Presentation Descriptions

Abuse and Neglect: The Impact of Federal and State law and Our Role in the Facility
This presentation will define the different types of abuse and neglect as well as how to recognize the general signs of abuse. Reporting requirements will be explained including the Federal Elder Justice Act for reporting suspected crimes. Participants will learn about the impact of stress and burnout and some strategies for managing difficult situations with residents, families and in the workplace. Relevant components from the Quality Indicator Survey Process will be incorporated throughout the talk as well as guidelines for documenting allegations of abuse in the medical record.

Achieving Success with Challenging Residents and Families
Working in the long-term care facility is tough. And, when residents and family members display challenging behaviors, it takes skill and insight to achieve desirable outcomes. This presentation will help staff recognize the dynamics of these behaviors and how to avoid becoming defensive in the heat of the moment.

Achieving Success with Discipline
Discipline – it’s usually not high on the list of things a manager likes to do or that an employee likes to receive. This talk will re-frame discipline into something positive and necessary. By providing clear guidance on how to get results and maintain relationships, participants will be empowered to achieve desirable outcomes for everyone. Throughout the talk, participants will have opportunities to apply key principles for performance improvement from problem identification to documentation for a situation they are currently working with.

Advance Directives
This presentation will explain the different advance directive documents and who can sign them. Within the context of advance care planning, emphasis is placed on the importance of engaging patients in discussion regarding their health care wishes. Discussion of topics will include code status, do not hospitalize orders, limitations to advance directives and strategies to overcome those limitations. Resources to help make these discussions easier are provided at the end and include information on anatomical donation, donor registries and funeral consumer alliances.

Care Plans: From Scary to Simple
Ensuring up-to-date and accurate care plans is one of the most important functions of the interdisciplinary team. Facilities often receive citations for deficient practice related to care plans. It’s time to change that! This presentation will break down the care plan process into a simple format and provide useful tools to assist staff in developing practical and functional resident-centered plans.

Critical Elements of Care: Successful Implementation to Achieve Positive Outcomes
Critical elements of care, from a comprehensive assessment to revision of the care plan, must drive clinical and operational processes in long-term care facilities. New orders, changes of treatment and changes of condition occur each day. Do the structures and processes in your facility support a sustainable system in which the critical elements of care are executed competently and consistently? At the heart of a successful facility is outstanding communication, critical thinking skills and meticulous attention to detail, in essence, successful operationalization of the critical elements of care. This session provides concrete methods to simplify the complexities of daily life in the facility.

Cultural Competence in Working with Young Adults in Long-Term Care
The younger adult population in the nursing home poses unique challenges and opportunities for staff. This talk will address best practices such as identifying needs and wants and how to prioritize competing interests. Emphasis on facilitating relationships is key, all within a cultural context that both honors this cohort of adults but also provides clear guidance to staff on achieving the best possible outcomes.

Data Sanity: How to Use Statistics and Not Go Insane!
Please forget everything you’ve learned in your previous “sadistics” courses (No doubt, you already have!).  Data Sanity will introduce a “mind set,” not a “tool set” to engage in everyday organizational language to understand the many lurking guises of variation and react appropriately. Whether or not people understand statistics, they are already using statistics; but people don’t need statistics, they need to solve their problems. This talk will demonstrate several common statistical traps and how many common data displays like bar charts and trend lines unwittingly create significant waste of precious time and energy. You will experience how a few elegantly simple—and counterintuitive—alternatives can create group consensus in seconds, resulting in deeper, more productive conversations and be the surprising catalyst for outstanding performance improvement projects and true organizational excellence.

Defensive Documentation
Creating a defensible medical record that also communicates the numerous details of patient and resident care requires training and understanding of the challenges and pitfalls of documentation. By demonstrating the importance of all staff practicing daily risk management skills, staff will be provided with strategies to achieve defensible and effective documentation and gain confidence with this sometimes onerous task.

Ethical Considerations When Adults Refuse Care in the Health Care Setting: Achieving Better Outcomes and Protecting Yourself
People refuse care for a number of reasons, sometimes to the dismay and frustration of the interdisciplinary team. This talk will create a paradigm shift for how we think about refusal of care and will provide concrete suggestions on achieving patient-centered care as well as ethical and defensible outcomes.

Facility and Staff Culture: Achieving Interdisciplinary Communication
Interdisciplinary communication is quite the “buzz” word but what does it really mean? And, what is the impact of facility culture on effective communication? Getting people to communicate and to function well as a team is directly correlated with strong leadership and a focus on systems and processes. This talk addresses the challenging issues related to corporate culture while incorporating Quality Assurance and Performance Improvement (QAPI) elements. Attendees will leave with tools and ideas they can begin using immediately to start creating change in their facilities.

Grievances? Complaints? Not In MY Facility!
Do you dread complaints? If so, you're not alone. Skills like validation and critical thinking help staff successfully resolve and document even the most challenging of issues. This presentation will help you evaluate your approach to accepting and handling complaints and empower you to take charge of this sometimes tricky aspect of health care.

Making the Stand-up Process Work for Your Facility: Manage Risk & Reduce Deficiencies
Every day there are hundreds of interactions between residents and staff, orders to carry out, labs to complete, tests and appointments to schedule, and thousands of regulations of which to be aware. Successfully managing clinical operations and the inherent risk with these activities can cause even the most seasoned leaders to have nightmares. This talk provides clear guidance on facilitating a robust, interdisciplinary stand-up meeting that operationalizes the Critical Elements of Care from the Comprehensive Assessment to Updating the Care Plan.

Operationalizing Behavioral Care: Keeping it All Together
Developing a successful and sustainable behavioral care program is challenging. Ideally, this process starts before a new resident is admitted to the facility and continues throughout the entire stay. From assessment to care planning, from target behaviors and consents to orders for psychiatric consultations, participants will be able to identify the numerous details that must be in place to achieve the best outcomes for resident care and ensure compliance. By emphasizing the elements of a comprehensive assessment, we will use the situation when a resident refuses care to explore capacity and documentation strategies.

Palliative Medicine, End of Life Care and Hospice
The palliative medicine movement has gained momentum but there is still misunderstanding regarding the nature of a palliative medicine approach and a hospice approach to patient care and treatment. This presentation will tackle these sometimes difficult topics and will provide a framework for a palliative assessment. Other topics include the assessment of pain and suffering, skills to engage in patient-centered discussions and an overview of valuable resources.

Psychosocial Assessments: Impacting Quality of Life
The psychosocial assessment provides a foundation for the care plan and the best quality of life for a resident. This talk will focus on the importance of the initial and ongoing psychosocial assessments throughout the resident’s stay. The components of a thorough assessment will be described within the framework of a strengths perspective. From the medical record review to the interview, participants will be able to identify important psychosocial issues and demonstrate critical thinking skills. One of the most challenging medical and psychosocial issues, the refusal of care or treatment, will be discussed with clear suggestions for defensible documentation.

Quality Indicator Survey (QIS) Process: Successful Operationalization in the
Long-Term Care Facility

The QIS Process is very different from the traditional survey process. This presentation will explain the two stages of the process, the different interviews, Care Areas, Quality of Care and Life Indicators, Mandatory and Triggered Facility Level Tasks and the Critical Element Pathways. By using a case example of a Resident Interview, participants will learn how to address responses that require additional investigation. Using a different case example, the Critical Element Pathway for Behavioral and Emotional Status will be explained with clear examples of documentation. At the end of the presentation, participants will express greater confidence of utilizing QIS tools and worksheets to enhance the facility’s quality improvement program.  

Resident Rights
Resident rights are a foundation of life in the long-term care facility. This presentation will go beyond just reviewing a list of rights. Pertinent federal regulations will provide insight on balancing some of the most challenging rights such as privacy, roommates, refusal of care and dignity. Using an ethical decision-making model, participants will learn how to tackle these tough challenges to achieve the best possible outcomes.

Sexuality in the Long Term Care Facility: Honoring and Protecting Residents
Sexuality in older adults or adults with disabilities can pose opportunities and challenges in any facility. This talk is a straightforward approach to a topic that causes discomfort for many staff. Often, there is a delicate balance to be achieved that honors residents’ right to sexual expression but also protect residents from foreseeable harm. Issues such as sexual assault, sexual intimacy and staff responsibility as a mandatory reporter will be explained. Case vignettes will be discussed with opportunity for audience participation.

Social Work in the Long-Term Care Setting
The social worker is an invaluable member of the interdisciplinary team. In the primary role as resident advocate, the social worker must be successful at balancing the needs of residents and the facility. This presentation will examine the federal regulations that a social worker and social services staff must know in order to manage the complexities of this position. Discussion will also include critical thinking skills and how to prevent burnout.

Understanding the Psychosocial Needs of the Bariatric Resident
Obesity is a growing epidemic in this country and worldwide and long term care providers need to be prepared to address the complex issues of patients and residents with bariatric needs. From psychological factors related to obesity to balancing resident’s rights with facility obligations, effectively handling refusals of care and promoting a strengths perspective, this presentation will help staff be successful in providing compassionate and clinically sound resident care. 

Your Life Your Choices: Straight Talk About Tough Issues
The process of making and communicating health care decisions is not only important but crucial in order for the medical community to honor a resident's wishes.Talking about advance directives and choices related to medical care can be difficult. This class will empower attendees with the words and the tools to engage residents and family members in discussion about quality of life, advanced illness and treatment decisions. The foundation of this presentation is the comprehensive workbook titled Your Life, Your Choices.