Is your team challenged with residents who have frequent falls? Are you struggling to find interventions to help residents be safe and have independence too? Perhaps, you are looking in the wrong place. The challenge may not be with the residents; it may be with the Fall Prevention Program and the systems we have in place to support our residents and staff. Learn how to conduct a root cause analysis of your system and improve that. Refurbish your action planning process. And build a monitoring system that includes thresholds and checkpoints to continuously sustain and improve your Fall Prevention Program.

Nurse Learner Outcome: Participants will self-report a knowledge gain in applying the principles of QAPI to improving their Fall Prevention Programs.

Learner Objectives:

1.     Describe a Root Cause Analysis Tool.
2.     Discuss how to develop an action plan.
3.     Investigate a tool to improve results of QA Monitoring.

Surrogate decision making is a complex legal matter. Are you confused? Do you have the right paperwork? In this session we outline the powers of guardians, patient advocates, DPOAs, and conservators. We review the Michigan Do-Not-Resuscitate Law.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain in the validity of surrogate decision maker documents.

Learner Objectives:

1. Review the powers of a guardian.
2. Describe the responsibilities of a Patient Advocate.
3. Identify what makes a valid DNR Order.
4. Differentiate the duties of a Conservator and Financial Power of Attorney.

Coming off a whirlwind of labor and employment changes in 2023, this year has already gotten off to a fast start requiring facilities to modify their approach to how they deal with their employees. This session will provide an update on those areas of labor and employment law most likely to impact facilities going forward and discuss strategies to minimize potential liability and disruptions to operations.

Nurse Learner Outcome: At the conclusion of this session, participants will gain a better understanding of developments under federal and state law impacting workplace interactions and decision-making.

Learner Objectives:

1. Gain insight into recent federal and state legislation impacting their staff and operations.
2. Understand potential further developments to keep an eye on for the rest of the year.
3. Discuss strategies to minimize liabilities associated with staff.

This interactive lecture provides knowledge, essential tools, best practices and key steps to implement immediately for managed care success. Knowledge of the nuts and bolts of preparing for and working with managed care daily will be given through this deep dive along with system development encompassing contracting, case management and billing. Attendees will leave with tips, tricks and techniques to navigate the many nuances of managed care and how that equates to operational and financial success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the how to manage Managed Care contracts and maximize the reimbursements available on the post session evaluation.

Learner Objectives:

1.     Describe what aspects of managed care contracts are not being maximized for full reimbursements.
2.     Identify where we stand on a managed care proficiency scale defined by best practices.
3.     Analyze what we are being paid for and if the levels listed are appropriate for our services.
4.     Develop a managed care strategy and game plan to ensure we are not leaking managed care revenue.

This program will provide Michigan skilled nursing facilities an overview of the changes in rate setting, initial and final settlements, and related limits as allowed by the State Plan Amendment 0013 and audit requirements. The rate setting methodology was changed for state fiscal years 2022 and 2023 to recognize the financial toll on providers through the pandemic. The rates will be based on the actual provider costs from their Medicaid cost reports for fiscal year 2022 and 2023. This rate methodology change flows through to the settlement for these years and directly impacts the amount of QAS paid based on these rates. The program will also present the latest information regarding the development of a new reimbursement system for skilled nursing services. MDHHS and HCAM along with other stakeholders have been meeting frequently to design this system. The program will also provide an overview of the MI Health Link transition to a HIDE SNP. Types of D-SNP's will be discussed, along with information regarding how the HIDE SNP transition will effect providers going forward.

Learner Objectives:

1. Describe the changes in Medicaid rate setting, settlement, audit and related variable cost and plant limits for SFY 22-24, along with upcoming SFY 25 changes.
2. Discuss the proposal to revise the current reimbursement methodology potentially effective October 1, 2024.
3. Discuss the MI Health Link program transition to a HIDE SNP and how this will effect providers in Michigan.

Cybersecurity threats are increasing. Increasingly, attackers leverage artificial intelligence (AI) to increase their chances of success. In this presentation, Dr. Jim Marquardson will share the latest research on cybersecurity threats. He will focus on key actions that individuals can take to protect themselves and their organizations.

Nurse Learner Outcome: At the conclusion of this session, participants will be able to recognize cybersecurity threats.

Learner Objectives:

1. Identify features of phishing attempts
2. Describe the benefits of using a password manager
3. Know the names of several good password managers
4. Describe how AI is being used to conduct phishing attacks

Care planning has become fragmented and a siloed approach where each Interdisciplinary Team Member is building care plans that addressed their problem areas for the resident instead of looking at each resident holistically and understanding the interrelation between the problems/issues for each resident and discussing them with the resident and create a person-centered plan of care that brings their desire on how they desire their issues/problems to be addressed in their plan of care. Let's discuss how we can make that happen through a body system focus.

Nurse Learner Outcome: At the conclusion of this session, participants will self report a knowledge gain in the steps to person care planning that reflects the resident voice using a body systems approach.

Learner Objectives:

1.     Identify the Regulatory Requirements for Care Planning
2.     Discuss at least 4 opportunities to give the resident's voice into their care planning.
3.     Discuss the Interdisciplinary Approach to Care Planning for a Resident

This session will present the state of MIOSHA’s 2024 goals and initiatives. The presentation will outline the inspection process in relation to the healthcare sector. In addition, it will identify applicable programs and services available to the healthcare sector to meet and exceed applicable MIOSHA health and safety regulations.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the MIOSHA inspection process in healthcare facilities on the post-session evaluation.

Learner Objectives:

1. Identify the MIOSHA Strategic goals and and initiatives
2. Understand MIOSHA Inspection Process
3. Identify MIOSHA services available to employers.