7:30 AM - 5:00 PM
Relaxation Room Available
 
Richard Room (5th Floor)

Enter a room of tranquility to relax and decompress throughout the conference. We will supply coloring books, essential oils, and light music to encourage our nurses to unwind.

8:00 AM - 9:00 AM
Sponsored Breakfast Presentation by Neurocrine Biosciences: Tardive Dyskinesia and Conducting an AIMS Assessment (NO CE)
 
Mackinac Ballroom (5th Floor)

Please join us for a sponsored breakfast presentation by Neurocine Biosciences!

Kendra Davies, PharmD will provide an overview of Tardive dyskinesia, its presentation, and diagnosis. She will educate the audience on how to conduct an AIMS (Abnormal Involuntary Movement Scale) assessment in patients who are initiating or being treated with dopamine receptor blocking agents and how to rate the severity of abnormal movements. 

9:05 AM - 10:15 AM
Welcome, Opening Remarks, & Opening Keynote: Managing When No One Wants to Work
Ralph Peterson, The Core Fourteen
Mackinac Ballroom (5th Floor)

The senior care industry is facing a major challenge: Employee Retention. According to the National Center for Health Statistics, the turnover rate for direct care workers in senior care is 60%. This means that for every 10 employees, 6 will leave their job within a year. The high turnover rate is costly for Senior Care Organizations. It can lead to decreased quality of care, increased staff stress, and financial losses. The traditional view is that low pay, lack of opportunity for advancement, heavy workloads, and stressful working conditions are the main reasons why employees leave their jobs in the senior care industry. However, research has shown that these factors are not the real problem. In fact, the number one underlying challenge is culture. A toxic work environment, a lack of respect for employees, and a lack of communication and teamwork are all cultural factors that can contribute to employee turnover. This keynote will provide attendees with the tools and strategies they need to turn the tide on employee retention in senior care.

Learner Objectives:

  1. Identify the cultural factors that contribute to employee turnover, such as a toxic work environment, a lack of respect for employees, and a lack of communication and teamwork.
  2. Compare and contrast the different cultural factors that contribute to employee turnover.
  3. Develop strategies for creating a positive and supportive culture in their organizations.
  4. Analyze the cultural factors that contribute to employee turnover in their own organization.
  5. Evaluate the effectiveness of the strategies they have implemented to create a positive and supportive culture in their organization.

Nurse Learner Outcome:

  • At the conclusion of this educational activity, participants will self-report on the post session evaluation an knowledge gain of the importance of culture in employee retention and strategies for creating a positive and supportive culture in their organizations.
     
10:30 AM - 12:00 PM
MDS 3.0 FY24 Updates: GG, PDPM, & QMs
Louann Lawson, Pathway Health
Brule Room (5th Floor)

October 1, 2023, saw significant MDS 3.0 changes. New and/or expanded data is being collected and will impact not only the MDS Coordinator but also the entire Interdisciplinary Team. Operational and clinical leaders need to reset and reboot policies and procedures based on best practices rather than relying on luck. Resident care, financial stability, and quality outcomes are at stake! This presentation will give you the information and the tools for a successful transition.

Learner Objectives:

  1. Summarize the practice changes necessary for the Interdisciplinary Team to complete accurate and timely MDS 3.0 assessments for FY 2024.
  2. Explain the role MDS 3.0 Sections C, D, GG, I, and O play in determining reimbursement under the Patient Driven Payment Model.
  3. Discuss how MDS 3.0 medication reconciliation and social determinants of health elements link to regulatory discharge planning requirements.
  4. Discuss the MDS-based Quality Measures in regards to QAPI and Five Star Ratings.

Nurse Learner Outcome:

  • At the conclusion of this session, participants will self-report a knowledge gain related to organizational practices, reimbursement, and quality measures associated with the MDS 3.0 FY 2024 updates.
Restorative Nursing - Rules, Regulations and Reality
Betty Brunner, Pathway Health Services
Nicolet Room (5th Floor)
This 90-minute program provides you with the WHAT- Restorative Nursing Program is Why Restorative Nursing is essential in your facility and How to Implement Restorative in your day-to-day clinical operations of your facility.
 
Learner Objectives:
  1. Describe the importance of nurse's understanding of anatomy and physiology for the assessment process of restorative nursing
  2. Describe the regulatory requirements related to the restorative nursing program
  3. Verbalize the list of MDS-based restorative nursing programs
  4. Identify examples of restorative nursing interventions to utilize with cognitively impaired residents
  5. Summarize restorative nursing setup, policies and procedures, documentation, assessment and evaluation
Nurse Learner Outcome:
  • Upon completion of this presentation, the participant should be able to describe the concepts of a comprehensive restorative/rehabilitation program.
12:00 PM - 1:30 PM
Awards & Recognition Luncheon
 
Mackinac Ballroom (5th Floor)
 
1:30 PM - 2:30 PM
Theory & Practical Application of Hypnotherapy, Tapping, & Essential Oil to Support Pain Management (PAIN CE)
Erica Holman, Maisel Klausen
Brule Room (5th Floor)
Like a finely cut diamond, excellent pain management is highly valuable. As HCAM celebrates its Diamond Jubilee, it's the perfect time to expand knowledge about integrative approaches to pain management. Pain diminishes quality of life and exacerbates co-morbid conditions and having more than a traditional solitaire diamond approach to pain management can drastically improve outcomes.
 
Learner Objectives:
  1. Describe an integrative approach to pain management.
  2. Discuss the potential value of non-pharmacological pain management approaches.
  3. Define evidence-based resources to expand integrative pain management.

Nurse Learner Outcome:

  • At the conclusion of this session, participants will self-report a knowledge gain of evidence based integrative pain management approaches.
Infection Control Escape Room
Kelly Dolby, Ciena Healthcare
Nicolet Room (5th Floor)
Do your staff run the other way when they see you coming to do an Education? Are staff mentally absent during educational meetings? It is time to Rethink how you are doing your education in your facility. Staff no longer want to be educated by being talked at. Creating an interactive and hands on education not only increases retained knowledge but also promotes team work among departments. I will show you how to create an Infection Control Escape room in your facility that your staff will be sure to love.
 
Learner Objectives:
  1. How to Create an IC Escape Room
  2. Where to obtain low cost supplies for the IC Escape Room
  3. How to measure knowledge gained and retained utilizing an Escape Room as an educational tool within the facility.

Nurse Learner Outcome:

  • At the conclusion of this session, participants will self-report a knowledge gain in how to create an escape room to increase knowledge in their staff.
2:45 PM - 3:45 PM
Bipaps, Cpaps, Respirators and More!
Mark Adams, CareLinc Medical
Brule Room (5th Floor)
Is your facility hesitant to accept a higher acuity respiratory resident? Come roll the dice of respiratory care with me.
 
Learner Objectives:
  1. Overview of Respiratory services in post acute care.
  2. What is the hospital ordering? 
  3. Limitations outside of the hospital
  4. The airway resident needs
  5. On going respiratory support.

Nurse Learner Outcome:

  • Bed side care will know best practice for their pulmonary/respiratory residents.
Opioid Diversion Awareness and Identification
Rodney Sharp, PharMerica
Nicolet Room (5th Floor)

The sad facts are that 10 -15% of health care workers have problems with substance abuse. The Centers for Medicare & Medicaid Services (CMS) implemented a set compliances for all long-term care (LTC) facilities and other institutions to be fully compliant with a new set of guidelines governing the management, storage, and distribution of all controlled medications. CMS has developed the new rules in response to the growing problem of drug diversion, theft, and addiction. Drug diversion programs are designed to help drug offenders avoid conviction and a criminal record. These programs work by removing first-time, low-level drug defendants from the criminal justice system and/or loss licensure.

Learner Objectives:

  1. Improve control medication diversion awareness including options for monitoring and auditing for diversion
  2. Identify options available to assist with diversion identification
  3. Discuss how diversion can impact the resident/patient
  4. Highlight the impact of the COVID pandemic on diversion
  5. Discuss opportunities for diversion prevention
  6. Examine available support tools and resources

Nurse Learner Outcome:

  • At the conclusion of this session on the evaluation, participants will self-report a knowledge gain related to drug diversion auditing, monitoring, prevention, impacts and resources.

 

4:00 PM - 5:00 PM
Reset Your Understanding of F880
Jana Broughton, 34908
Patricia Leonard, Improve Health/Superior Health
Brule Room (5th Floor)
F880 infection control has been the focus for nursing homes for the past 3 years. As we enter the endemic phase of COVID, let's take a look at F880 with fresh eyes. This session will take a deep dive into the elements of F880 that continue to create headaches of compliance for nursing homes. We will review the F tag from an overview of content and review the gaps most often cited. We will look at the links between F880 and staff turnover; as well as F880 and other tags being linked in survey outcomes. We will review water management and other non-clinical focused sections of infection control and discuss their impact on facility compliance. Finally, we will wrap up with a quick overview of what a QIN/QIO is and how we support nursing homes in quality improvement.
 
Learner Objectives:
  1. Identify components of F-880 infection control regulation.
  2. Discuss impact of staff turnover on infection control program outcomes and quality
  3. Recognize emerging trends in infection control surveys.
  4. State risks associated with lack of consistent application of infection control practices.
Nurse Learner Outcome:
  • At the conclusion of this session, participants will understand the basis for F880, the impacts of staff turnover on infection control program effectiveness, and emerging trends noted in infection control non-compliance.
Equality For All: Elliott-Larsen Civil Rights Act Amendment, Implications for LTC
Terence Durkin, Kitch Firm (The)
Nicolet Room (5th Floor)
Michigan has expanded the ELCRA protections for employees and the US Supreme Court has increased the burden on employers for religious accommodations. Are you ready for these changes? Learn how you can protect your company from discriminatory practices.
 
Learner Objectives:
  1. Understand the changes to ELCRA and religious accommodations.
  2. Discuss with the employee the requested accommodations during the interactive process.
  3. Apply the new standard.

Nurse Learner Outcome:

  • At the conclusion of this session, participants will learn best practices to implement the changes in the ELCRA and religious accommodations.
6:45 AM - 7:45 AM
Sunrise Gentle Yoga [PAIN CE]
Rhonda Jones, Detroit Chemical & Paper Supply Company
Marquette Room (5th Floor)

This session will not be broadcast live, however, it will be available on-demand.

 

Come experience a Gentle Yoga class that is accessible to ALL and can help cultivate resiliency, enhance self-care, and foster stress management. The Sunrise Gentle Yoga presentation will guide participants through a 60 minute gentle yoga flow. All that is needed from participants is an open mind and comfortable clothing. **Yoga Mats Are Not Required***

Learner Objectives:

  1. Recognize that the practice of yoga is accessible to everyone and can be practiced anywhere.
  2. Experience the physiological changes in the sympathetic nervous system through the practice of mindful movement and how these changes can benefit them on a physical, mental, and emotional level.
  3. Practice breath awareness (pranayama) techniques that tap directly into the parasympathetic nervous system.

Nurse Learner Outcome:

  • At the conclusion of this educational session, participants will self-report a knowledge gain of how gentle yoga can be utilized as a non-pharmacologic pain management technique for residents.
7:30 AM - 5:00 PM
Relaxation Room Available
 
Richard Room (5th Floor)

Enter a room of tranquility to relax and decompress throughout the conference. We will supply coloring books, essential oils, and light music to encourage our nurses to unwind.

8:00 AM - 9:00 AM
Surviving an Armed Intruder
Steven Wilder, Sorensen, Wilder & Associates
Brule Room (5th Floor)
This one hour presentation is an abbreviated version of the Sorensen, Wilder & Associates nationally recognized program "The Armed Intruder / Active Shooter in the Healthcare Facility: Planning For...Responding To...Recovering From the Unthinkable". This program has been been presented to healthcare facilities and healthcare organizations across the nation, and has become the "program of choice" with many major insurers and healthcare organizations.
 
Learner Objectives:
  1. Identify reasons that people may fail to properly respond in a crisis situation
  2. Name each of the choices in the Four Outs for surviving an active shooter event in a healthcare facility
  3. Understand how to make the difficult choice between personal safety and patient/resident safety

Nurse Learner Outcome:

  • Upon conclusion of this session, on the post session evaluation the attendees will self report a knowledge gain of how to minimize the casualty count and maximize survivability in an active shooter event in a healthcare facility
Preventing Central Line Infections Through Proper Care and Maintenance
Jennifer Card, Card Vascular LLC
Nicolet Room (5th Floor)
In this presentation, Jennifer Card (BSN, RN, BC-VA) will dive into the techniques and best practices for preventing central line infections. Attendees will learn more about the various types of vascular access devices as well as tools, techniques and processes to help prevent infections. General admission to the MI-NADONA conference will get you a whole seat to this presentation, but you will only need the edge as Jennifer captivates the audience with her in-depth vascular knowledge.

Learner Objectives:

  1. Identify the various types of vascular access devices.
  2. Perform sterile technique.
  3. Explain the purpose of the various techniques for infection prevention.
  4. Understand and apply the various flushing techniques.

Nurse Learner Outcome:

  • At the conclusion of this presentation participants will have increased knowledge in central line care and maintenance that can be leveraged to help prevent infections.
9:15 AM - 10:15 AM
Creating and Maintaining a Secure Environment
Steven Wilder, Sorensen, Wilder & Associates
Brule Room (5th Floor)
Creating and maintaining a secure environment is a reasonable expectation of any healthcare facility. In this session, Steve Wilder will look at ways that this can be accomplished, starting from the perimeter of the property and working inwards. This will include how to use rings of security, a security vulnerability assessment, and the development of a strategic plan for security improvements.
 
Learner Objectives:
  1. Review recent acts of violence in healthcare communities that illustrate the criticality of the problem.
  2. Identify the four steps in the P2T2® system for creating and maintaining a secure environment.
  3. Learn how to perform a basic security vulnerability assessment (SVA) to identify acts or conditions that may lead to a security breech.
  4. Discuss the use of a “strategic plan for security improvement”.

Nurse Learner Outcome:

  • At the conclusion of this educational activity participants will self report on the post session evaluation, a knowledge gain of how to recognize breaches in security before an adverse or untoward event occurs.
Implicit Bias
Carmen McIntyre Leon, Wayne State University
Nicolet Room (5th Floor)
This presentation will describe the ways that implicit bias among health care providers contributes to health disparities and impacts health outcomes. It will offer strategies participants may use to uncover and overcome their own implicit biases, recognize it in their institution's providers and policies/practices, and provide tools to mitigate the bias, leading to improved patient care outcomes.
 
Learner Objectives:
  1. Differentiate between stereotypes, prejudice, implicit bias, and racism
  2. Name three examples of health disparities
  3. Describe how implicit bias affects health outcomes
  4. List two strategies for managing implicit bias

Nurse Learner Outcome:

  • At the end of this presentation participants will recognize implicit bias, and actively work to mitigate the effect any bias may have on their delivery of clinical care.
10:30 AM - 11:30 AM
The Java Project: Addressing Loneliness in Long Term Care
Kristine Theurer, Java Group Programs
Brule Room (5th Floor)
Loneliness is affecting a majority of residents in long-term care. Residents themselves represent a largely untapped resource to address these issues. The Java Project is a research-based innovative approach using resident peer support groups and mentoring that has demonstrated decreases in loneliness (15%), depression (30%) and increases in resident engagement (60%). This session will include results of the implementation of this project in multiple organizations in several states including successes and lessons learned. Attendees will leave with a handout and practical tips on how to implement this approach.
 
Learner Objectives:
  1. Upon completion, participants will be able to describe a model of resident peer support and mentoring to address loneliness and social isolation.
  2. Upon completion, participants will have evaluated the research results of this approach, reviewed its implementation in 6 North Carolina communities, and have experienced a live peer support program.
  3. Upon completion, participants will have explored take away strategies to incorporate peer support and mentoring among residents in their organization and received a handout.
Nurse Learner Outcome:
  • Upon completion, participants will be able to describe a model of resident peer support and mentoring to assist activity staff in addressing loneliness.
Psychotropic Stewardship
Tom Katofiasc, Omnicare/CVS
Nicolet Room (5th Floor)
Psychotropics remain one of the most scrutinized category of medications within the CMS State Operations Manual with over 28 pages dedicated to their appropriate use. Psychotropic medications can lead to a host of adverse events and proper stewardship is required to limit harm to the frail elderly residents in long term care receiving these meds. This presentation will review the categories of psychotropic medications to help participants improve their knowledge of the appropriate use, monitoring and administration in the long-term care setting.
 
Learner Objectives:
  1. Identify psychotropic medications commonly utilized int e long term care setting
  2. Recognize the potential adverse effects of relate to psychotropic use
  3. Understand appropriate monitoring and administration of psychotropic medications
  4. Recognize the federal regulations concerning gradual dose reduction requirements
Nurse Learner Outcome:
  • At the conclusion of this session, participants will improve their knowledge of the appropriate use, monitoring and administration of psychotropic medications in the long-term care setting
11:30 AM - 1:15 PM
Networking Luncheon & General Membership Meeting
 
Mackinac Ballroom (5th Floor)
 
1:15 PM - 2:15 PM
FRI Reporting
Vickie Burlew, Lebenbom & Rothman Consulting
Brule Room (5th Floor)

Are you still confused about what to report? Are you having more FRI surveys than closed by desk review? Are you answering all the fields on the website and still not telling them what they want to hear? Then this session is for you. We will review the federal requirements for what to report and use the Exhibits 358 and 359 as templates for an investigation. Learn more about investigation details. We describe how to ensure all 4 elements of a plan of correction are in you r 5-day report to the state.

Learner Objectives:

  1. Identify what CMS requires to be reported
  2. Review the models they suggested we use
  3. Describe the 4 elements of the Plan of Correction and how to incorporate into the 5-day report to the state

Nurse Learner Outcome:

  • At the conclusion of this session on the evaluation, participants will self-report a knowledge gain of how to incorporate the 4 elements of the plan of correction into the 5-day report to the state.
Enhanced Barrier Precautions - Necessary?
Cindy Fronning, NADONA
Nicolet Room (5th Floor)
Did you know about enhanced barrier precautions? Have you been using these precautions? This webinar will provide you with the how and whys of enhanced barrier precautions including the updates of 7/12/2022. Join us and take away resources to assist your facility in utilizing these precautions in the most effective manner!
 
Learner Objectives:
  1. Explain the difference between Contact precautions and enhanced barrier precautions
  2. Discuss the purpose and reason why enhanced barrier precautions are necessary
  3. Describe how a facility would implement these precautions
Nurse Learner Outcome:
  • At the conclusion of this session, participants will self-report a knowledge gain of when and how to implement enhanced barrier precautions and why on the post session evaluation
2:30 PM - 3:30 PM
Pressure Ulcers and Other Alterations in Skin Integrity: The Importance of Assessment and Documentation
Louann Lawson, Pathway Health
Brule Room (5th Floor)
Assessment and documentation play a pivotal role in the prevention and management of pressure ulcers and other alterations in skin integrity. Regular assessments provide healthcare professionals with a holistic understanding of a resident’s condition, allowing for early identification of risk factors, prompt treatment interventions, and personalized care plans. Accurate documentation serves as a crucial communication tool among members of the healthcare team, fostering collaboration and continuity of care. The synergy between assessment and documentation not only aids in the prevention and treatment of skin issues but also promotes transparency and accountability within the healthcare system.
 
Learner Objectives:
  1. List three essential competencies associated with pressure ulcer assessment and documentation.
  2. Identify risk factors associated with pressure ulcer development and interventions to mitigate those risks.
  3. Identify best practices for treatment of various stages of pressure ulcers.
  4. Discuss the importance of meticulous documentation when describing skin lesions and the healing process.
  5. Address the characteristics of avoidable versus unavoidable pressure ulcers as defined in F686: Treatment/Services to Prevent/Heal Pressure Ulcers.
Nurse Learner Outcome:
  • At the conclusion of this session, participants will self-report a better understanding of the competencies associated with pressure ulcer assessment and documentation aligning with F686: Treatment/services to Prevent/Heal Pressure Ulcers of Appendix PP of the State Operations Manual.
Sepsis; The Undetected Tragedy
Cindy Fronning, NADONA
Nicolet Room (5th Floor)

Have your residents come back to your facility with a diagnosis of Sepsis? Have you asked your self the question "How did that happen?" or "Did they go in with sepsis and I missed it?" It's not a good feeling to have dropped the ball especially with sepsis. Join us and learn more about this undetected opportunity for tragedy.

Learner Objectives:

  1. List 3 symptoms of Sepsis
  2. Explain how imaging tests help to diagnosis Sepsis.
  3. Describe 2 types of treatment for sepsis

Nurse Learner Outcome:

  • At the conclusion of this session, 80% of the participants will self-report a knowledge gain of the warning signs of sepsis on the post session evaluation
3:30 PM - 5:30 PM
Annual Vendor Expo
 
Ambassador Ballroom - 1&2 (3rd Floor)
 
7:30 PM - 10:30 PM
Networking Reception
 
Ambassador Ballroom - 3 (3rd Floor)
 
7:30 AM - 11:00 AM
Relaxation Room Available
 
Richard Room (5th Floor)

Enter a room of tranquility to relax and decompress throughout the conference. We will supply coloring books, essential oils, and light music to encourage our nurses to unwind.

8:00 AM - 9:30 AM
Closing Remarks & Closing Keynote: A Quick Hit of Joy: How Nurses can #FeelGood Fast
Robin Shear, Joy To The World Coaching
Mackinac Ballroom (5th Floor)
You’ve seen the “choose joy” t-shirts and water bottles. You like the idea of choosing joy, but you don’t know how to go about it. Joy seems out of reach in our hurting and overburdened world and no one is teaching the “how” part of the “choose joy” message… until now. In this fun and very interactive session, you’ll examine how your choices impact the level of fulfillment you have at work and at home - and where improvement can be made in a hurry. Because choosing joy begins with understanding the difference between happiness and joy, you will learn the difference and discover 5 fun steps to help you have more actual joy and #feelgood fast, despite your circumstances. You’ll be able to recognize where to find joy personally and you’ll want to help others do the same. We’ll identify the #1 thing that stops givers like you from having more joy in life and address it head on. And while we’re there, we will invite the wonder of childlike thinking back into our days and feel the difference it makes for us, our families, colleagues, and patients. It’s a sure thing, this seminar with Joy Coach Robin will help you laugh your way to real change!
 
Learner Objectives:
  1. Differentiate between joy and happiness, become aware of which one they put more effort into, and discover why it matters
  2. Implement their new found knowledge of joy into the development of a personal joy bucket list
  3. Repeat a helpful, memorable strategy to help combat any head trash that keeps them from having more joy
  4. Produce a doable action plan that allows them to have more fun each day 5. Identify ways they can intentionally share joy with others

Nurse Learner Outcome:

  • At the conclusion of this session, participants will demonstrate a knowledge gain of how to find joy on a personal level as evidenced by passing the post session test.
9:45 AM - 10:45 AM
LARA-BCHS State of Michigan Update
Heather Hosey, State of Michigan - LARA BCHS
Mackinac Ballroom (5th Floor)
Learn about updates to regulatory requirements and common citations. This session will support regulatory compliance in your practice and understanding of state licensure processes.
 
Learner Objectives:
  1. Understanding of HFA requirements and changes.
  2. Knowledge of common regulatory concerns.
  3. Understanding of Certified Nurse Aide requirements to gain certification and access to the MI-NATES registry.

Nurse Learner Outcome:

  • At the conclusion of this session, participants will self-report a knowledge gain in regulatory compliance and requirements.
11:00 AM - 12:00 PM
Regulatory Updates - Resetting After the Pandemic
Vickie Burlew, Lebenbom & Rothman Consulting
Mackinac Ballroom (5th Floor)
Following the end of the pandemic both CMS and Michigan RESET their regulatory focus and process. CMS focused on the REBOOT of the Biden Administration's priority of the minimum staffing requirement, while Michigan focused on clarity and efficiency in the certification of nursing assistants and the survey process. Don't think these dice are loaded against you. Learn the particulars - and what you need to do to operationalize the changes. Then ROLL THE DICE!
 
Learner Objectives:
  1. Identify the Michigan Nurse Aide Registry
  2. Describe the recent CMS Minimum Staffing Proposal
  3. Discuss changes to the regulatory survey process
Nurse Learner Outcome:
  • At the conclusion of this session, the participants will self-report a knowledge gain of improvement needed in daily operations resulting from changes in the regulation or regulatory process.