how falls with major injury quality measure is calculated and impacts the Five-Star Quality Rating score
2. Describe best practices for improving falls with major injury quality measure impacting Five-Star Quality Rating score
3. Describe a process for establishing priority QAPI goals and actions to improve falls with major injury quality measures
Shelly Maffia, MSN, MBA, RN, LNHA, QCP
Director of Regulatory Services for Proactive Medical Review & Consulting, with over 15 years of leadership and consulting experience, Shelly has held positions as DON, NHA, Corporate Nurse Consultant, and Training Positions. Currently Shelly provides consultation on regulatory compliance to nursing facilities in multiple states. Her expertise includes developing clinical training tools, policies, procedures, protocols and training programs on systems, processes and best practices. Shelly is also a QAPI Certified Professional (QCP) through the American Association of Nurse Assessment Coordinators.
All participants are eligible for up to 1.25 CEUs. Proactive Medical Review will report an equal amount of NAB credit for primary registrants for whom NAB #s are provided.
LAIN, INALA, and IHPCO Members will pay $75. Non-members will pay $125. (LAIN Samaritan Alliance members will pay $38. INALA Samaritan Alliance Members will pay $56.)