The Office of the Medicaid Inspector General (OMIG) is currently auditing nursing home Medicaid case-mix based on accuracy of MDS assessments and thoroughness of documentation.  While the initial audits focus on those nursing homes that increased their case-mix index by more than 5% in the January 2012 roster submission, OMIG intends to audit every nursing home in the state within two years. 

ProCare now provides consultation services and training for Exceptional Care Planning (ECP), an interdisciplinary, person-centered approach to care planning that utilizes evidence-based Standards of Care (SOC) to addresses deficiencies ranked within the top five.

Sometimes things can go wrong; an elopement, a serious medication error, a quality of care issue. When these events happen, the DOH looks at what procedures and policies are in place to investigate accidents and incidents. How does the facility engage in meaningful root cause analysis. Has the required investigation of the incident taken place that includes evidence of gathering and staff interviews? Facilities have been cited at the Immediate Jeopardy level and have been subject to fines and bans on admissions. Unfortunately, all too often, the deficits found are policies and procedures, staff education, or quality assurance activities that have failed to identify or correct vulnerabilities or effectively manage risk.

Let the experts from ProCare review your operation before the surveyors arrive.

Our consultant has over 25 years as a Principal Sanitarian for DOH. Life Safety deficiencies are on the rise and corrections may be costly. Let our consultant identify your issues before the surveyor does and guide you in finding solutions that are resident focused and cost effective.

CMS has announced a major initiative to improve behavioral health management, reduce unnecessary antipsychotic drug use and promote resident-centered care programs. CMS hopes to reduce antipsychotic drug use significantly from current levels for all residents and in particular for residents with dementia.